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DPHHS Medicaid Proposed Fee Schedules

On December 8, 2017, the Department of Public Health and Human Services filed the amended adoption notice for MAR 37-788.  This adoption notice incorporates a 2.99% reduction to reimbursement effective January 1, 2018.  The fee schedules below are based on the most recently published codes and rates, as not all of the January 2018 updates have been published by CMS. Some of these rates may be adjusted after CMS publishes the January 2018 updates to reflect added and deleted codes, and CMS rate adjustments.

These schedules are not yet in effect. 

When a schedule is adopted it will be posted to the corresponding provider type found at http://www.medicaidprovider.mt.gov/providertype. Current schedules are found on each provider type page.

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Proposed Fee Schedules:

72-Hour Presumptive Eligibility Program for Crisis Stabilization Proposed Schedule

Ambulance Cover Sheet   Ambulance Proposed Schedule

 APC Cover Sheet   APC Proposed Schedule

APR-DRG Proposed Schedule

ASC Cover Sheet ASC Proposed Schedule

ATP Proposed Schedule

Audiology Cover Sheet   Audiology Proposed Schedule

Chemical Dependency Proposed Schedule

Children's Chiropractic Cover Sheet Children's Chiropractic Proposed Schedule

Children's Mental Health Proposed Schedule

Children's Special Health Services (CSHS) Cover Sheet  Children's Special Health Services (CSHS) Proposed Schedule

Community First Choice Services Cover Sheet   Community First Choice Services Proposed Fee Schedule

Dental Hygienist Cover Sheet  Dental  Hygienist Proposed Schedule

Dental Services Cover Sheet  Dental Services Proposed Schedule

Denturist Services Cover Sheet  Denturist Services Proposed Schedule

Dialysis Proposed Schedule

Direct Entry Midwife Services Cover Sheet  Direct Entry Midwife Services Proposed Schedule

Durable Medical Equipment Cover Sheet  Durable Medical Equipment Proposed Schedule

Elderly and Physically Disabled - Big Sky Waiver Cover Sheet  Elderly and Physically Disabled - Big Sky Waiver Proposed Schedule

Hearing Aid Cover Sheet  Hearing Aid Proposed Schedule

HCBS Adults with SDMI Proposed Schedule

Home Health Cover Sheet  Home Health Proposed Schedule

Home Infusion Therapy Cover Sheet  Home Infusion Therapy Proposed Schedule

IHS Proposed Schedule

Independent Diagnostic Testing Facility (IDTF) Cover Sheet  Independent Diagnostic Testing Facility (IDTF) Proposed Schedule

Lab Services Cover Sheet  Lab Services Proposed Schedule

Mid Level Services Cover Sheet     Mid Level Services Proposed Schedule

Medicaid MHSP Adult  Proposed Schedule

Medicaid Mental Health Adult Proposed Schedule

Mobile Imaging Services Cover Sheet  Mobile Imaging Services Proposed Schedule

Nutrition EPSDT Cover Sheet  Nutrition EPSDT Proposed Schedule

Occupational Therapy Cover Sheet   Occupational Therapy Proposed Schedule

Optician Cover Sheet   Optician Proposed Schedule

Optometric Cover Sheet   Optometric Proposed Schedule

Oral Surgeon Cover Sheet  Oral Surgeon Proposed Schedule

Orientation and Mobility Cover Sheet  Orientation and Mobility Proposed Schedule

Outpatient Procedure Code Cover Sheet  Outpatient Procedure Code Proposed Schedule

Personal Assistance Services Cover Sheet  Personal Assistance Services Proposed Schedule

Physical Therapy Cover Sheet Physical Therapy Proposed Schedule

Physician Services Cover Sheet  Physician Services Proposed Schedule

Podiatry Services Cover Sheet  Podiatry Services Proposed Schedule

Private Duty Nursing Cover Sheet  Private Duty Nursing Proposed Schedule

Psychiatrist Services Cover Sheet  Psychiatrist Services Proposed Schedule

Public Health Services Cover Sheet  Public Health Services Proposed Schedule

RBRVS  Proposed Schedule

School Based Services Cover Sheet  School Based Services Proposed Schedule

Speech Therapy Cover Sheet  Speech Therapy  Proposed Schedule

Substance Use Disorder Chemical Dependency Proposed Schedule

Targeted Case Management Services for Behavioral Health Proposed Schedule

Targeted Case Management (TCM) Non-Mental Health Cover Sheet  Targeted Case Management(TCM) Non-Mental Health Proposed Schedule

 

 

 

 

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