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Indian Health Service (IHS)

IHS

Indian Health Service

Provider Manuals

General Information for Providers  09/2017

Medicaid manual with general information for all provider types.

Indian Health Service/Tribal 638 08/2017

This manual has information specific to your provider type.

Tribal Health Improvement Program (T-HIP) Manual 10/2017
This manual has information specific to your provider type.

Prescription Drug Program, Prior Authorization Chapter  10/2017

Prior authorization requirements and procedures are covered in this chapter.

Passport to Health 10/2017

How to become a successful Passport provider.

Medicaid Rules and Regulations

Fee Schedules – IHS

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: July 2017 Indian Health Service

January 2017

PDF: January 2017 Indian Health Service

October 2016

PDF: October 2016 Indian Health Service
TXT: October 2016 Indian Health Service

January 2016

PDF: January 2016 Indian Health Service
TXT: January 2016 Indian Health Service

September 2015

PDF: September 2015 Indian Health Service
TXT: September 2015 Indian Health Service

July 2015

PDF: July 2015 Indian Health Service
TXT: July 2015 Indian Health Service

January 2015

PDF: January 2015 Indian Health Service
TXT: January 2015 Indian Health Service

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.

2017

12/11/2017  Montana Plan First Procedure and Service Codes - Constraceptive (IUD) Update
12/01/2017 Montana Medicaid Expansion Prior Authorization Changes
11/20/2017 Qualified Medicare Beneficiary (QMB) Claim Adjustments
11/02/2017 New Medicare Card
10/30/2017 Licensed Addiction Counselors
10/24/2017 Clinical Pharmacist Practitioner
10/02/2017 Diabetes Services
09/14/2017 Montana Plan First Anesthesia Update
08/21/2017 Clinical Pharmacist Practitioner
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

PDF: 12/21/2016 Substance Use Disorder Billing
TXT: 12/21/2016 Substance Use Disorder Billing
PDF: 07/28/2016 Montana Plan First Preventive Code Additions
TXT: 07/28/2016 Montana Plan First Preventive Code Additions
PDF: 07/25/2016 Admission Date and Statement Covers Period - Revised
TXT: 07/25/2016 Admission Date and Statement Covers Period - Revised
PDF: 07/18/2016 Changes to Member Cost Share Update
TXT: 07/18/2016 Changes to Member Cost Share Update
PDF: 07/01/2016 Admission Date and Statement Covers Period
TXT: 07/01/2016 Admission Date and Statement Covers Period
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: 10/01/2015 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: 09/08/2015 Billing Montana Medicaid for Durable Medical Equipment (DME) Diabetic Supplies
TXT: 09/08/2015 Billing Montana Medicaid for Durable Medical Equipment (DME) Diabetic Supplies
PDF: 08/28/2015 Substance Use Disorder, Revenue Code 944
TXT: 08/28/2015 Substance Use Disorder, Revenue Code 944
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: 02/11/2015 New HCPCS Modifiers – XE, XP, XS, and XU
TXT: 02/11/2015 New HCPCS Modifiers – XE, XP, XS, and XU

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

09/26/2017 Agenda Agenda September 26, 2017 Handouts/Information SURS PowerPoint in PDF
08/22/2017 Agenda Agenda August 22, 2017 Handouts/Information Clinical Laboratory Improvement Amendment
07/25/2017 Agenda Agenda July 25, 2017  Handouts/Information Medicaid Transportation FAQs
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  Handouts/Information Passport Presentation PowerPoint Slides in PDF
08/23/2016 Agenda Agenda 08.23.2016 Minutes 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
04/26/2016 Agenda Agenda 04.26.2016   Handouts/Information IHS Provider Enrollment Tutorial

 

T-HIP Forms

Other Resources

To locate older documents, access the Archive Page.