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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

08/28/2020 Provider Relief Fund General Allocation rev. 08/28/2020

08/11/2020 Provider Relief Fund General Allocation rev. 08/11/2020

07/24/2020 Provider Relief Fund General Allocation

07/17/2020 Medicaid Reimbursement and Court Ordered Services
06/17/2020 National Correct Coding Initiative Announcement 
05/15/2020 Temporary Revision to Case Management General Provisions
04/30/2020 National Correct Coding Initiative Announcement
04/28/2020 Temporary Suspension of the PCP Referral Requirement
04/27/2020 Non-Covered Services Agreement Policy Change

04/22/2020 Suspension of Prior Authorizations or Continued Stay Reviews and Clinical Requirements for Some Medicaid Programs


04/01/2020 Suspension of Face to Face Requirements for Some Medicaid Programs
03/19/2020 Telemedicine Medicaid Coverage and Reimbursement Policy for Telemedicine/Telehealth  rev 03/27/2020

03/12/2020 Medical Food or Formula for Phenylketonuria (PKU) due to Inborn Errors of Metabolism (IEM) - HCPCS Code S9435
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

Other Resources

To locate older documents, access the Archive Page.