Independent Diagnostic Testing Facilities (IDTF) IDTF Independent Diagnostic Testing Facility Provider Manuals General Information for Providers 02/2017 Medicaid manual with general information for all provider types. Physician-Related Services 11/2016 This manual has information specific to your provider type. 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 The Introduction contains updated links in the HELP section. Cost Share was updated in the Billings Procedure. A duplicate word was removed in the RA chapter. The Cover Page was changed to reflect the current date of the new General Manual revision. 07.12.2016 General Information For Providers, July 2016 Table of Contents was amended by changing the title of “Basic Medicaid Waiver” to “Waiver for Additional Services and Populations (formerly Basic Medicaid Waiver)”. Index was amended by changing the title of “Basic Medicaid Waiver” to “Waiver for Additional Services and Populations (formerly Basic Medicaid Waiver)”. Page 1.3 changed the title “Basic Medicaid Waiver for Additional Services and Populations” to “Waiver for Additional Services and Populations (formerly Basic Medicaid Waiver)” 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 04.29.2005 Member Number a Billable Number and Key Contacts Updated 11.05.2004 References to Medicaid Rules/Regulations Added 09.16.2004 Team Care and Nurse First Information Added Physician-Related Services 11/28/2016 In summary, the Page 5.6 of the Billing Procedures chapter was amended to add information for locum tenens, several links were updated, and two blank pages were removed. The Table of Contents and Index sections were adjusted, several links were updated in the Introduction and Covered Services Chapter, the entire manual was formatted as approved by the September 2016 Manuals Meeting for initial 508 adaptations, and the Cover page was amended with the current date. 09/12/2016 In summary, the entire manual has undergone formatting changes, the Billing Procedures section has had some minor language changes and the Cover reflects the current date. 08.31.2016 In summary, The cost share section was removed from the Billing Procedures Chapter, related entries were removed from the Index Section adjustments were made to the Index Section , and the date was changed on the Cover Page. 07.31.2015 Physician-Related Services: Entire Manual 07.08.2014 Multiple Chapters 07.25.2006 Well-Child EPSDT Update 07.14.2006 Key Contacts, Completing a Claim Form, Prior Authorization, Billing for Immunizations 04.25.2006 Revised Instructions for Completing a Claim, Revised Information on How Cost-Sharing Affects Claim Payment 01.05.2006 New EPSDT, Hysterectomy Acknowledgement Form, Revised Information on Imaging Modifiers, Billing for Immunizations, and ER Visits for Clients under Age 2 03.01.2005 Hysterectomy Acknowledgement Update 01.25.2005 Rule References Added, Updates to Covered Services, PA and Modifiers 11.16.2004 Updated Prescription Drug PA Criteria 09.15.2004 Team Care Added 06.16.2004 Clarification on Sterilizations, Hysterectomies, Abortions and HIPAA and Drug PA Update 12.23.2003 Immunizations, PA Criteria, Family Planning, and Using Modifiers 09.16.2003 Hysterectomies and Prescription Drug PA Update 08/20.2003 New Emergency Services Policy and Hard Card Information 07.28.2003 Hysterectomy Requirements 06.01.2003 New PA Requirements and Hysterectomy Information 01.02.2003 Prior Authorization 09.01.2002 Cost Sharing Medicaid Rules and Regulations Code of Federal Regulations (Title 42) Montana Code Annotated (Title 53, Chapter 6) Administrative Rules of Montana (Title 37) Chapter 79 Healthy Montana Kids Chapter 82 Medicaid Eligibility Chapter 83 Medicaid for Certain Medicare Beneficiaries and Others Chapter 85 General Medicaid Services Chapter 86 Medicaid Primary Care Services Fee Schedules – Independent Diagnostic Testing Facility (IDTF) 07/2016 PDF July 2016 IDTF Rev. 07/13/2016 Excel July 2016 IDTF Rev. 07/13/2016 01/18/2016 PDF January 2016 IDTF Rev. 02/09/2016 Excel January 2016 IDTF Rev. 02/09/2016 07/2015 PDF July 2015 IDTF Excel July 2015 IDFT 01/2015 PDF January 2015 IDTF Excel January 2015 IDTF 07/2014 PDF July 2014 IDTF Excel July 2014 IDTF 02/2014 PDF January 2014 IDTF Excel January 2014 IDTF Fee Schedules – ATP Tests and Fees 01/17/2017 PDF January 2017 ATP EXCEL January 2017 ATP 12/24/2015 January 2016 ATP 01/2015 January 2015 ATP 01/2014 January 2014 ATP 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 03/16/2017 Physician Administered Drugs - Update 2016 09/27/2016 Physician Administered Drugs - NDC Requirements Revised 07/18/2016 Changes to Member Cost Share Update 05/19/2016 Changes to Member Cost Share 02/10/2016 IDTF Fee Schedule Update 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 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 06/09/2015 National Drug Code (NDC) Billing 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 09/16/2014 Adoption of the New Children's Mental Health Bureau's Medicaid Provider Manual into Administrative Rules of Montana 08/05/2014 Montana Prescription Drug Registry 06/12/2014 ICD-10 Delay 05/13/2014 PERM Provider Educational Webinars 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 and EOB R&R Crosswalk 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. Lab Panels 2007 01/2007 List of codes that make up lab panels for 2004–2007 Prior Authorization Criteria for Specific Services Rebateable Manufacturers 04/2017 SURS Provider Self-Audit Protocol 10/2015 To locate older documents, access the Archive Page.