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Department of Public Health and Human Services

Montana Healthcare Programs Provider Information » EPSDT

Main Content

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  

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

Fee Schedules – Children's Special Health Services

Fee Schedules - Nutritionist (EPSDT)

Fee Schedules – O&M Specialist

Fee Schedules – Private Duty Nursing

Provider Notices

2020

01/10/2020 Co-Payment Assessed in Error for January 6, 2020

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

To locate older documents, access the Archive Page.