Department of Public Health and Human Services

Montana Healthcare Programs Provider Information » Ambulatory Surgical Center

Main Content

Ambulatory Surgical Center

Ambulatory Surgical Center

Provider Manuals

General Information for Providers  09/2017

Medicaid manual with general information for all provider types.

Ambulatory Surgical Center Services 08/2017

This manual has information specific to your provider type.

Medicaid Rules and Regulations

Fee Schedules – Ambulatory Surgical Center (ASC)

Some documents on this page are legal and/or historical in nature and cannot be altered to meet 508 Accessibility standards.  Each of those documents has a corresponding .txt document with the same name placed next to it.

October 2017

PDF: ASC Fee Schedule October 2017 Cover Sheet: ASC Fee Schedule Cover Sheet
Excel: ACS Fee Schedule October 2017 Excel

July 2017

PDF: ACS Fee Schedule July 2017 PDF Cover Sheet: ACS Fee Schedule Cover Sheet
Excel: ACS Fee Schedule July 2017 Excel

April 2017 

PDF: ASC Fee Schedule Definitions
PDF: ACS Fee Schedule April 2017 PDF 
Excel: ACS Fee Schedule April 2017 Excel

January 2017

PDF: January 2017 ASC
Excel: January 2017 ASC
TXT: January 2017 ASC

October 2016

PDF: October 2016 ASC
Excel: October 2016 ASC
TXT: October 2016 ASC

July 2016 

PDF: July 2016 ASC Rev. 08/05/2016
Excel: July 2016 ASC Rev. 08/05/2016
TXT: July 2016 ASC Rev. 08/05/2016

April 2016

PDF: April 2016 ASC
Excel: April 2016 ASC
TXT: April 2016 ASC

January 2016

PDF: January 2016 ASC
Excel: January 2016 ASC
TXT: January 2016 ASC

October 2015 

PDF: October 2015 ASC
Excel: October 2015 ASC
TXT: October 2015 ASC

July 2015

PDF: July 2015 ASC
Excel: July 2015 ASC
TXT: July 2015 ASC

April 2015 

PDF: April 2015 ASC
Excel: April 2015 ASC
TXT: April 2015 ASC

January 2015

PDF: January 2015 ASC
Excel: January 2015 ASC
TXT: January 2015 ASC

Provider Notices

Some documents on this page are legal and/or historical in nature and cannot be altered to meet 508 Accessibility standards.  Each of those documents has a corresponding .txt document with the same name placed next to it.

2017

11/20/2017 Qualified Medicare Beneficiary (QMB) Claim Adjustments
11/02/2017 New Medicare Card
10/02/2017 Montana Medicaid Expansion Changes
09/14/2017 Montana Plan First Anesthesia Update
08/21/2017 Clinical Pharmacist Practitioner
08/01/2017 Telemedicine - Correction
05/26/2017 Federal Final Rule, "Nondiscrimination in Health Program and Activities” and Implication for Coverage of Services Related to Gender Transition 0
4/06/2017 New EPSDT Request Form
03/07/2017   Reminder: Billing for Services in ASCs

2016

PDF: 07/18/2016 Changes to Member Cost Share Update
TXT:  07/18/2016 Changes to Member Cost Share Update
PDF: 07/05/2016 PA For Botox No Longer Required
TXT:  07/05/2016 PA For Botox No Longer Required
PDF: 07/05/2016 Circumcision Prior Authorization Changes
TXT:  07/05/2016 Circumcision Prior Authorization Changes
PDF: 05/19/2016 Changes to Member Cost Share
TXT:  05/19/2016 Changes to Member Cost Share
PDF: 04/07/2016 Montana Plan First - IUD and Anesthesia Updates
TXT:  04/07/2016 Montana Plan First - IUD and Anesthesia Updates
PDF: 02/01/2016 Basic Medicaid Benefit Increased to Standard Medicaid Benefit
TXT:  02/01/2016 Basic Medicaid Benefit Increased to Standard Medicaid Benefit
PDF: 01/15/2016 Standard Medicaid and HELP Plan Claims Processing Rev. 01/19/2016
TXT:  01/15/2016 Standard Medicaid and HELP Plan Claims Processing Rev. 01/19/2016

2015

PDF: 12/31/2015 Changes to Montana Medicaid
TXT:  12/31/2015 Changes to Montana Medicaid
PDF: 11/23/2015 Prior Authorization Requests and Medical-Surgical Prior Authorization Request Form Rev. 12/2015
TXT:  11/23/2015 Prior Authorization Requests
PDF: 11/03/2015 Services Exempt from Passport to Health Referral
TXT:  11/03/2015 Services Exempt from Passport to Health Referral
PDF: 10/01/2015 Changes to the Children's Mental Health Bureau Medicaid Services Provider Manual
TXT:  10/01/2015 Changes to the Children's Mental Health Bureau Medicaid Services Provider Manual
PDF: 08/03/2015 ICD-10 Guidance for Implementing International Classification of Diseases, 10th Edition (ICD-10)
TXT:  08/03/2015 ICD-10 Guidance for Implementing International Classification of Diseases, 10th Edition (ICD-10)
PDF: 07/31/2015 Adult and Pediatric Specialty Table of Services Available in Montana
TXT:  07/31/2015 Adult and Pediatric Specialty Table of Services Available in Montana
PDF: 06/09/2015 National Drug Code (NDC) Billing
TXT:  06/09/2015 National Drug Code (NDC) Billing
PDF: 02/11/2015 New HCPCS Modifiers – XE, XP, XS, and XU
TXT:  02/11/2015 New HCPCS Modifiers – XE, XP, XS, and XU

Other Resources

To locate older documents, access the Archive Page.