Department of Public Health and Human Services

Montana Healthcare Programs Provider Information » Public Health Clinic

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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 11/2016

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 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

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.