Department of Public Health and Human Services

Montana Healthcare Programs Provider Information » Nursing Facility

Main Content

Nursing Facility

Nursing Facility

Provider Manuals

General Information for Providers 02/2017

Medicaid manual with general information for all provider type

Nursing Facility and Swing Bed Services 10/2017

This manual has information specific to your provider type.

Medicaid Rules and Regulations

Fee Schedules – Ancillary Services

 

PDF 
01/2014  January 2014 Ancillary Services

Excel
01/2014 January 2014 Ancillary Services

 

 

 

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

2016

07/18/2016 Changes to Member Cost Share Update

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

12/31/2015 Changes to Montana Medicaid

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

06/24/2015 ICD-10 and Nursing Facility Requirements

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

08/05/2014 Montana Prescription Drug Registry 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)

01/09/2014 Using Medicaid Card ID Number When Billing and Checking Eligibility

01/09/2014 Reimbursement Changes for Covered Ancillary Services Provided to Youth in a PRTF and Additional Information Pertaining to PRTF Services

On-line Staffing Report

Other Resources

EOB R&R Crosswalk PDF and EOB R&R Crosswalk Excel 02/2011
With the implementation of HIPAA, Medicaid discontinued the use of Medicaid EOB codes and began using HIPAA standard reason and remark (R&R) codes. This document crosswalks the HIPAA standard R&R codes to the Medicaid EOB codes.

SURS Provider Self-Audit Protocol 10/2015

 

To locate older documents, access the Archive Page.