Department of Public Health and Human Services

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Public Health Clinic

Public Health Clinic

Provider Manuals

General Information for Providers  09/2017

Medicaid manual with general information for all provider types.

Physician-Related Services 12/2017

This manual has information specific to your provider type.

Medicaid Rules and Regulations

Fee Schedules – Public Health

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 2018 Public Health Cover Sheet
January 2018 Public Health Fee Schedule PDF
January 2018 Public Health Fee Schedule Excel

January 2017

PDF: January 2017 Public Health
Excel: January 2017 Public Health

July 2016 

PDF: July 2016 Public Health Clinic Rev 08/22/2016
Excel: July 2016 Public Health Clinic Rev 08/22/2016
TXT: July 2016 Public Health Clinic Rev 08/22/2016

January 2016

PDF: January 2016 Public Health Clinic
Excel: January 2016 Public Health Clinic
TXT: January 2016 Public Health Clinic

July 2015 

PDF: July 2015 Public Health Clinic
Excel: July 2015 Public Health Clinic
TXT: July 2015 Public Health Clinic

January 2015

PDF: January 2015 Public Health Clinic
Excel: January 2015 Public Health Clinic
TXT: January 2015 Public Health Clinic

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

12/26/2017 MATH Web Portal Eligibility Inquiry Verification Update
12/11/2017  Montana Plan First Procedure and Service Codes - Contraceptive (IUD) Update
12/11/2017 Vaccines for Children Code Update
12/06/2017 New Shingles Vaccination
12/01/2017 Montana Medicaid Expansion Prior Authorization Changes
11/20/2017 Qualified Medicare Beneficiary (QMB) Claim Adjustments
11/02/2017 New Medicare Card
10/04/2017 Makena Injection Code Change and Reimbursement
10/02/2017 Montana Medicaid Expansion Changes
09/25/2017 Vaccine Administration Code Update
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
05/01/2017 Vaccine Administration Code Update
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: 11/10/2016 Vaccines For Children Administration Update
TXT: 11/10/2016 Vaccines For Children Administration Update
PDF: 07/28/2016 Montana Plan First Preventive Code Additions
TXT: 07/28/2016 Montana Plan First Preventive Code Additions
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: 04/07/2016 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: 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: 11/27/2015 Compound Drugs Billed on CMS-1500
TXT: 11/27/2015 Compound Drugs Billed on CMS-1500
PDF: 11/03/2015 Services Exempt from Passport to Health Referral
TXT: 11/03/2015 Services Exempt from Passport to Health Referral
PDF: 10/09/2015 Montana Plan First – ICD-10 Update
TXT: 10/09/2015 Montana Plan First – ICD-10 Update
PDF: 10/07/2015 Compound Drugs Billed on CMS-1500
TXT: 10/07/2015 Compound Drugs Billed on CMS-1500
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: 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: 06/19/2015 Vaccine Administration Code Update
TXT: 06/19/2015 Vaccine Administration Code Update
PDF: 06/09/2015 National Drug Code (NDC) Billing
TXT: 06/09/2015 National Drug Code (NDC) Billing
PDF: 02/11/2015 New HCPCS Modifiers – XE, XP, XS, and XU
TXT: 02/11/2015 New HCPCS Modifiers – XE, XP, XS, and XU

 

Other Resources

To locate older documents, access the Archive Page.