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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  05/2019

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

Fee Schedules - Nutritionist (EPSDT)

Fee Schedules – O&M Specialist

Fee Schedules – Private Duty Nursing

Provider Notices

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.