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Dialysis Clinic

Dialysis Clinic

Provider Manuals

General Information for Providers 02/2017

Medicaid manual with general information for all provider types.

Dialysis Clinic Services 08/2016

This manual has information specific to your provider type.

Provider Manuals – Replacement Pages

General Information for Providers

02/06/2017 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, April 2012: Medicaid Covered Services and Client Eligibility
04.29.2005 General Information for Providers, April 2005: Member Number a Billable Number and Key Contacts Updated
11.05.2004 General Information for Providers, November 2004: References to Medicaid Rules and Regulations Added
09.16.2004 General Information for Providers, September 2004: Team Care and Nurse First Information Added

Dialysis Clinic Services

08.08.2016

Dialysis Clinic August 2016: In Summary, the Cost Share Section of the Billing Procedure Chapter removed specific fees. The Cover Page was changed to reflect the current manual edition date

 

12.31.2015 Dialysis Clinic, January 2016, HELP Plan-Related Updates and Others
11.02.2015 Dialysis Clinic, October 2015: Covered Services and Billing Procedures
07.06.2015 Dialysis Clinic, June 2015: Entire Manual
03.25.2014 Dialysis Clinic, February 2014: Multiple Chapters
Key Contacts/Websites, Covered Services, Coordination of Benefits, Submitting a Claim, RAs and Adjustments, Forms
10.17.2013 Dialysis Clinic, October 2013: Multiple Chapters
Key Contacts/Websites, Introduction, Covered Services, Billing Procedures, Submitting a Claim, RAs and Adjustments, Payment, Forms, Definitions and Acronyms

Medicaid Rules and Regulations

Fee Schedules – Dialysis Clinic

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

2016

07/18/2016 Changes to Member Cost Share Update
05/19/2016 Changes to Member Cost Share
03/21/2016 NDC Required for Physician-Administered Drugs: Billing Instructions for Montana Medicaid Crossover Claims
02/22/2016 Hospital NDC Billing on Revenue Codes and Electronic Claim Submission Denials
02/01/2016 Basic Medicaid Benefit Increased to Standard Medicaid Benefit
01/25/2016 Hospital National Drug Code (NDC) Billing on Revenue Codes
01/15/2016 Standard Medicaid and HELP Plan Claims Processing Rev. 01/19/2016

2015

12/31/2015 Changes to Montana Medicaid
11/18/2015 Hospital National Drug Code (NDC) Billing on Revenue Codes Rev. 12/21/2015
11/03/2015 Services Exempt from Passport to Health Referral
10/09/2015 Changes to the Dialysis Clinic Services Provider Manual
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.

Rebateable Manufacturers 04/2016

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.