General Information for Providers
Medicaid manual with general information for all provider types.
Chemical Dependency Provider Manual
This link will take you to the DPHHS BHDD Site.
Code of Federal Regulations (Title 42)
Montana Code Annotated - https://leg.mt.gov/ (Choose “Laws & Bills” then “ Montana Statutes – MCA”)
Applicable Section: Title 53, Chapter 6
July 2023 Chemical Dependency Medicaid
October 2022 Chemical Dependency Non-Medicaid
October 2022 Chemical Dependency Medicaid
July 2022 Chemical Dependency Non-Medicaid
July 2022 Chemical Dependency Medicaid
July 2021 Chemical Dependency Non-Medicaid
July 2021 Chemical Dependency Medicaid
July 2020 Chemical Dependency Non-Medicaid
July 2020 Chemical Dependency Medicaid
04/19/2024 Changes Regarding Opioid Prior Authorization and Medication for Opioid Use Disorder
03/27/2024 HHS Letter to Healthcare Providers
03/27/2024 Resources for Providers in Response to the Change Healthcare Cyberattack
03/27/2024 Updated CLIA Claims Editing
03/27/2024 Avoiding Claim Denials
03/27/2024 Location Address and Provider Maintenance Updates
03/19/2024 Electronic Funds Transfer Payment Verification
03/12/2024 Valid Member ID and Eligibility Verification
03/12/2024 Provider Initiated Claims Adjustment
03/06/2024 American Society of Addiction Medicine Services Refresher Training Opportunity (April)
03/05/2024 Voiding Claims With a Prior Authorization
02/22/2024 American Society of Addiction Medicine Services Refresher Training Opportunity (March)
02/05/2024 BHDD Awarding Grant Funds to Increase Residential Bed Capacity in Montana
01/23/2024 Montana Healthcare Programs Support Services Holiday Closure REVISED
01/08/2024 Electronic Claim Adjustment Processing Change
12/22/2023 Passport Provider Referral Number on Claims
12/12/2023 Individual Providers Enrolled as Sole Proprietors Due for Revalidation
11/08/2023 Prior Authorization Information
10/31/2023 Managed Care Referrals IHS, Tribal 638, and Urban Indian Organizations REVISED
09/15/2023 Claims Payment Discrepancy Update
09/14/2023 Claims Payment Discrepancy Identified
09/12/2023 Clarification Regarding Institutions for Mental Diseases (IMDs) Under the HEART Waiver
09/08/2023 Medicaid Claims Payment Delayed
09/06/2023 Provider Rate Increases Systematic Adjustments
08/01/2023 Provider License Expiration Reminder Letters
07/06/2023 Provider Rate Increases
05/26/2023 Medicaid Reimbursement and Court Ordered Services REVISED
04/19/2023 Clarification for Substance Use Disorder Intensive Outpatient Providers
04/10/2023 Resumption of Face-to-Face Requirements for Selected Programs REVISED
03/22/2023 Coverage and Reimbursement Policy for Telemedicine/Telehealth Services
03/22/2023 End of Public Health Emergency (PHE) Effects on Pharmacy Coverage
03/22/2023 Non-Covered Services Agreement Policy Return to Requirements
03/22/2023 Reinstatement of the Primary Care Provider Referral for Passport
03/22/2023 Resumption of Face-to-Face Requirements for Selected Programs
03/22/2023 Resumption of Prior Authorization Requirements Revised 04/03/2023
03/17/2023 End of Temporary Revision to Case Management General Provisions
03/10/2023 Provider Meetings for Medicaid Eligibility Redetermination and Unwinding PHE Flexibilities
03/09/2023 Add-on and E&M Code Editing
03/03/2023 End of Public Health Emergency
01/04/2023 Montana Healthcare Programs Support Services Holiday Closures
12/27/2021 Clarification for Outpatient Treatment Providers
12/15/2021 Health Behavior Assessment and Intervention Billing Codes Rev. 04/26/2022
12/10/2021 New Provider Services Portal
09/16/2021 Billing Update - Licensed Marriage and Family Therapist (LMFT)
07/20/2021 Enrollment Update – Licensed Marriage and Family Therapist
07/06/2021 Adoption Of Temporary Emergency Rule To Allow for COVID-19-Related
Regulatory Discretion Beyond The Expiration Of The Governor-Declared State Of Emergency
06/11/2021 COVID-19 Vaccine Administration Billing Guidance
05/05/2021 Date Spans for Prior Authorization Through the Qualitrac Portal
04/02/2021 New Provider Type – Licensed Marriage and Family Therapist
01/28/2021 Montana Healthcare Programs Support Services Holiday Closures
01/11/2021 Provider Support Services Closed for Martin Luther King Day, Monday, January 18, 2021
12/07/2020 Medicaid Expansion Extended Through December 31, 2021
10/28/2020 Provider Relief Fund General Allocation
10/21/2020 Substance Abuse Block Grant (SABG) Non-Medicaid Contracted Substance Use Disorder Treatment HCPCS Code Update
09/15/2020 DLA-20 for Intensive Outpatient Treatment (IOP) Programs
09/08/2020 Substance Abuse Block Grant (SABG) Non-Medicaid Contracted Billing Requirements for Procedure Codes H2034, H2034 HD, and H2017
08/28/2020 Provider Relief Fund General Allocation rev. 08/28/2020
08/20/2020 Behavioral Health Grants
08/11/2020 Provider Relief Fund General Allocation rev. 08/11/2020
7/24/2020 Provider Relief Fund General Allocation
07/17/2020 Medicaid Reimbursement and Court Ordered Services
06/17/2020 National Correct Coding Initiative Announcement
5/15/2020 Temporary Revision to Case Management General Provisions
04/30/2020 National Correct Coding Initiative Announcement
04/28/2020 Temporary Suspension of the PCP Referral Requirement
04/27/2020 Non-Covered Services Agreement Policy Change
04/01/2020 Suspension of Face to Face Requirements for Some Medicaid Programs
03/19/2020 Telemedicine Medicaid Coverage and Reimbursement Policy for Telemedicine/Telehealth rev 03/27/2020
01/17/2020 Prior Authorization and Continued Stay Requirements for Substance Use Disorder Intensive Out Patient Services (ASAM2.1) Adult and Adolescent
01/10/2020 Co-Payment Assessed in Error for January 6, 2020