EPSDT EPSDT / Children’s Services Early and Periodic Screening, Diagnostic, and Treatment Services Prior Authorization Forms Claim Jumper Newsletters Please note: If you require Children's Chiropractic (EPSDT) information visit the Children's Chiropractic (EPSDT) provider type. Provider Manuals General Information for Providers Medicaid manual with general information for all provider types. This manual has information specific to your provider type. Nutrition EPSDT This manual has information specific to your provider type. Orientation and Mobility Specialist This manual has information specific to your provider type. Physician-Related Services This manual has information specific to your provider type. Private Duty Nursing EPSDT This manual has information specific to your provider type. Medicaid Rules and Regulations Code of Federal Regulations (Title 42) Montana Code Annotated - https://leg.mt.gov/ (Choose “Laws & Bills” then “ Montana Statutes – MCA”) Applicable Section: 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 – Children's Special Health Services July 2019 Children's Special Health Services Coversheet July 2019 Children's Special Health Services Fee Schedule PDF July 2019 Children's Special Health Services Fee Schedule Excel July 2018 Children's Special Health Services Coversheet July 2018 Children's Special Health Services Fee Schedule PDF July 2018 Children's Special Health Services Fee Schedule Excel 01/10/2018 January 2018 Children's Special Health Services Fee Schedule Fee Schedules - Nutritionist (EPSDT) July 2019 Nutrition EPSDT Coversheet July 2019 Nutrition EPSDT Fee Schedule PDF July 2019 Nutrition EPSDT Fee Schedule Excel January 2019 Nutrition EPSDT Coversheet January 2019 Nutrition EPSDT Fee Schedule PDF January 2019 Nutrition Fee Schedule Excel July 2018 Nutrition EPSDT Coversheet Version 2 July 2018 Nutrition EPSDT Fee Schedule Version 2 PDF July 2018 Nutrition EPSDT Fee Schedule Version 2 Excel July 2018 Nutrition EPSDT Coversheet July 2018 Nutrition EPSDT Fee Schedule PDF July 2018 Nutrition EPSDT Fee Schedule Excel January 2018 Nutrition PDF January 2018 Nutrition Excel Fee Schedules – O&M Specialist July 2019 Orientation and Mobility Coversheet July 2019 Orientation and Mobility Fee Schedule PDF July 2019 Orientation and Mobility Fee Schedule Excel July 2018 Orientation and Mobility Coversheet Version 2 July 2018 Orientation and Mobility Fee Schedule Version 2 PDF July 2018 Orientation and Mobility Fee Schedule Version 2 Excel July 2018 Orientation and Mobility Coversheet July 2018 Orientation and Mobility Fee Schedule PDF July 2018 Orientation and Mobility Fee Schedule Excel January 2018 Orientation and Mobility Cover Sheet January 2018 Fee Schedule Orientation and Mobility PDF January 2018 Fee Schedule Orientation and Mobility Excel Fee Schedules – Private Duty Nursing July 2019 Private Duty Nursing Coversheet July 2019 Private Duty Nursing Fee Schedule PDF July 2019 Private Duty Nursing Fee Schedule Excel July 2018 Private Duty Nursing Coversheet July 2018 Private Duty Nursing Fee Schedule in PDF July 2018 Private Duty Nursing Fee Schedule in Excel January 2018 Private Duty Nursing Cover Sheet January 2018 Private Duty Nursing Fee Schedule Provider Notices 2020 01/10/2020 Co-Payment Assessed in Error for January 6, 2020 2019 12/27/2019 Elimination of Copayments 11/22/2019 New Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Review and Process through Qualitrac Portal 11/18/2019 HCPCS Modifiers - XE, XS, and XU (Reissued Notice) 05/20/2019 Nurse Visit - Appropriate Billing Reminder - Revised Clarification rev. 05/30/2019 2018 03/20/2019 Prior Authorization Qualitrac Portal 11/20/2018 Appropriate Billing Reminder 11/13/2018 Diabetes Prevention Program (DPP) Claims Update 11/08/2018 Rate Updates Mass Adjustment 11/07/2018 Mass Adjustments 10/19/2018 Medicaid Fee Schedules 07/24/2018 Diabetes Prevention Program (DPP) Coding Change 07/02/2018 Updated CLIA Claims Editing 06/04/2018 Coding Resources Change 04/04/2018 Updated Passport Eligible Populations & Reimbursement 02/26/2018 New Rendering Only Provider Enrollment Application 2017 12/26/2017 MATH Web Portal Eligibility Inquiry Verification Update 12/15/2017 Continuous Glucose Monitors-A9278, A9277, & A9276 12/11/2017 Montana Plan First Procedure and Service Codes - Contraceptive (IUD) Update 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 09/14/2017 Montana Plan First Anesthesia Update 08/21/2017 Clinical Pharmacist Practitioner 08/01/2017 Telemedicine - Correction 07/25/2017 Caregiver Depression Screenings 06/05/2017 Pulse Oximetry for Children Age 0-20 05/26/2017 Federal Final Rule, "Nondiscrimination in Health Program and Activities” and Implication for Coverage of Services Related to Gender Transition 04/21/2017 Bowel Management Program Supplies 04/06/2017 New EPSDT Request Form 03/31/2017 Ketone Test Strips - A4250 & A252 02/07/2017 New Place of Service for Telehealth 02/02/2017 EPSDT ( Children's) Lead Screening Requirements Other Resources SURS Provider Self-Audit Protocol 10/2015 To locate older documents, access the Archive Page.