COVID-19 Provider Information Online Services

MATH Web Portal Provider Services Portal Provider Locator Search

Resources by Provider Type Provider Enrollment Montana HELP Plan Subscribe to Claim Jumper Site Search Site Index

Announcements Archive Claim Instructions Claim Jumper Newsletters Contact Us Covid-19 Provider Information Definitions and Acronyms Drug and Pharmacy News Electronic Billing EOB R&R Crosswalk Excel EOB R&R Crosswalk PDF EPSDT FAQs Forms HELP Plan HIPAA 5010 ICD-10 Information Local Offices of Public Assistance MATH Web Portal Medicaid Statistics Medicaid Fraud and Abuse Member Information New Provider Information Passport to Health Password Reset Instructions Plan First Preferred Drug List Presumptive Eligibility Prior Authorization Information Proposed Fee Schedules Provider Enrollment Provider File Updates Provider Locator Search Provider Specialty Table Rebateable Manufacturers Recent Website Posts Resources by Provider Type RBRVS Supplemental Payments Team Care Terminated/Excluded Medicaid Providers Training and Events Vaccines for Children

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
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)

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

2022

08/05/2022 Bipartisan Budget Act of 2018 Cost Avoidance Statute Changes
06/17/2022 Plan First Updated Code List Descriptions
05/16/2022 Help Members Receive Important Information from Montana Medicaid and Stay Covered
05/13/2022 Revalidation Extended REVISED
05/13/2022 National Drug Code (NDC) Denial Errors
04/26/2022 Health Behavior Assessment and Intervention Billing Codes REVISED
03/29/2022 Nurse First Advice Line Services Ending
03/16/2022 Revalidation Extended to June 2022 REVISED Rev. 05/13/2022
02/23/2022 Revalidation Extended to June 2022 Rev. 03/16/2022
02/23/2022 Standing Orders and Medicaid Reimbursement
01/14/2022 Montana Healthcare Programs Support Services Holiday Closures
01/04/2022 Vaccines for Children (VFC) Code Update

2021

12/20/2021 Plan First Updated Code List Descriptions
12/15/2021 Health Behavior Assessment and Intervention Billing Codes Rev. 04/26/2022
12/10/2021 New Provider Services Portal
09/24/2021 Codes Removed from and Added to Plan First Covered Code List
09/16/2021 Billing Update - Licensed Marriage and Family Therapist (LMFT)
07/20/2021 Enrollment Update – Licensed Marriage and Family Therapist
07/06/2021 Adoption Of Temporary Emergency Rule To Allow for COVID-19-Related
Regulatory Discretion Beyond The Expiration Of The Governor-Declared State Of Emergency
06/11/2021 COVID-19 Vaccine Administration Billing Guidance
04/02/2021 New Provider Type – Licensed Marriage and Family Therapist
01/28/2021 Montana Healthcare Programs Support Services Holiday Closures
01/27/2021 Vaccines for Children (VFC) Code Update
01/21/2021 Montana Plan First Additional Codes Added to Plan First Covered Code List
01/11/2021 Provider Support Services Closed for Martin Luther King Day, Monday, January 18, 2021

2020

12/07/2020 Medicaid Expansion Extended Through December 31, 2021
11/12/2020 Removal of Codes for COVID-19 Testing and Treatment
10/28/2020 Provider Relief Fund General Allocation
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

Other Resources

Prior Authorization Criteria for Specific Services

Rebateable Manufacturers 04/2022

SURS Provider Self-Audit Protocol 02/2022

To locate older documents, access the Archive Page.