Durable Medicaid Equipment, Prosthetics, Orthotics, and Supplies DMEPOS Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Provider Manuals General Information for Providers 02/2017 Medicaid manual with general information for all provider types. Durable Medical Equipment, Prosthetics, Orthotics, and Medical Supplies (DMEPOS) 05/2017 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 – Durable Medical Equipment (DME) PDF Excel 08/27/2015 PDF July 2015 DME Rev. Excel July 2015 DME Rev. 03/10/2015 PDF January 2015 DME Rev. Excel January 2015 DME Rev. 10/2014 PDF October 2014 DME Rev. Excel October 2014 DME Rev. 07/2014 PDF July 2014 DME Excel July 2014 DME 02/2014 PDF January 2014 DME Excel January 2014 DME Provider Notices 2017 08/01/2017 Telemedicine - Correction 06/05/2017 Pulse Oximetry for Children Age 0-20 05/26/2017 Federal Final Rule, "Nondiscrimination in Health Program and Activities” and Implication for Coverage of Services Related to Gender Transition 04/21/2017 Bowel Management Program Supplies 04/17/2017 Prior Authorization for Insulin Pumps - E0784 04/06/2017 New EPSDT Request Form 03/31/2017 Ketone Test Strips - A4250 & A252 01/11/2017 New HCPCS Codes for Insulin Pump Supplies – A4224 & A4225 2016 11/10/2016 Insulin Pump PA Removal 09/26/2016 Coverage of Weighted Blankets 07/18/2016 Changes to Member Cost Share Update 05/19/2016 Changes to Member Cost Share 04/07/2016 Montana Plan First - IUD and Anesthesia Updates 03/21/2016 HCPCS Code For Ventilators E0465 and E0466 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 01/15/2016 Hospital Grade Electric Breast Pump Requirements 2015 12/31/2015 Changes to Montana Medicaid 11/27/2015 Home Blood Glucose Monitors and Related Accessories and Supplies 11/13/2015 Oral Nutrition for Children Under Age 21 – EPSDT 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 06/22/2015 Identification of Ordering and Referring Providers on CMS-1500 and 837P X12 Transactions 04/27/2015 Children’s (EPSDT) Coverage Criteria for Specified DME 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 12/08/2014 Compression Garments for the Legs 11/24/2014 DME Order and Prescription Requirements 11/05/2014 Gastrostomy/Jejunostomy Tube – Code B4088 09/16/2014 Adoption of the New Children's Mental Health Bureau's Medicaid Provider Manual into Administrative Rules of Montana 08/05/2014 Montana Prescription Drug Registry 08/05/2014 Montana Prescription Drug Registry 07/14/2014 Home Blood Glucose Monitors and Related Accessories and Supplies 06/26/2014 Terminology Change Regarding Method of Payment 06/24/2014 HMK (Formerly CHIP) Diabetic Supplies 06/12/2014 ICD-10 Delay 05/13/2014 PERM Provider Educational Webinars 04/22/2014 Modifier Changes for Professional Claim Billers 03/27/2014 Home Blood Glucose Monitors and Related Accessories and Supplies Update 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 Noridian Administrative Services Medicare's DME Administrative Services provider. Prior Authorization Criteria for Specific Services Region D DMERC/CIGNA Medicare The Durable Medical Equipment Regional Carriers (DMERC) website. DMERC processes Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) for Medicare. Medicare Pricing, Data Analysis, and Coding (PDAC) This website assists manufacturers and suppliers with DMEPOS billing and coding information. Can call toll-free 1-877-735-1326 or e-mail DME PDAC using their contact form. SURS Provider Self-Audit Protocol 10/2015 To locate older documents, access the Archive Page.