Department of Public Health and Human Services

Montana Healthcare Programs Provider Information » Therapeutic Group Home

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Therapeutic Group Home

Therapeutic Group Home

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, April 2012: Medicaid Covered Services and Client Eligibility
04.29.2005 General Information for Providers, April 2005: Member Number a Billable Number and Key Contacts Updated
11.05.2004 General Information for Providers, November 2004: References to Medicaid Rules and Regulations Added
09.16.2004 General Information for Providers, September 2004: Team Care and Nurse First Information Added

Mental Health Services Adult Replacement Pages

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 Schedule - Medicaid Mental Health Adults 18 and Over

Fee Schedule - Medicaid Mental Health Youth Under 18

Fee Schedule - 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
01/03/2017 New Guidelines for Outpatient Psychotherapy

2016

11/01/2016 ICD 10 Updates and Coding Changes Revised 12/07/2016
07/18/2016 Changes to Member Cost Share Update
05/19,2016 Changes to Member Cost Share
02/06/2016 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

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

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

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

08/05/2014 Montana Prescription Drug Registry

06/12/2014 ICD-10 Delay

05/13/2014 PERM Provider Educational Webinars

05/02/2014 Home Support Services Notification

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

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.