Prior Authorization Forms Claim Jumper Newsletters

General Information for Providers
Medicaid manual with general information for all provider types.

Physician-Related Services
This manual has information specific to your provider type.

Prescription Drug Program
This manual has information specific to your provider type.

Passport to Health
Everything a provider needs to know to become a successful Passport provider.

Prior Authorization Criteria for Specific Services

Instructions for Physician Administered Drug Prior Authorization:

  1. Please check posted criteria before submitting a prior authorization request (see links below). Make sure preferred drugs have been tried first and that there is documentation supporting this.
  2. Physician Administered Drug Prior Authorization requests must be submitted through the Qualitrac Portal at the following link: 
  3. For questions, please contact Mountain-Pacific Quality Health  Call Center:
    (406) 443-0320 (Helena) or
    (800) 219-7035 (Toll Free)


  • Montana Medicaid does not reimburse for convenience, off label or experimental use of drugs, per Administrative Rules of Montana (ARM) 37.85.207. 
  • In general, drugs billed with unlisted codes require prior authorization from the State.
  • NDC must be rebateable.

Drugs with specific criteria sets:

Aduhelm™ (aducanumab-avwa) 01/07/2022
Amondys 45® (casimersen) rev. 03/11/2022
Cinquair® (reslizumab)
 rev. 12/03/2020
Entyvio® (vedolizumab)  rev. 07/30/2021
EvenityTM (romosozumab-aqqg)  rev. 12/03/2020
Evkeeza™ (evinacumab-dgnb) 01/07/2022
Exondys 51® (eteplirsen)  rev. 03/11/2022
Fasenra® (benralizumab) rev. 12/03/2020
Krystexx® (pegloticase)  rev. 12/03/2020
Lemtrada® (alemtuzumab) 01/07/2022
Nucala® (mepolizumab) rev. 12/03/2020
Ocrevus® (ocrelizumab)  rev. 12/03/2020
Prolia® (denosumab) rev. 01/07/2022
Simponiaria® (golimumab)  rev. 12/03/2020
Spinraza®  nusinersen) rev. 12/03/2020
Spravato™ (esketamine)  rev. rev. 04/23/2021
Sublocade™ (buprenorphine extended-release) rev. 04/09/20210
Supprelin® (histrelin acetate) rev. 12/14/2020
Viltepso® (viltolarsen) 03/11/2022
Vivitrol® (naltrexone) rev. 04/12/2021
Vyepti® (eptinezumab-jjmr) 01/07/2022
Vyondys 53® (golodirsen) rev. 03/11/2022
Xgeva® (denosumab)  rev. 12/03/2020
Xolair® (omalizumab)  rev. 01/07/2022
Zinplava® (bezlotoxumab) rev. 12/14/2020
Zolgensma® (onasemnogene abeparvovec-xioi) rev. 02/12/2021
Zulresso™ (brexanolone) rev. 12/14/2020

For prescription medication notices, see the Pharmacy page


06/17/2022 Plan First Updated Code List Descriptions
06/03/2022 Circumcision Prior Authorization Changes REISSUED
06/03/2022 New Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Review and Process through Qualitrac Portal REISSUED
06/03/2022 Unlisted Billing Codes Reminder REISSUED
05/16/2022 Help Members Receive Important Information from Montana Medicaid and Stay Covered
05/13/2022 Revalidation Extended REVISED
05/13/2022 National Drug Code (NDC) Denial Errors
05/11/2022 Prior Authorization Qualitrac Portal REISSUED
05/09/2022 Physician Administered Drug Prior Authorization Information REVISED
04/26/2022 Health Behavior Assessment and Intervention Billing Codes REVISED
04/25/2022 Physician Administered Drug Prior Authorization Information Rev. 05/09/2022
03/29/2022 Nurse First Advice Line Services Ending
03/16/2022 Revalidation Extended to June 2022 REVISED Rev. 05/13/2022
02/28/2022 COVID-19 At-Home Test Coverage
02/23/2022 Revalidation Extended to June 2022 Rev. 03/16/2022
02/23/2022 Standing Orders and Medicaid Reimbursement
02/08/2022 Vaccine Administration by Pharmacists
02/02/2022 Dose Limitations for Gabapentinoids
01/18/2022 Billing for Preventive Medicine Counseling
01/14/2022 Montana Healthcare Programs Support Services Holiday Closures
01/04/2022 Vaccines for Children (VFC) Code Update
01/03/2022 Non-Therapeutic CGM Devices


