Dental (Dentist and Dental Hygienist) Dental Dentist and Dental Hygienist Provider Manuals General Information for Providers 02/2017 Medicaid manual with general information for all provider types. Dental and Denturist Services 08/2017 This manual has information specific to your provider type. Healthy Montana Kids (HMK) and CHIP Dental Services 08/2017 This manual has information specific to HMK and CHIP dental providers. Medicaid Rules and Regulations Code of Federal Regulations (Title 42) Montana Code Annotated (Title 53, Chapter 6) Administrative Rules of Montana (Title 37) Chapter 79 Healthy Montana Kids Chapter 82 Medicaid Eligibility Chapter 83 Medicaid for Certain Medicare Beneficiaries and Others Chapter 85 General Medicaid Services Chapter 86 Medicaid Primary Care Services Fee Schedules – Dentist 07/2016 PDF July 2016 Dental Excel July 2016 Dental 01/11/2016 PDF January 2016 Dental Excel January 2016 Dental 07/2015 PDF July 2015 Dental Excel July 2015 Dental 07/2014 PDF July 2014 Dental Excel July 2014 Dental Fee Schedules – Dental Hygienist 07/2016 PDF July 2016 Dental Hygienist Excel July 2016 Dental Hygienist 01/11/2016 PDF January 2016 Dental Hygienist Excel January 2016 Dental Hygienist 07/2015 PDF July 2015 Dental Hygienist Excel July 2015 Dental Hygienist 07/2014 PDF July 2014 Dental Hygienist Excel July 2014 Dental Hygienist Provider Notices 2017 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 04/06/2017 New EPSDT Request Form 2016 07/16/2016 Changes to Member Cost Share Update 06/09/2016 Dental Reimbursement Rate Change and Updated provider Manual 05/19/2016 Changes to Member Cost Share 02/01/2016 Basic Medicaid Benefit Increased to Standard Medicaid Benefit 01/21/2016 Important Dental Benefit Update 01/15/2016 Standard Medicaid and HELP Plan Claims Processing Rev. 01/19/2016 2015 12/31/2015 Changes to Montana Medicaid 12/31/2015 Important Dental Benefit Update 11/03/2015 Services Exempt from Passport to Health Referral 10/01/2015 Changes to the Children's Mental Health Bureau Medicaid Services Provider Manual 08/07/2015 Identification of Referring Providers on ADA Claim Form and 837D X12 Transactions 08/03/2015 ICD-10 Guidance for Implementing International Classification of Diseases, 10th Edition (ICD-10) 07/31/2015 Adult and Pediatric Specialty Table of Services Available in Montana 07/13/2015 Dental Reimbursement Rate Change and Updated Provider Manual 02/11/2015 New HCPCS Modifiers – XE, XP, XS, and XU 2014 12/18/2014 Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA) Changes Final Notice 09/16/2014 Adoption of the New Children's Mental Health Bureau's Medicaid Provider Manual into Administrative Rules of Montana 08/22/2014 Tobacco Cessation Products 08/05/2014 Montana Prescription Drug Registry 07/01/2014 Dental Reimbursement Rate Change, Updated Provider Manual, New and Discontinued Procedure Codes, and New Dental Claim Form 06/17/2014 Healthy Montana Kids (HMK)/CHIP Dental Changes 06/12/2014 ICD-10 Delay 05/13/2014 PERM Provider Educational Webinars 03/18/2014 Information Regarding CMS-1500 01/29/2014 Centers for Medicare and Medicaid Services (CMS) ICD-10 Provider Readiness Assessment Update Other Resources Dental Provider MDA Training Materials 05/2017 Dental Emergency Services Form 07/2013 This form must be completed and submitted with claims for emergency dental services provide to members age 21 and over with Basic Medicaid coverage. Sample ADA Dental Claim Form 06/2016 SURS Provider Self-Audit Protocol 10/2015 To locate older documents, access the Archive Page.