Dental (Dentist and Dental Hygienist) Dental Dentist and Dental Hygienist Prior Authorization Forms Claim Jumper Newsletters Provider Manuals General Information for Providers Medicaid manual with general information for all provider types. Dental and Denturist Services 10/01/2019 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 - 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 January 2020 Dental Cover Sheet January 2020 Dental Fee Schedule PDF January 2020 Dental Fee Schedule Excel October 2019 Dental Cover Sheet October 2019 Dental Fee Schedule PDF October 2019 Dental Fee Schedule Excel 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 January 2020 Dental Hygienist Coversheet January 2020 Dental Hygienist Fee Schedule PDF January 2020 Dental Hygienist Fee Schedule Excel 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 2020 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 04/22/2020 Dental Telemedicine Notice 04/01/2020 Suspension of Face to Face Requirements for Some Medicaid Programs 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 1/18/2019 HCPCS Modifiers - XE, XS, and XU (Reissued Notice) 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 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.