Family Planning Family Planning Prior Authorization Forms Claim Jumper Newsletters Provider Manuals General Information for Providers Medicaid manual with general information for all provider types. Physician-Related Services 12/2017 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 – Family Planning Family Planning Fee Schedule Information Payment of Family Planning services is based on the fee schedule for the provider type performing the service. If the member has Medicaid, please review the fee schedule for the specific provider type performing the service to determine whether the service is covered. If the member has Plan First coverage, please review the Service Code List found on the Plan First Page https://medicaidprovider.mt.gov/planfirst Plan First is subject to all Montana Medicaid fees and policies. Provider Notices 2020 10/08/2020 Montana Plan First - Addition of Radiologic Examination Codes for Abdomen; 1, 2, and 3 Views 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 07/27/2020 Montana Plan First - Additional Covered Code, COVID - Testing 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 03/26/2020 Montana Plan First - Additional Covered Codes, Telemedicine/Telehealth 03/19/2020 Telemedicine Medicaid Coverage and Reimbursement Policy for Telemedicine/Telehealth rev 03/27/2020 Frequently Asked Questions on Telemedicine / Telehealth 01/10/2020 Co-Payment Assessed in Error for January 6, 2020 2019 12/27/2019 Elimination of Copayments 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 03/25/2019 Montana Plan First - Change to Covered Procedures and Service Codes 2018 11/20/2018 Appropriate Billing Reminder 11/08/2018 Rate Updates Mass Adjustment 10/19/2018 Medicaid Fee Schedules 10/03/2018 Vaccine for Children Code Update - Revised 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 Prior Authorization Criteria for Specific Services Rebateable Manufacturers 10/01/2020 SURS Provider Self-Audit Protocol 10/2015 To locate older documents, access the Archive Page.