Durable Medicaid Equipment, Prosthetics, Orthotics, and Supplies DMEPOS Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Prior Authorization Forms Claim Jumper Newsletters Provider Manuals General Information for Providers 05/2019 Medicaid manual with general information for all provider types. Durable Medical Equipment, Prosthetics, Orthotics, and Medical Supplies (DMEPOS) 10/2017 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) 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 – Durable Medical Equipment (DME) July 2019 DME Cover Sheet July 2019 DME Fee Schedule PDF July 2019 DME Fee Schedule Excel January 2019 DME Cover Sheet January 2019 DME Fee Schedule PDF rev. 04/15/2019 January 2019 DME Fee Schedule Excel rev. 04/15/2019 July 2018 DME Cover Sheet July 2018 DME Fee Schedule PDF July 2018 DME Fee Schedule Excel March 2018 DME Cover Sheet March 2018 DME Fee Schedule PDF rev/ 03/13/2018 March 2018 DME Fee Schedule Excel rev/ 03/13/2018 January 2018 DME Cover Sheet January 2018 DME Fee Schedule PDF January 2018 DME Fee Schedule Excel Provider Notices 2019 10/01/2019 Chronic Care/Coordinated Care Codes 07/25/2019 Cognitive Care Reimbursement (Revised) 07/23/2019 Therapeutic Continuous Glucose Monitor and Sensors – K0554 & K0553 06/28/2019 Cognitive Care Reimbursement 05/20/2019 Nurse Visit - Appropriate Billing Reminder - Revised Clarification rev. 05/30/2019 04/01/2019 Durable Medical Equipment Criteria for Home Ventilators 03/20/2019 Prior Authorization Qualitrac Portal 03/20/2019 Prior Authorization Qualitrac Portal 2018 11/29/2018 Durable Medical Equipment Mass Adjustment for Rate Restoration 11/20/2018 Appropriate Billing Reminder 11/08/2018 Rate Updates Mass Adjustment 10/19/2018 Medicaid Fee Schedules 07/03/2018 Durable Medical Equipment Cures Act Claim Adjustment 07/02/2018 Updated CLIA Claims Editing 06/04/2018 Coding Resources Change 04/04/2018 Updated Passport Eligible Populations & Reimbursement 02/27/2018 DME Incontinence Supply Rates 02/26/2018 New Rendering Only Provider Enrollment Application 01/31/2018 Montana Healthcare Programs Covered Double Electric Breast Pumps - E0603 2017 12/26/2017 MATH Web Portal Eligibility Inquiry Verification Update 12/15/2017 Continuous Glucose Monitors-A9278, A9277, & A9276 12/11/2017 Montana Plan First Procedure and Service Codes - Contraceptive (IUD) Update 12/01/2017 Montana Medicaid Expansion Prior Authorization Changes 11/29/2017 Prosthetic Devices 11/21/2017 Bi-Level Positive Airway Pressure Devices (Bi-Pap) 11/20/2017 Qualified Medicare Beneficiary (QMB) Claim Adjustments 11/02/2017 New Medicare Card 10/22/2017 S1040 - Cranial Remolding Orthotic 10/02/2017 Montana Medicaid Expansion Changes 09/14/2017 Montana Plan First Anesthesia Update 08/31/2017 S1040 Cranial Remolding Orthotic 08/21/2017 Clinical Pharmacist Practitioner 08/01/2017 Telemedicine - Correction 06/05/2017 Pulse Oximetry for Children Age 0-20 05/26/2017 Federal Final Rule, "Nondiscrimination in Health Program and Activities” and Implication for Coverage of Services Related to Gender Transition 04/21/2017 Bowel Management Program Supplies 04/17/2017 Prior Authorization for Insulin Pumps - E0784 04/06/2017 New EPSDT Request Form 03/31/2017 Ketone Test Strips - A4250 & A252 01/11/2017 New HCPCS Codes for Insulin Pump Supplies – A4224 & A4225 Other Resources Noridian Administrative Services Medicare's DME Administrative Services provider. Prior Authorization Criteria for Specific Services Region D DMERC/CIGNA Medicare The Durable Medical Equipment Regional Carriers (DMERC) website. DMERC processes Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) for Medicare. Medicare Pricing, Data Analysis, and Coding (PDAC) This website assists manufacturers and suppliers with DMEPOS billing and coding information. Can call toll-free 1-877-735-1326 or e-mail DME PDAC using their contact form. SURS Provider Self-Audit Protocol 10/2015 To locate older documents, access the Archive Page.