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. Provider Manuals – Replacement Pages General Information for Providers 02/06/2017 In summary, the Telemedicine Chapter was added as a new chapter. And the Medically Needy section of the Member Responsibilities Chapter page 6.5 was updated. 08.02.2016 The Introduction contains updated links in the HELP section. Cost Share was updated in the Billings Procedure. A duplicate word was removed in the RA chapter. The Cover Page was changed to reflect the current date of the new General Manual revision. 07.12.2016 General Information For Providers, July 2016 Table of Contents was amended by changing the title of “Basic Medicaid Waiver” to “Waiver for Additional Services and Populations (formerly Basic Medicaid Waiver)”. Index was amended by changing the title of “Basic Medicaid Waiver” to “Waiver for Additional Services and Populations (formerly Basic Medicaid Waiver)”. Page 1.3 changed the title “Basic Medicaid Waiver for Additional Services and Populations” to “Waiver for Additional Services and Populations (formerly Basic Medicaid Waiver)” 01.19.2016 General Information for Providers, January 2016: Introduction Regarding HELP Plan Information 01.15.2016 General Information for Providers, January 2016: Introduction Regarding HELP Plan Information 12.31.2015 General Information for Providers, January 2016: HELP Plan-Related Updates and Others 11.17.2015 General Information for Providers, November 2015: Billing Procedures, Revenue Codes 25X and 27X 07.31.2015 General Information for Providers, August 2015: Entire Manual 11.19.2014 General Information for Providers, November 2014: Billing Procedures 10.08.2014 General Information for Providers, September 2014: Billing Procedures 07.22.2014 General Information for Providers, July 2014: Member Eligibility and Responsibilities 06.30.2014 General Information for Providers, May 2014: Entire Manual If information is found on the website, it has been removed from the manual, and a link to the source is provided. 04.13.2012 General Information for Providers, April 2012: Medicaid Covered Services and Client Eligibility Indian Health Service/Tribal 638 08.08/2016 Indian Health Service, August 2016: In Summary, the Cost Share section of the Billing Procedure Chapter was removed and replaced with a referral to the Cost Share section of the General Manual. The Cover Page was changed to reflect the current manual edition date. 07.01.2015 Indian Health Service, July 2015: Entire Manual 08.01.2014 Indian Health Service, June 2014: Billing Procedures 04.04.2014 Indian Health Service, February 2014: Multiple Chapters 08.29.2013 Indian Health Service, July 2013: Key Contacts and Billing Procedures 05.15.2013 Indian Health Service, April 2013: Entire Manual This set of replacement pages includes the entire IHS manual. Content changes are indicated by the addition of a change bar (black line). Text in tables and paragraphs in which text was deleted are not indicated with change bars. For a complete manual without the change bars, see the Provider Manuals section at the top of this page. Passport to Health 11.09.2015 Passport to Health, November 2015: Passport Referrals 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 Fee Schedules – IHS 06/26/2017 July 2017 Indian Health Service 01/25/2017 January 2017 Indian Health Service 11/23/2016 October 2016 Indian Health Service 01/2016 January 2016 Indian Health Service 09/2015 September 2015 Indian Health Service 07/2015 July 2015 Indian Health Service 01/2015 January 2015 Indian Health Service 01/2014 January 2014 Indian Health Service Provider Notices 2017 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 06/27/2017 2017 Passport Program 04/25/2017 2017 HMK Overview 03/28/2017 Medicaid Refresher 02/28/2017 Telemedicine PowerPoint Slides in PDF 02/28/2017 Medicare Savings Plan (MSP) Powerpoint Slides in PDF 11/16/2016 Durable Medical Equipment (DME) PowerPoint Slides in PDF 10/25/2016 Optometry Presentation PowerPoint Slides in PDF 09/20/2016 Passport Presentation PowerPoint Slides in PDF 08/23/2016 Medicaid Transportation Program 06/28/2016 HMK Overview 05/24/2016 Member Enrollment Tutorial 04/26/2016 IHS Provider Enrollment Tutorial 07/23/2013 Billing Multiple Visits 02/20/2013 Claim Procedures HMK/CHIP Dental 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 MeetingMember Enrollment Tutorial 04/26/2016 Agenda Agenda 04.26.2016 Handouts/Information IHS Provider Enrollment Tutorial Other Resources EOB R&R Crosswalk PDF and EOB R&R Crosswalk Excel 02/2011 With the implementation of HIPAA, Medicaid discontinued the use of Medicaid EOB codes and began using HIPAA standard reason and remark (R&R) codes. This document crosswalks the HIPAA standard R&R codes to the Medicaid EOB codes. Forms MHSP Clinical Eligibility Assessment Form 07/2009 MHSP Covered SDMI Diagnoses 07/2009 Plan First Medicaid Non-Covered Agreement 07/2012 Prior Authorization Criteria for Specific Services SURS Provider Self-Audit Protocol 10/2015 To locate older documents, access the Archive Page.