Department of Public Health and Human Services

Montana Healthcare Programs Provider Information » Home and Community-Based Services

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Home and Community-Based Services

Home and Community-Based Services

Provider Manuals

General Information for Providers  09/2017

Medicaid manual with general information for all provider types.

Bridge Waiver for Youth with SED

This link brings you to Manuals and Guides on the Department website.

1915(i) HCBS State Plan Program for Youth with SED

This link brings you to Manuals and Guides on the Department website.

Fee Schedules – 1915(i)

1915(i) was formerly Montana i-home.

Fee Schedules – Elderly and Physically Disabled Waiver

Fee Schedules – HCBS for Adults with Severe Disabling Mental Illness (SDMI)

Fee Schedules – Psychiatric Residential Treatment Facility (PRTF) Waiver

07/2009 August 2009 PRTF Waiver Rev. 11.05.2009

Provider Notices


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
04/06/2017 New EPSDT Request Form


07.18.2016 Changes to Member Cost Share Update
05.19.2016 Changes to Member Cost Share
02.16.2016 Changes to Rule 37.86.3503 Case Management Service for Adults with SMDI
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


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

09.03.2015 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

02.11.2015 New HCPCS Modifiers – XE, XP, XS, and XU


12.18.2014 Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA) Changes Final Notice

09.17.2014 Montana Child and Adolescent Needs and Strengths (CANS)

09.16.2014 Adoption of the New Children's Mental Health Bureau's Medicaid Provider Manual into Administrative Rules of Montana

08.13.2014 Community-Based Psychiatric Rehabilitation and Support (CBPRS) Clarification

08.13.2014 Montana Child and Adolescent Needs and Strengths (CANS)

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

Other Resources

To locate older documents, access the Archive Page.