Department of Public Health and Human Services

Montana Healthcare Programs Provider Information » Ambulatory Surgical Center

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Ambulatory Surgical Center

Ambulatory Surgical Center

Provider Manuals

General Information for Providers  05/2019

Medicaid manual with general information for all provider types.

Ambulatory Surgical Center Services 04/2019

This manual has information specific to your provider type.

Medicaid Rules and Regulations

Fee Schedules – Ambulatory Surgical Center (ASC)

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.



11/21/2018 Physician Administered Drug Prior Authorization Form
11/20/2018 Appropriate Billing Reminder
11/13/2013 Diabetes Prevention Program (DPP) Claims Update
11/08/2018 Rate Updates Mass Adjustment
11/06/2018 Smart PA® Prior Authorization for Synagis®
10/19/2018 Medicaid Fee Schedules
07/02/2018 Updated CLIA Claims Editing
06/04/2018 Coding Resources Change
05/30/2018 Panniculectomy Criteria
04/04/2018  Updated Passport Eligible Populations & Reimbursement
03/22/2018 Criteria for Breast Reconstruction
02/26/2018 New Rendering Only Provider Enrollment Application


02/20/2018 Advanced Imaging Prior Authorization
12/29/2017 Prior Authorization for Transgender Mastectomy/Breast Augmentation
12/29/2017 Prior Authorization for Gender Reassignment Surgery
12/26/2017 MATH Web Portal Eligibility Inquiry Verification Update
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
10/02/2017 Montana Medicaid Expansion Changes
09/14/2017 Montana Plan First Anesthesia Update
08/21/2017 Clinical Pharmacist Practitioner
08/01/2017 Telemedicine - Correction
05/26/2017 Federal Final Rule, "Nondiscrimination in Health Program and Activities” and Implication for Coverage of Services Related to Gender Transition 0
4/06/2017 New EPSDT Request Form
03/07/2017   Reminder: Billing for Services in ASCs

Other Resources

To locate older documents, access the Archive Page.