Optometric Optometric Prior Authorization Forms Claim Jumper Newsletters Provider Manuals General Information for Providers 05/2019 Medicaid manual with general information for all provider types. Optometric and Eyeglass Services 06/2018 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 – Optometric July 2019 Optometric Cover Sheet July 2019 Optometric Fee Schedule PDF July 2019 Optometric Fee Schedule Excel January 2019 Optometric Cover Sheet January 2019 Optometric Fee Schedule PDF January 2019 Optometric Fee Schedule Excel July 2018 Optometric Cover Sheet Version 2 July 2018 Optometric Fee Schedule Version 2 PDF July 2018 Optometric Fee Schedule Version 2 Excel July 2018 Cover Sheet Optometric July 2018 Fee Schedule Optometric PDF July 2018 Fee Schedule Optometric Excel January 2018 Cover Sheet Optometric January 2018 Fee Schedule Optometric PDF Rev. 01/31/2018 January 2018 Fee Schedule Optometric Excel Rev. 01/31/2018 January 2017 PDF: January 2017 Optometric Excel: January 2017 Optometric TXT: January 2017 Optometric Fee Schedules - Eyeglasses PDF: December 2016 Eyeglasses Revised 12/15/2016 Excel: December 2016 Eyeglasses Revised 12/15/2016 TXT: December 2016 Eyeglasses Revised 12/15/2016 Provider Notices 2019 10/01/2019 Chronic Care/Coordinated Care Codes 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 2018 11/20/2018 Appropriate Billing Reminder 11/08/2018 Rate Updates Mass Adjustment 11/07/2018 Mass Adjustments 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 Optometric Exam and Eyeglass Changes 2017 12/26/2017 MATH Web Portal Eligibility Inquiry Verification Update 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 08/21/2017 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 Eyewear FAQ REVISED 03/05/2018 Medicaid and HELP Plan Optometric Adult Eyeglass Benefits 04/30/2018 Medicaid/HMK Plus & HMK/CHIP Children's Optometric Eyeglass Benefits 04/30/2018 Prior Authorization 08/2015 Rebateable Manufacturers 10/02/2019 SURS Provider Self-Audit Protocol 10/2015 To locate older documents, access the Archive Page.