Department of Public Health and Human Services

Montana Healthcare Programs Provider Information » Lab and Imaging

Main Content

Lab and Imaging

Lab and Imaging

Provider Manuals

General Information for Providers 02/2017

Medicaid manual with general information for all provider types.

Physician-Related Services 11/2016

This manual has information specific to your provider type.

Medicaid Rules and Regulations

Fee Schedules – ATP Tests and Fees

01/17/2017  PDF January 2017 ATP  EXCEL January 2017 ATP
12/24/2015 January 2016 ATP  
01/2015 January 2015 ATP  
01/2014 January 2014 ATP      

Fee Schedules – Lab and Imaging

01/09/2017 PDF January 2017 Lab and Imaging Rev. 01/13/2017 Excel January 2017 Lab and Imaging Rev. 01/13/2017
07/2016  PDF July 2016 Lab and Imaging Rev. 08/22/2016 Excel July 2016 Lab and Imaging Rev. 08/22/2016
01/18/2016 PDF  January 2016 Lab and Imaging Rev. 01/22/2016 Excel January 2016 Lab and Imaging Rev. 01/22/2016
07/2015 PDF July 2015 Lab and Imaging Rev. 11/2015 Excel July 2015 Lab and Imaging Rev. 11/2015
01/2015 PDF January 2015 Lab and Imaging Rev. 02/2015 Excel January 2015 Lab and Imaging Rev. 02/2015
07/2014 PDF  July 2014 Lab and Imaging Rev. Excel July 2014 Lab and Imaging Rev.
02/2014 PDF January 2014 Lab and Imaging Rev. Excel January 2014 Lab and Imaging Rev.

Provider Notices

2017

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
01/13/2017 Update to January 2017 Fee Schedule
02/02/2017 EPSDT ( Children's) Lead Screening Requirements

 

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

06/22/2015 Identification of Ordering and Referring Providers on CMS-1500 and 837P X12 Transactions

06/09/2015 National Drug Code (NDC) Billing

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

04/22/2014 Modifier Changes for Professional Claim Billers

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.