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School-Based Services

School-Based Services

Provider Manuals

General Information for Providers 09/2017

Medicaid manual with general information for all provider types.

School-Based Services 10/2017

This manual has information specific to your provider type.

 

 

 

Medicaid Rules and Regulations

Fee Schedules – School-Based Services

Some documents on this page are legal and/or historical in nature and cannot be altered to meet 508 Accessibility standards.  Each of those documents has a corresponding .txt document with the same name placed next to it.

January 2017 

PDF: January 2017 Schools  Cover Sheet: Cover Sheet (rev. 09/19/2017) 
Excel
January 2017 Schools

October 2016 

PDF: October 2016 Schools
Excel: October 2016 Schools
TXT: October 2016 Schools

July 2016 

PDF: July 2016 Schools
Excel: July 2016 Schools
TXT: July 2016 Schools

October 2015 

PDF: October 2015 Schools
Excel: October 2015 Schools
TXT: October 2015 Schools

July 2015 

PDF: July 2015 Schools
Excel: July 2015 Schools
TXT: July 2015 Schools

Fee Schedules – 72-Hour Presumptive

Fee Schedule - Medicaid Mental Health Adults 18 and Over

Some documents on this page are legal and/or historical in nature and cannot be altered to meet 508 Accessibility standards.  Each of those documents has a corresponding .txt document with the same name placed next to it.

July 2016

PDF: July 2016 Medicaid Mental Health for Adults
TXT: July 2016 Medicaid Mental Health for Adults

January 2016

PDF: January 2016 Medicaid Mental Health for Adults Rev. 12/24/2015
TXT: January 2016 Medicaid Mental Health for Adults Rev. 12/24/2015

July 2015

PDF: July 2015 Medicaid Mental Health for Adults
TXT: July 2015 Medicaid Mental Health for Adults

 

Fee Schedule - Medicaid Mental Health Youth Under 18

Some documents on this page are legal and/or historical in nature and cannot be altered to meet 508 Accessibility standards.  Each of those documents has a corresponding .txt document with the same name placed next to it.

January 2017

PDF: January 2017 Medicaid Mental Health for Youth
TXT: January 2017 Medicaid Mental Health for Youth

November 2016

PDF: Integrated Co-Occurring Treatment Fees
TXT: Integrated Co-Occurring Treatment Fees

July 2016

PDF: July 2016 Medicaid Mental Health for Youth
TXT: July 2016 Medicaid Mental Health for Youth

October 2015

PDF: October 2015 Medicaid Mental Health for Youth
TXT: October 2015 Medicaid Mental Health for Youth

July 2015

PDF: July 2015 Medicaid Mental Health for Youth
TXT: July 2015 Medicaid Mental Health for Youth

January 2015

PDF: January 2015 Medicaid Mental Health  for Youth
TXT: January 2015 Medicaid Mental Health  for Youth

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

Some documents on this page are legal and/or historical in nature and cannot be altered to meet 508 Accessibility standards.  Each of those documents has a corresponding .txt document with the same name placed next to it.

July 2016

PDF: July 2016 MHSP for Adults
TXT: July 2016 MHSP for Adults

January 2015

PDF: January 2016 MHSP for Adults Rev. 12/24/2015
TXT: January 2016 MHSP for Adults Rev. 12/24/2015

July 2015

PDF: July 2015 MHSP for Adults
TXT: July 2015 MHSP for Adults

 

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

Some documents on this page are legal and/or historical in nature and cannot be altered to meet 508 Accessibility standards.  Each of those documents has a corresponding .txt document with the same name placed next to it.

July 2016

PDF: July 2016 Medicaid Mental Health for Youth
TXT: July 2016 Medicaid Mental Health for Youth

Provider Notices

2017

11/20/2017 Qualified Medicare Beneficiary (QMB) Claim Adjustments
11/02/2017 New Medicare Card
11/01/2017 Billing Clarification for HB 589 TCM Data Collection
09/19/2017 2017 FMAP Rate Reflect Changes To Reimbursement
09/14/2017 Montana Plan First Anesthesia Update
08/21/2017 Clinical Pharmacist Practitioner
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
02/02/2017 EPSDT ( Children's) Lead Screening Requirements
01/03/2017 New Guidelines for Outpatient Psychotherapy

2016

11/01/2016 ICD 10 Updates and Coding Changes Revised 12/07/2016
10/03/2016 FMAP Rate Reflect Change to Reimbursement on the Fee Schedule
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
11/02/2015 CSCT Claims Issues Related to Updated Severe Emotional Disturbance (SED) Definition
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

Medicaid Administrative Claiming (MAC)

School Based ICD-10, Direct Care, and MAC 09/21/2015
This training applies to School Based service providers and the need to start coding ICD-10 diagnosis codes for October 1, 2015, dates of service forward. Refresher on Direct Care and MAC services are also included.
MAC Training (Coordination and Financial Officers) 03/2015
MAC Agreement Memorandum of Understanding 03/2015
This is the agreement that needs to be signed by the district representative and the state Medicaid Administrator in order for your district to participate in the Medicaid Administrative Claiming Program.
MAC Coordinators' Guide 03/2015
This guide provides a program overview for the person responsible for overseeing the implementation of the MAC program in the district or cooperative. It details how to prepare the participant listing, training time study participants, and managing the time study observation forms.
MAC Financial Data Guide 03/2015
This guide details the requirements for the financial data report necessary for submitting district expenditures in support of Medicaid services. MAC Time Study Guide 03/2015
This guide provides time study participants information and guidelines on how to complete the Random Moment Sample Time Study Observation forms. It gives details and examples of the activity codes. MAC Time Study Participant Training 03/2015
This presentation is designed to train the staff who will be participating in the RMS Time Study.

Participant Training Quiz 03/2015
This quiz can be used at the end of your training session to help participants code activities. It can be used individually or as a group discussion. This paper can also serve as your documentation of training to keep in your audit file.

Participant Training Quiz with Answers 03/2015

MAC Activity Code Reference Guide and Definitions 03/2015
This guide gives a detailed description of each activity code and provides examples of when the code should be used. Coordinators will find this useful when checking over the observation forms. This one-page definition of the activity codes should be copied onto the back of every Random Moment Observation form. It gives examples of when to use each activity code.
SURS Provider Self-Audit Protocol 10/2015

To locate older documents, access the Archive Page.

 

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