Department of Public Health and Human Services

Montana Healthcare Programs Provider Information » Psychiatric Residential Treatment Facility (PRTF)

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Psychiatric Residential Treatment Facility (PRTF)

PRTF

Psychiatric Residential Treatment Facility

Provider Manuals

General Information for Providers 02/2017

Medicaid manual with general information for all provider types.

Mental Health Services – Adult 03/2017

This manual has information specific to your provider type.

Mental Health Services – Children 10.2015

See the CMHB section of the Plans and Publications page on the DPHHS website.

Medicaid Rules and Regulations

Fee Schedule - Medicaid Mental Health Adults 18 and Over

Fee Schedule - Medicaid Mental Health Youth Under 18

Fee Schedules – 72-Hour Presumptive

Fee Schedule - Mental Health Services Plan (MHSP) Adults 18 and Over

Mental Health Services Plan (MHSP) Adults 18 and Over

07/01/2016 July 2016 MHSP for Adults

12/17/2015 January 2016 MHSP for Adults Rev. 12/24/2015

07/2015 July 2015 MHSP for Adults

07/2014 July 2014 MHSP for Adults

 

 

 

Fee Schedule - Mental Health Services Plan (MHSP) Youth Under 18

Mental Health Services Plan (MHSP) Youth Under 18

06/08/2016 July 2016 Medicaid Mental Health for Youth

Provider Notices

2017

08/01/2017 Out of State PRTF Lab and Pharmacy Reimbursement
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
03/07/2017 PAs for Out of State Psychiatric Hospitals, Youth
1/03/2017 New Guidelines for Outpatient Psychotherapy

2016

11/01/2016 ICD 10 Updates and Coding Changes Revised 12/07/2016
07/18/2016 Changes to Member Cost Share Update
05/19/2016 Changes to Member Cost Share
05/10/2016 PRTF Ancillary Services
04/22/2016 Changes to PRTF Continued Stay Reviews
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
12/30/2015 Addictive and Mental Disorders Division Changes to Prior Authorization
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
09/17/2014 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

Other Resources

To locate older documents, access the Archive Page.