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Federally Qualified Health Center

FQHC

Federally Qualified Health Center

Provider Manuals

General Information for Providers  09/2017

Medicaid manual with general information for all provider types.

Federally Qualified Health Center Services 09/2017

This manual has information specific to your provider type.

Prescription Drug Program, Prior Authorization Chapter 09/2017

Prior authorization requirements and procedures are covered in this chapter.

Passport to Health 10/2017

Everything a provider needs to know to become a successful Passport provider.

Fee Schedule - FQHC/RHC

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 2017

PDF: FQHC/RHC Fee Schedule July 2017
 

Medicaid Rules and Regulations

Provider Notices

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.

For prescription medication notices, see the Pharmacy page/

2017

11/20/2017 Qualified Medicare Beneficiary (QMB) Claim Adjustments
11/02/2017 New Medicare Card
10/30/2017 Licensed Addiction Counselors
10/02/2017 Montana Medicaid Expansion Changes
10/02/2017 Long Acting Reversible Contraceptive Devices (LARCs) Rev. 10/06/207
09/25/2017 Vaccine Administration Code Update
09/19/2017 Individual Adjustment Request Form on Split Claims
09/14/2017 Montana Plan First Anesthesia Update
08/21/2017 Clinical Pharmacist Practitioner
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

PDF: 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
TXT: 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
PDF: 11/10/2016 Vaccines For Children Administration Update
TXT: 11/10/2016 Vaccines For Children Administration Update
PDF: 07/28/2016 Montana Plan First Preventive Code Additions
TXT: 07/28/2016 Montana Plan First Preventive Code Additions
PDF: 07/18/2016 Changes to Member Cost Share Update
TXT: 07/18/2016 Changes to Member Cost Share Update
PDF: 07/12/2016 Vaccine Administration Code Update
TXT: 07/12/2016 Vaccine Administration Code Update
PDF: 07/05/2016 PA For Botox No Longer Required
TXT: 07/05/2016 PA For Botox No Longer Required
PDF: 07/05/2016 Circumcision Prior Authorization Changes
TXT: 07/05/2016 Circumcision Prior Authorization Changes
PDF: 05/19/2016 Changes to Member Cost Share
TXT: 05/19/2016 Changes to Member Cost Share
PDF: 04/07/2016 Montana Plan First - IUD and Anesthesia Updates
TXT: 04/07/2016 Montana Plan First - IUD and Anesthesia Updates
PDF: 02/01/2016 Basic Medicaid Benefit Increased to Standard Medicaid Benefit
TXT: 02/01/2016 Basic Medicaid Benefit Increased to Standard Medicaid Benefit
PDF: 01/15/2016 Standard Medicaid and HELP Plan Claims Processing Rev. 01/19/2016
TXT: 01/15/2016 Standard Medicaid and HELP Plan Claims Processing Rev. 01/19/2016

2015

PDF: 12/31/2015 Changes to Montana Medicaid
TXT: 12/31/2015 Changes to Montana Medicaid
PDF: 11/03/2015 Services Exempt from Passport to Health Referral
TXT: 11/03/2015 Services Exempt from Passport to Health Referral
PDF: 10/09/2015 Montana Plan First – ICD-10 Update
TXT: 10/09/2015 Montana Plan First – ICD-10 Update
PDF: 10/01/2015 Changes to the Children's Mental Health Bureau Medicaid Services Provider Manual
TXT: 10/01/2015 Changes to the Children's Mental Health Bureau Medicaid Services Provider Manual
PDF: 08/19/2015 Identification of Ordering and Referring Providers on UB-04 and 837I X12 Transactions
TXT: 08/19/2015 Identification of Ordering and Referring Providers on UB-04 and 837I X12 Transactions
PDF: 08/17/2015 Medicare Crossover Claims With Medicare Non-Covered Charges That Medicaid Allows
TXT: 08/17/2015 Medicare Crossover Claims With Medicare Non-Covered Charges That Medicaid Allows
PDF: 08/03/2015 ICD-10 Guidance for Implementing International Classification of Diseases, 10th Edition (ICD-10)
TXT: 08/03/2015 ICD-10 Guidance for Implementing International Classification of Diseases, 10th Edition (ICD-10)
PDF: 07/31/2015 Adult and Pediatric Specialty Table of Services Available in Montana
TXT: 07/31/2015 Adult and Pediatric Specialty Table of Services Available in Montana
PDF: 07/08/2015 Montana Plan First – Revised List of Plan First Covered Services
TXT: 07/08/2015 Montana Plan First – Revised List of Plan First Covered Services
PDF: 06/26/2015 Vaccine Administrative Code Update
TXT: 06/26/2015 Vaccine Administrative Code Update
PDF: 02/11/2015 New HCPCS Modifiers – XE, XP, XS, and XU
TXT: 02/11/2015 New HCPCS Modifiers – XE, XP, XS, and XU
PDF: 01/30/2015 Telehealth Diagnosis Codes
TXT: 01/30/2015 Telehealth Diagnosis Codes

 

Other Resources

To locate older documents, access the Archive Page.