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Nutritionist (EPSDT)

Nutritionist (EPSDT)

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.

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

Fee Schedules – Nutritionist (EPSDT)

07/2016 PDF July 2016 Nutrition Rev 02/02/2016  Excel  July 2016 Nutrition Rev 02/02/2016 0
7/2015 PDF July 2015 Nutrition  
07/2014 PDF  July 2014 Nutrition  

Medicaid Rules and Regulations

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
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

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

 

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