Department of Public Health and Human Services

Montana Healthcare Programs Provider Information » Federally Qualified Health Center

Main Content

Federally Qualified Health Center

FQHC

Federally Qualified Health Center

Provider Manuals

General Information for Providers 02/2017

Medicaid manual with general information for all provider types.

Federally Qualified Health Center Services 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

Medicaid Rules and Regulations

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 Update
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

To locate older documents, access the Archive Page.