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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  06/2018

Medicaid manual with general information for all provider types.

Ambulatory Surgical Center Services 08/2017

This manual has information specific to your provider type.

Medicaid Rules and Regulations

Fee Schedules – Ambulatory Surgical Center (ASC)

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.

October 2018 ASC Coversheet
October 2018 ASC Fee Schedule PDF
October 2018 ASC Fee Schedule Excel

July 2018 ASC Coversheet Version 2
July 2018 ASC Fee Schedule Version 2 PDF
July 2018 ASC Fee Schedule Version 2 Excel

July 2018 ASC Coversheet
July 2018 ASC Fee Schedule PDF
July 2018 ASC Fee Schedule Excel

April 2018 Coversheet
April 2018 Fee Schedule PDF
April 2018 Fee Schedule EXCEL

January 2018

ASC Coversheet January 2018
ASC Fee Schedule January 2018 PDF    rev. 04/02/2018
ASC Fee Schedule January 2018 Excel   rev. 04/02/2018

October 2017

PDF: ASC Fee Schedule October 2017 Cover Sheet: ASC Fee Schedule Cover Sheet
Excel: ASC Fee Schedule October 2017 Excel

July 2017

PDF: ASC Fee Schedule July 2017 PDF Cover Sheet: ASC Fee Schedule Cover Sheet
Excel: ASC Fee Schedule July 2017 Excel

April 2017 

PDF: ASC Fee Schedule Definitions
PDF: ASC Fee Schedule April 2017 PDF 
Excel: ASC Fee Schedule April 2017 Excel

January 2017

PDF: January 2017 ASC
Excel: January 2017 ASC
TXT: January 2017 ASC

October 2016

PDF: October 2016 ASC
Excel: October 2016 ASC
TXT: October 2016 ASC

July 2016 

PDF: July 2016 ASC Rev. 08/05/2016
Excel: July 2016 ASC Rev. 08/05/2016
TXT: July 2016 ASC Rev. 08/05/2016

April 2016

PDF: April 2016 ASC
Excel: April 2016 ASC
TXT: April 2016 ASC

January 2016

PDF: January 2016 ASC
Excel: January 2016 ASC
TXT: January 2016 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.

2018

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

2017

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

2016

PDF: 07/18/2016 Changes to Member Cost Share Update
TXT:  07/18/2016 Changes to Member Cost Share Update
PDF: 07/05/2016 PA For Botox No Longer Required
TXT:  07/05/2016 PA For Botox No Longer Required
PDF: 07/05/2016 Circumcision Prior Authorization Changes
TXT:  07/05/2016 Circumcision Prior Authorization Changes
PDF: 05/19/2016 Changes to Member Cost Share
TXT:  05/19/2016 Changes to Member Cost Share
PDF: 04/07/2016 Montana Plan First - IUD and Anesthesia Updates
TXT:  04/07/2016 Montana Plan First - IUD and Anesthesia Updates
PDF: 02/01/2016 Basic Medicaid Benefit Increased to Standard Medicaid Benefit
TXT:  02/01/2016 Basic Medicaid Benefit Increased to Standard Medicaid Benefit
PDF: 01/15/2016 Standard Medicaid and HELP Plan Claims Processing Rev. 01/19/2016
TXT:  01/15/2016 Standard Medicaid and HELP Plan Claims Processing Rev. 01/19/2016

Other Resources

To locate older documents, access the Archive Page.