Rural Health Clinic RHC Rural Health Clinic Provider Manuals General Information for Providers 02/2017 Medicaid manual with general information for all provider types. Rural Health Clinic 07/2016 This manual has information specific to your provider type. Prescription Drug Program, Prior Authorization Chapter 01/2016 Prior authorization requirements and procedures are covered in this chapter. Passport to Health 11/2015 Everything a provider needs to know to become a successful Passport provider. Fee Schedule - FQHC/RHC 2017 07/11/2017 FQHC/RHC Fee Schedule July 2017 Medicaid Rules and Regulations Code of Federal Regulations (Title 42) Montana Code Annotated (Title 53, Chapter 6) Administrative Rules of Montana (Title 37) Chapter 79 Healthy Montana Kids Chapter 82 Medicaid Eligibility Chapter 83 Medicaid for Certain Medicare Beneficiaries and Others Chapter 85 General Medicaid Services Chapter 86 Medicaid Primary Care Services Provider Notices For prescription medication notices, see the Pharmacy page/ 2017 08/01/2017 Telemedicine - Correction 07/25/2017 Physician Administered Drugs - Update - NDC Requirements 07/25/2017 Physician Administered Code Update - Procedure Codes Rev. 07/26/2017 07/03/2017 Clinical Pharmacist Practitioner 06/13/2017 Policy Clarification of Activities Billed as Targeted Case Management 05/26/2017 Federal Final Rule, "Nondiscrimination in Health Program and Activities” and Implication for Coverage of Services Related to Gender Transition 05/01/2017 Vaccine Administration Code Update 04/20/2017 Plan First Hysterectomy codes added effective April 1, 2017 04/06/2017 New EPSDT Request Form 02/22/2017 Licensed Addiction Counselors added to definition of a health professional/core provider for FQHC and RHC 02/02/2017 EPSDT ( Children's) Lead Screening Requirements 2016 11/14/2016 Licensed Addiction Counselors (LAC) added to the added to the definition of a Health Professional/core provider for Montana Medicaid FQHC and RHC facilities/ 11/10/2016 Vaccines For Children Administration Update 07/28/2016 Montana Plan First Preventive Code Additions 07/18/2016 Changes to Member Cost Share Update 07/12/2016 Vaccine Administration Code Update 07/05/2016 PA For Botox No Longer Required 07/05/2016 Circumcision Prior Authorization Changes 05/19/2016 Changes to Member Cost Share 04/07/2016 Montana Plan First - IUD and Anesthesia Updates 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 10/09/2015 Montana Plan First – ICD-10 Update 10/01/2015 Changes to the Children's Mental Health Bureau Medicaid Services Provider Manual 08/19/2015 Identification of Ordering and Referring Providers on UB-04 and 837I X12 Transactions 08/17/2015 Medicare Crossover Claims With Medicare Non-Covered Charges That Medicaid Allows 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 07/08/2015 Montana Plan First – Revised List of Plan First Covered Services 06/26/2015 Vaccine Administrative Code Update 02/11/2015 New HCPCS Modifiers – XE, XP, XS, and XU 01/30/2015 Telehealth Diagnosis Codes 2014 12/18/2014 Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA) Changes Final Notice 11/25/2014 Telehealth 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 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 MHSP Clinical Eligibility Assessment Form 07/2009 SURS Provider Self-Audit Protocol 10/2015 To locate older documents, access the Archive Page.