Department of Public Health and Human Services

Montana Healthcare Programs Provider Information » Mental Health Center

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Mental Health Center

Mental Health Center

Provider Manuals

General Information for Providers 02/2017

Medicaid manual with general information for all provider types.

Mental Health Services – Adult 03/2017

This manual has information specific to your provider type.

Mental Health Services – Children 10/2015

This link brings you to Manuals and Guides on the Department website.

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

 

07.12.2016

 

General Information For Providers, July 2016

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, June 2014: Member Eligibility and Responsibilities, Presumptive Eligibility
06.30.2014 General Information for Providers, June 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: Medicaid Covered Services and Client Eligibility

Mental Health - Adult

2017

03/16/2017 In summary, some minor changes were made to language on the code chart on page 10.

08.25.2016 In Summary, the Cost Share section on pages 4 and 5 was removed and replaced with a referral to the general manual, and the index was adjusted to reflect impacted page numbers.

06.08.2016

Mental Health - Adult July 2016

In summary, the Cover Page date was changed and the Index was amended to replace  “Basic” and “Full” Medicaid to “Standard Medicaid”.

   
   

 

Medicaid Rules and Regulations

Fee Schedules – 72-Hour Presumptive

Fee Schedules – HCBS for Adults with SDMI

Fee Schedules – Medicaid Mental Health Adults 18 and Over

Fee Schedule - Medicaid Mental Health Youth Under 18

Fee Schedules – Mental Health Services Plan (MHSP) Adults 18 and Over

Mental Health Services Plan (MHSP) Adults 18 and Over

07/01/2016 July 2016 MHSP for Adults

12/17/2015 January 2016 MHSP for Adults Rev. 12/24/2015

07/2015 July 2015 MHSP for Adults

07/2014 July 2014 MHSP for Adults

 

 

Fee schedule - Mental Health Services Plan (MHSP) Youth Under 18

Mental Health Services Plan (MHSP) Youth Under 18

06/08/2016 July 2016 Medicaid Mental Health for Youth

 

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
04/06/2017 New EPSDT Request Form
02/17/2017 Targeted Mental Health Case Management and Representative PayeeServices

01/03/2017 New Guidelines for Outpatient Psychotherapy

2016

12/15/2016 Billing and Code Clarification for Psychotherapy and Psychiatric Diagnostic Services
11/01/2016 ICD 10 Updates and Coding Changes Revised 12/07/2016

10/20/2016

Clarification of Home Support ServicesAdmission Criteria – Outpatient Therapy

08/12/2016 Vaccine Administration by Pharmacists
08/12/2016 Removal of 15-day Supply Limit on Initial Atypical Antipsychotic Prescriptions
07/18/2016 Changes to Member Cost Share Update
05/19/2016 Changes to Member Cost Share
04/22/2016 Equine Assisted Therapy
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
12/30/2015 Addictive and Mental Disorders Division Changes to Prior Authorization 1
1/03/2015 Services Exempt from Passport to Health Referral
11/02/2015 CSCT Claims Issues Related to Updated Severe Emotional Disturbance (SED) Definition
10/01/2015 Changes to the Children's Mental Health Bureau Medicaid Services Provider Manual
08/10/2015 Requesting Additional Therapy Sessions and Exception to 24 Sessions Request Form
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
02/11/2015 New HCPCS Modifiers – XE, XP, XS, and XU
01/30/2015 Billing Clarification Regarding Adjustments Made for 365-Day Lifetime Unit Limit for Home Support Services

2014

12/18/2014 Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA) Changes Final Notice
12/10/2014 Home Support Services and Therapeutic Group Home Utilization Review Update Notification
12/01/2014 Billing and Code Clarification for Individual and Family Therapy on the Same Day
09/17/2014 Montana Child and Adolescent Needs and Strengths (CANS)
09/16/2014 Adoption of the New Children's Mental Health Bureau's Medicaid Provider Manual into Administrative Rules of Montana
09/01/2014 Home Support Services and Therapeutic Group Home Utilization Review Process Changes Notification
08/13/2014 Community-Based Psychiatric Rehabilitation and Support (CBPRS) Clarification
08/13/2014 Montana Child and Adolescent Needs and Strengths (CANS)
08/05/2014 Montana Prescription Drug Registry
07/30/2014 Modifiers Added to Community Based Psychiatric Rehabilitation and Supports (CBPRS) Updated 08/13/2014
06/12/2014 ICD-10 Delay
05/13/2014 PERM Provider Educational Webinars
05/05/2014 CSCT Requirement
05/02/2014 Home Support Services Notification
04/22/2014 Modifier Changes for Professional Claim Billers
03/18/2014 Information Regarding CMS-1500
02/06/2014 Interactive Audio and Video Mental Health Services for Licensed Psychologists, LCPCs, and LCSWs
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

Forms

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.

SURS Provider Self-Audit Protocol 10/2015

 

To locate older documents, access the Archive Page.