Dental (Dentist and Dental Hygienist) Dental Dentist and Dental Hygienist Prior Authorization Forms Claim Jumper Newsletters Provider Manuals General Information for Providers 05/2019 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. PROPOSED October 2019 Dental and Denturist Services Manual - Not in effect at this time 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 - 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 – Dentist July 2019 Dental Cover Sheet July 2019 Dental Fee Schedule PDF July 2019 Dental Fee Schedule Excel 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 Fee Schedules – Dental Hygienist July 2019 Dental Hygienist Coversheet July 2019 Dental Hygienist Fee Schedule PDF July 2019 Dental Hygienist Fee Schedule Excel 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 Fee Schedules - HMK Dental July 2019 HMK Dental Provider Notices 2019 07/25/2019 Cognitive Care Reimbursement (Revised) 06/28/2019 Cognitive Care Reimbursement 05/20/2019 Nurse Visit - Appropriate Billing Reminder - Revised Clarification rev. 05/30/2019 05/06/2019 Dental Blanket Denial Process 02/21/2019 Orthodontia Prior Authorization Procedure Change 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 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.