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Department of Public Health and Human Services

Montana Healthcare Programs Provider Information » EPSDT

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EPSDT

EPSDT / Children’s Services

Early and Periodic Screening, Diagnostic, and Treatment Services

Please note: If you require Children's Chiropractic (EPSDT) information visit the Children's Chiropractic (EPSDT) provider type.

Provider Manuals

General Information for Providers  06/2018

Medicaid manual with general information for all provider types.

This manual has information specific to your provider type.

Nutrition EPSDT 06/2018

This manual has information specific to your provider type.

Orientation and Mobility Specialist 06/2018

This manual has information specific to your provider type.

Physician-Related Services 12/2017

This manual has information specific to your provider type.

Private Duty Nursing EPSDT 06/2018

This manual has information specific to your provider type.

Medicaid Rules and Regulations

Fee Schedules – Children's Special Health Services

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.


10/19/2018 July 2018 Children's Special Health Services Coversheet
10/19/2018 July 2018 Children's Special Health Services Fee Schedule PDF
10/19/2018 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)

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.

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
 

July 2016

PDF: July 2016 Nutrition Rev 02/02/2016
Excel: July 2016 Nutrition Rev 02/02/2016  
TXT: July 2016 Nutrition Rev 02/02/2016

 

Fee Schedules – O&M Specialist

Fee Schedules – Private Duty Nursing

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.

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

July 2016 

PDF: July 2016 Private Duty Nursing
Excel: July 2016 Private Duty Nursing
TXT: July 2016 Private Duty Nursing

 

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.

2018

11/13/2013 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

2016

PDF: 09/26/2016 Coverage of Weighted Blankets
TXT:  09/26/2016 Coverage of Weighted Blankets
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: 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

Other Resources

To locate older documents, access the Archive Page.