Oral Surgeon Oral Surgeon Provider Manuals General Information for Providers 02/2017 Medicaid manual with general information for all provider types. Dental and Denturist Program 07/2016 This manual has information specific to your provider type. Physician-Related Services 11/2016 This manual has information specific to your provider type. 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 – Oral Surgeon 07/2016 PDF July 2016 Oral Surgeon Excel July 2016 Oral Surgeon 01/11/2016 PDF January 2016 Oral Surgeon Excel January 2016 Oral Surgeon 07/02015 PDF July 2015 Oral Surgeon Excel July 2015 Oral Surgeon Provider Notices 2017 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 04/05/2017 New Form to Document Need for Orthognathic Surgery 2016 07/18/2016 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 01/15/2016 Standard Medicaid and HELP Plan Claims Processing Rev. 01/19/2016 2015 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 08/03/2015 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 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.