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Nutritionist (EPSDT)

Nutritionist (EPSDT)

Provider Manuals – Replacement Pages

General Information for Providers

02/07/2017 In summary, the Telemedicine Chapter was added as a new chapter.  And the Medically Needy section of the Member Responsibilities Chapter page 6.5 was updated.

08.02.2016

 

07.12.2016

 

General Information For Providers, July 2016

01.19.2016 General Information for Providers, January 2016: Introduction Regarding HELP Plan Information
01.15.2016 General Information for Providers, January 2016: Introduction Regarding HELP Plan Information
12.31.2015 General Information for Providers, January 2016: HELP Plan-Related Updates and Others
11.17.2015 General Information for Providers, November 2015: Billing Procedures, Revenue Codes 25X and 27X
07.31.2015 General Information for Providers, August 2015: Entire Manual
11.19.2014 General Information for Providers, November 2014: Billing Procedures
10.08.2014 General Information for Providers, September 2014: Billing Procedures
07.22.2014 General Information for Providers, June 2014: Member Eligibility and Responsibilities, Presumptive Eligibility
06.30.2014 General Information for Providers, June 2014: Entire Manual
If information is found on the website, it has been removed from the manual, and a link to the source is provided.
04.13.2012 General Information for Providers: Medicaid Covered Services and Client Eligibility

Physician-Related Services

07.31.2015 Physician-Related Services, August 2015: Entire Manual
07.25.2006 Physician-Related Services, July 2006: Well-Child EPSDT Update

Passport to Health

11.09.2015 Physician-Related Services, August 2015: Entire Manual

Provider Manuals

General Information for Providers 02/2017

Medicaid manual with general information for all provider types.

Nutrition  01.2016

This manual has information specific to your provider type.

Fee Schedules – Nutritionist (EPSDT)

 

PDF Excel
07.2016 July 2016 Nutrition Rev 02/02/2016  07.2016 July 2016 Nutrition Rev 02/02/2016
07.2015 July 2015 Nutrition  
07.2014 July 2014 Nutrition  
12.2013 December 2013 Nutrition  
07.2013 July 2013 Nutrition  
07.2011 August 2011 Nutrition  
07.2009 July 2009 Nutrition  
07.2008 July 2008 Nutrition  
07.2006 July 2006 Nutrition  
01.2006 January 2006 Nutrition  
07.2004 July 2004 Nutrition  
01.2004 January 2004 Nutrition  
07.2003 July 2003 Nutrition  
01.2003 January 2003 Nutrition  
07.2002 July 2002 Nutrition  

Medicaid Rules and Regulations

Provider Notices 2010–

2017

04/06/2017 New EPSDT Request Form
02/07/2017 New Place of Service for Telehealth

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

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

2013

12.23.2013 Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA) Changes Update

11.26.2013 ICD-10 Readiness

11.07.2013 Medicaid Passport to Health Referrals and Fee Schedules

09.11.2013 Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA) Changes

06.25.2013 Nutrition Provider Reimbursement Rate Changes

05.28.2013 DPHHS to Discontinue Temporary Hotline Number

02.19.2013 Montana Medicaid HIPAA Operating Rules Upgrade

2012

12.26.2012 Medicaid/HMK Plus Toll-Free Number

08.22.2012 Deleted ICD-9-CM Codes

01.06.2012 Psychiatric Residential Treatment Facility (PRTF) Prior Authorization Start Date Must Match Admission Date

2011

11.07.2011 Provider Information on HIPAA 5010 837 Health Care Claim Transactions

09.09.2011 HIPAA 5010.OCR Qualifier Changes Effective January 1, 2012

09.07.2011 Payment Error Rate Measurement (PERM)

07.25.2011 Nutrition Provider Reimbursement Rate Changes

07.18.2011 Reimbursement Changes for Covered Ancillary Services Provided to Youth in a PRTF and Additional Ancillary Services Are Covered

06.27.2011 HIPAA 5010.OCR Qualifier Changes Effective January 1, 2012

04.12.2011 Request: Claims Submission, Date of Payment by June 30, 2011

2010

10.05.2010 Changes to NCCI Edits

07.28.2010 Provider Record Update Procedures

06.23.2010 Cost Sharing Exemption under ARRA

06.22.2010 Electronic Health Records Link

02.09.2010 United States 2010 Census

Provider Notices 2002–2009

2009

2008

2007

2002–2006

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

The TPL Carrier Code List has been removed from this website, for questions or concerns related to the document please contact mttpl@xerox.com. Thank you.

To locate older documents, access the Archive Page.