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 2020 Nutrition EPSDT Coversheet July 2020 Nutrition EPSDT Fee Schedule PDF July 2020 Nutrition EPSDT Fee Schedule Excel 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 2020 Orientation and Mobility Coversheet July 2020 Orientation and Mobility Fee Schedule PDF July 2020 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 2020 Private Duty Nursing Coversheet July 2020 Private Duty Nursing Fee Schedule PDF July 2020 Private Duty Nursing Fee Schedule Excel 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 2021 06/11/2021 COVID-19 Vaccine Administration Billing Guidance 05/05/2021 Date Spans for Prior Authorization Through the Qualitrac Portal 04/02/2021 New Provider Type – Licensed Marriage and Family Therapist 03/01/2020 DME and DME EPSDT Prior Authorizations Through the Qualitrac Portal 01/28/2021 Montana Healthcare Programs Support Services Holiday Closures 01/11/2021 Provider Support Services Closed for Martin Luther King Day, Monday, January 18, 2021 2020 12/23/2020 Diabetes Prevention Program (DPP) Information 12/07/2020 Medicaid Expansion Extended Through December 31, 2021 11/17/2020 Prior Authorizations Through the Qualitrac Web Portal for DME and DME EPSDT 10/28/2020 Provider Relief Fund General Allocation 08/28/2020 Provider Relief Fund General Allocation rev. 08/28/2020 Overview and Access Guide for Seeking Provider Relief Funding from HHS Allocation to Medicaid Providers rev. 08/28/2020 08/11/2020 Provider Relief Fund General Allocation rev. 08/11/2020 Overview and Access Guide for Seeking Provider Relief Funding from HHS Allocation to Medicaid Providers rev. 08/11/2020 07/24/2020 Provider Relief Fund General Allocation Overview and Access Guide for Seeking Provider Relief Funding from HHS Allocation to Medicaid Providers 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 FAQ for Suspension of Prior Authorizations or Continued Stay Reviews and Clinic 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 Frequently Asked Questions on Telemedicine / Telehealth 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 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 Other Resources Montana Diabetes Prevention Program Overview Presentation 01/27/2021 SURS Provider Self-Audit Protocol 10/2015 To locate older documents, access the Archive Page.