Dental (Dentist and Dental Hygienist) Dental Dentist and Dental Hygienist Provider Manuals General Information for Providers 06/2018 Medicaid manual with general information for all provider types. Dental and Denturist Services 10/19/2018 This manual has information specific to your provider type. Healthy Montana Kids (HMK) and CHIP Dental Services 08/2017 This manual has information specific to HMK and CHIP dental providers. Medicaid Rules and Regulations Code of Federal Regulations (Title 42) Montana Code Annotated (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 – Dentist 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. July 2018 Dental Cover Sheet July 2018 Dental Fee Schedule PDF July 2018 Dental Fee Schedule Excel March 2018 Dental Cover Sheet March 2018 Dental Fee Schedule PDF March 2018 Dental Fee Schedule Excel January 2018 Dental Cover Sheet January 2018 Dental Fee Schedule PDF rev. 02/07/2018 January 2018 Dental Fee Schedule Excel rev. 02/07/2018 July 2016 PDF: July 2016 Dental Excel: July 2016 Dental TXT: July 2016 Dental January 2016 PDF: January 2016 Dental Excel: January 2016 Dental TXT: January 2016 Dental Fee Schedules – Dental Hygienist 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. July 2018 Dental Hygienist Cover Sheet July 2018 Dental Hygienist Fee Schedule PDF July 2018 Dental Hygienist Fee Schedule Excel March 2018 Dental Hygienist Cover Sheet March 2018 Dental Hygienist Fee Schedule PDF March 2018 Dental Hygienist Fee Schedule Excel January 2018 Dental Hygienist Cover Sheet January 2018 Dental Hygienist PDF January 2018 Dental Hygienist Excel July 2016 PDF: July 2016 Dental Hygienist Excel: July 2016 Dental Hygienist TXT: July 2016 Dental Hygienist January 2016 PDF: January 2016 Dental Hygienist Excel: January 2016 Dental Hygienist TXT: January 2016 Dental Hygienist 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. 2019 02/19/2019 Deleted Dental Codes D1515 and D9940 2018 11/20/2018 Appropriate Billing Reminder 11/08/2018 Rate Updates Mass Adjustment 11/02/2018 Claims for Restored Adult Dental Services Can Now Be Processed 10/19/2018 Medicaid Fee Schedules 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 02/22/2018 Adult Dental Benefit Changes 2017 12/26/2017 MATH Web Portal Eligibility Inquiry Verification Update 12/20/2017 Dental Reimbursement Rate Change 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 08/30/2017 PA for Dental General Anesthesia 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 04/06/2017 New EPSDT Request Form 2016 PDF: 07/16/2016 Changes to Member Cost Share Update TXT: 07/16/2016 Changes to Member Cost Share Update PDF: 06/09/2016 Dental Reimbursement Rate Change and Updated provider Manual TXT: 06/09/2016 Dental Reimbursement Rate Change and Updated provider Manual PDF: 05/19/2016 Changes to Member Cost Share TXT: 05/19/2016 Changes to Member Cost Share 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: 01/21/2016 Important Dental Benefit Update TXT: 01/21/2016 Important Dental Benefit Update 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 Certification Training for Dentists to add the Access to Baby and Child Dentistry Specialty Endorsement Dental Provider MDA Training Materials 05/2017 Sample ADA Dental Claim Form 06/2016 SURS Provider Self-Audit Protocol 10/2015 To locate older documents, access the Archive Page.