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Indian Health Service (IHS)

IHS

Indian Health Service

Provider Manuals

General Information for Providers 02/2017

Medicaid manual with general information for all provider types.

Indian Health Service/Tribal 638 08/2016

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.

Medicaid Rules and Regulations

Fee Schedules – IHS

Provider Notices

2017

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
04/20/2017  Plan First Hysterectomy codes added effective April 1, 2017
04/06/2017 New EPSDT Request Form
02/02/2017 EPSDT ( Children's) Lead Screening Requirements

2016

12/21/2016 Substance Use Disorder Billing
07/28/2016 Montana Plan First Preventive Code Additions
07/25/2016 Admission Date and Statement Covers Period - Revised
07/18/2016 Changes to Member Cost Share Update
07/01/2016 Admission Date and Statement Covers Period
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
10/01/2015 Changes to the Children's Mental Health Bureau Medicaid Services Provider Manual
09/08/2015 Billing Montana Medicaid for Durable Medical Equipment (DME) Diabetic Supplies
08/28/2015 Substance Use Disorder, Revenue Code 944
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
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 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

 

IHS/Tribal 638 Training Materials

Tribal and Indian Health Service

Montana Medicaid strives to improve billing capacity within Tribal and Indian Health Service clinics. DPHHS is committed to improving the health of the Indian population in Montana.

For Tribal or Indian Health Service billing questions contact:
Casey Peck, IHS Program Officer, 406.444.4349 or CPeck@.gov
 

Tribal/IHS Meeting Information

06/27/2017 Agenda Agenda June 27, 2017 Handouts/Information 2017 Passport Program
04/25/2017 Agenda
Agenda April 25, 2017   Handouts/Information 2017 HMK Overview
03/28/2017 Agenda Agenda March 28, 2017   Handouts/Information Medicaid Refresher
02/28/2017 Agenda Agenda February 28, 2017   Handouts/Information Telemedicine PowerPoint Slides in PDF and Medicare Savings Plan (MSP) Powerpoint Slides in PDF
11/22/2016 Agenda Agenda November 22, 2016   Handouts/Information Durable Medical Equipment (DME) PowerPoint Slides in PDF
10/25/2016 Agenda Agenda October 25, 2016   Handouts/Information Optometry Presentation PowerPoint Slides in PDF
09/20/2016 Agenda Agenda September 20, 2016 Minutes Minutes/Video of Meeting/Passport Presentation (in mp4) Handouts/Information Passport Presentation PowerPoint Slides in PDF
08/23/2016 Agenda Agenda 08.23.2016 Minutes Minutes/Video of Meeting Handouts/Information Medicaid Transportation Program
06/28/2016 Agenda Agenda 06.28.2016   Handouts/Information HMK Overview
05/24/2016 Agenda Agenda 05.24.2016 Minutes Minutes/Video of Meeting Member Enrollment Tutorial
04/26/2016 Agenda Agenda 04.26.2016   Handouts/Information IHS Provider Enrollment Tutorial

 

Other Resources

To locate older documents, access the Archive Page.