12/20/2021 Plan First Updated Code List Descriptions
12/16/2021 Coverage for Botox (onabotulinumtoxinA)
12/15/2021 Health Behavior Assessment and Intervention Billing Codes Rev. 04/26/2022
12/10/2021 New Provider Services Portal
11/02/2021 Therapeutic Continuous Glucose Monitor (CGM) Devices
09/28/2021 Laboratory Panel Billing
09/24/2021 Codes Removed from and Added to Plan First Covered Code List
09/23/2021 Prior Authorization Criteria for Synagis®
09/16/2021 Billing Update - Licensed Marriage and Family Therapist (LMFT)
09/16/2021 Off-Label Use of Ketamine
07/30/2021 Updated Criteria for ENTYVIO (vedolizumab)
07/20/2021 Fetal Chromosomal Aneuploidy Testing
07/20/2021 Enrollment Update – Licensed Marriage and Family Therapist
07/13/2021 Prior Authorization Required for Lemtrada
07/06/2021 Adoption Of Temporary Emergency Rule To Allow for COVID-19-Related
Regulatory Discretion Beyond The Expiration Of The Governor-Declared State Of Emergency
07/06/2021 Procedure Code 58350, Chromotubation
07/01/2021 Global Surgical Package
06/11/2021 COVID-19 Vaccine Administration Billing Guidance
06/11/2021 Procedure Code 58350, Chromotubation
05/21/2021 Sterilization Consent Form MA-38 to be Discontinued
05/18/2021 Medication Assisted Treatment (MAT) Services Are Only Approved to Treat Members with an Opioid Use Disorder (OUD)
05/12/2021 Removal of DLA-20 Requirement from Transcranial Magnetic Stimulation (TMS) Services
05/05/2021 Date Spans for Prior Authorization Through the Qualitrac Portal
04/08/2021 Electronic Prior Authorization Process for Suboxone® Films for Medication Assisted Therapy
04/02/2021 New Provider Type – Licensed Marriage and Family Therapist
03/04/2021 Reference Laboratory Billing Guidelines
DME and DME EPSDT Prior Authorizations Through the Qualitrac Portal
01/28/2021 Montana Healthcare Programs Support Services Holiday Closures
01/27/2021 Vaccines for Children (VFC) Code Update
01/21/2021 Montana Plan First Additional Codes Added to Plan First Covered Code List
01/11/2021 Provider Support Services Closed for Martin Luther King Day, Monday, January 18, 2021


12/23/2020 Diabetes Prevention Program (DPP) Information
12/07/2020 Medicaid Expansion Extended Through December 31, 2021 
12/01/2020 Change in Application Process for Plan First
11/25/2020 Physician Administered Drug (PAD) Prior Authorization Requests Revised
11/17/2020 Prior Authorizations Through the Qualitrac Web Portal for DME and DME EPSDT
11/12/2020 Removal of Codes for COVID-19 Testing and Treatment
11/10/2020 Prior Authorization Criteria for Synagis®
10/28/2020 Provider Relief Fund General Allocation
10/19/2020 Discarded Drugs and Biologicals and the Use of the JW Modifier
10/08/2020 Montana Plan First - Addition of Radiologic Examination Codes for Abdomen; 1, 2, and 3 Views
10/02/2020 Reimbursement for CPT Code 90694 FLUAD Quadrivalent
10/02/2020 Select P Codes Allowable in a Physician Setting for Hospital Owned Physician Clinics
10/02/2020 SINUVA® and PROPEL® (mometasone furoate) Sinus Implants
08/28/2020 Provider Relief Fund General Allocation rev. 08/28/2020

08/11/2020 Provider Relief Fund General Allocation rev. 08/11/2020

08/10/2020 Physician Administered Drug (PAD) Prior Authorization Requests - Revised
07/27/2020 Montana Plan First - Additional Covered Code, COVID - Testing
07/24/2020 Provider Relief Fund General Allocation

07/20/2020 Outpatient Psychotherapy Limits
07/17/2020 Medicaid Reimbursement and Court Ordered Services
06/26/2020 Vaccine Administration by Pharmacists
06/18/2020 P Codes Not Allowable in a Physician Setting and Not Eligible for Reimbursement
06/17/2020 National Correct Coding Initiative Announcement
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
04/23/2020 Elimination of Prior Authorization and Criteria Requirements for MRI of the Head and CT of the Brain

04/22/2020 Suspension of Prior Authorizations or Continued Stay Reviews and Clinical Requirements for Some Medicaid Programs

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
03/19/2020 Telemedicine Policy Clarification 

03/12/2020 Medical Food or Formula for Phenylketonuria (PKU) due to Inborn Errors of Metabolism (IEM) - HCPCS Code S9435
02/28/2020 Starting Dose and Quantity Limitations for Sedative Hypnotics
02/25/2020 Physician Administered Drug Update
01/24/2020 Consent for Sterilization Form
01/03/2020 Changes to Hepatitis C Treatment Criteria