Department of Public Health and Human Services

Montana Healthcare Programs Provider Information » Family Planning

Main Content

Family Planning

Family Planning

Provider Manuals

General Information for Providers  05/2019
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

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



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


12/26/2017 MATH Web Portal Eligibility Inquiry Verification Update
12/11/2017  Montana Plan First Procedure and Service Codes - Contraceptive (IUD) Update
12/11/2017 Vaccines for Children Code 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
09/25/2017 Vaccine Administration Code Update
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
05/01/2017 Vaccine Administration Code Update
04/20/2017  Plan First Hysterectomy codes added effective April 1, 2017
04/06/2017 New EPSDT Request Form
02/02/2017 EPSDT ( Children's) Lead Screening Requirements

Other Resources

To locate older documents, access the Archive Page.