Department of Public Health and Human Services

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Mental Health Center

Mental Health Center

Provider Manuals

General Information for Providers  09/2017

Medicaid manual with general information for all provider types.

Mental Health Services – Adult 09/2017

This manual has information specific to your provider type.

Mental Health Services – Children 

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

Medicaid Rules and Regulations

Fee Schedules – 72-Hour Presumptive

Fee Schedules – HCBS for Adults with SDMI

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 2016

PDF: July 2016 HCBS for Adults with SDMI Revised 08/29/2016
Excel: July 2016 HCBS for Adults with SDMI Revised 08/29/2016
TXT: July 2016 HCBS for Adults with SDMI Revised 08/29/2016

October 2015

PDF: October 2015 HCBS for Adults with SDMI
Excel: October 2015 HCBS for Adults with SDMI
TXT: October 2015 HCBS for Adults with SDMI

July 2015

PDF: July 2015 HCBS for Adults with SDMI
Excel: July 2015 HCBS for Adults with SDMI
TXT: July 2015 HCBS for Adults with SDMI

Fee Schedules – Medicaid Mental Health Adults 18 and Over

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 2016

PDF: July 2016 Medicaid Mental Health for Adults
TXT: July 2016 Medicaid Mental Health for Adults

January 2016

PDF: January 2016 Medicaid Mental Health for Adults Rev. 12/24/2015
TXT: January 2016 Medicaid Mental Health for Adults Rev. 12/24/2015

July 2015

PDF: July 2015 Medicaid Mental Health for Adults
TXT: July 2015 Medicaid Mental Health for Adults

 

Fee Schedule - Medicaid Mental Health Youth Under 18

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.

January 2017

PDF: January 2017 Medicaid Mental Health for Youth
TXT: January 2017 Medicaid Mental Health for Youth

November 2016

PDF: Integrated Co-Occurring Treatment Fees
TXT: Integrated Co-Occurring Treatment Fees

July 2016

PDF: July 2016 Medicaid Mental Health for Youth
TXT: July 2016 Medicaid Mental Health for Youth

October 2015

PDF: October 2015 Medicaid Mental Health for Youth
TXT: October 2015 Medicaid Mental Health for Youth

July 2015

PDF: July 2015 Medicaid Mental Health for Youth
TXT: July 2015 Medicaid Mental Health for Youth

January 2015

PDF: January 2015 Medicaid Mental Health  for Youth
TXT: January 2015 Medicaid Mental Health  for Youth

 

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

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 2016

PDF: July 2016 MHSP for Adults
TXT: July 2016 MHSP for Adults

January 2016

PDF: January 2016 MHSP for Adults Rev. 12/24/2015
TXT: January 2016 MHSP for Adults Rev. 12/24/2015

July 2015

PDF: July 2015 MHSP for Adults
TXT: July 2015 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

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

11/21/2017 Severe Disabling Mental Illness (SDMI)
11/20/2017 Qualified Medicare Beneficiary (QMB) Claim Adjustments
11/02/2017 New Medicare Card
11/01/2017 Billing Clarification for HB 589 TCM Data Collection
10/11/2017 Children’s Mental Health Bureau (CMHB) Non-Medicaid Services Provider Manual and Non-Medicaid Services Application and Attestation Form Changes
10/07/2017 Healthy Montana Kids (HMK) Reimbursement Changes
10/02/2017 Montana Medicaid Expansion Changes
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
04/06/2017 New EPSDT Request Form
02/17/2017 Targeted Mental Health Case Management and Representative Payee Services
01/03/2017 New Guidelines for Outpatient Psychotherapy

2016

PDF: 12/15/2016 Billing and Code Clarification for Psychotherapy and Psychiatric Diagnostic Services
TXT: 12/15/2016 Billing and Code Clarification for Psychotherapy and Psychiatric Diagnostic Services
PDF: 11/01/2016 ICD 10 Updates and Coding Changes Revised 12/07/2016
TXT: 11/01/2016 ICD 10 Updates and Coding Changes Revised 12/07/2016
PDF: 10/20/2016 Clarification of Home Support Services Admission Criteria – Outpatient Therapy
TXT: 10/20/2016 Clarification of Home Support Services Admission Criteria – Outpatient Therapy
PDF: 08/12/2016 Vaccine Administration by Pharmacists
TXT: 08/12/2016 Vaccine Administration by Pharmacists
PDF: 08/12/2016 Removal of 15-day Supply Limit on Initial Atypical Antipsychotic Prescriptions
TXT: 08/12/2016 Removal of 15-day Supply Limit on Initial Atypical Antipsychotic Prescriptions
PDF: 07/18/2016 Changes to Member Cost Share Update
TXT: 07/18/2016 Changes to Member Cost Share Update
PDF: 05/19/2016 Changes to Member Cost Share
TXT: 05/19/2016 Changes to Member Cost Share
PDF: 04/22/2016 Equine Assisted Therapy
TXT: 04/22/2016 Equine Assisted Therapy
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: 12/30/2015 Addictive and Mental Disorders Division Changes to Prior Authorization
TXT: 12/30/2015 Addictive and Mental Disorders Division Changes to Prior Authorization
PDF: 11/03/2015 Services Exempt from Passport to Health Referral
TXT: 11/03/2015 Services Exempt from Passport to Health Referral
PDF: 11/02/2015 CSCT Claims Issues Related to Updated Severe Emotional Disturbance (SED) Definition
TXT: 11/02/2015 CSCT Claims Issues Related to Updated Severe Emotional Disturbance (SED) Definition
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: 08/03/2015 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: 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 Billing Clarification Regarding Adjustments Made for 365-Day Lifetime Unit Limit for Home Support Services
TXT: 01/30/2015 Billing Clarification Regarding Adjustments Made for 365-Day Lifetime Unit Limit for Home Support Services

 

Forms

Other Resources

To locate older documents, access the Archive Page.