PRTF

Prior Authorization Forms Claim Jumper Newsletters

General Information for Providers  

Medicaid manual with general information for all provider types.

Mental Health Services – Adult
This manual has information specific to your provider type.
This link brings you to the AMDD page of the DPHHS.mt.gov website.

Mental Health Services – Children 

See the CMHB section of the Plans and Publications page on the DPHHS website.

 2021

09/16/2021 Billing Update - Licensed Marriage and Family Therapist (LMFT)
07/20/2021 Enrollment Update – Licensed Marriage and Family Therapist
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
06/11/2021 COVID-19 Vaccine Administration Billing Guidance
05/05/2021 Date Spans for Prior Authorization Through the Qualitrac Portal
04/02/2021 
New Provider Type – Licensed Marriage and Family Therapist
02/10/2021 Psychiatric Residential Treatment Facility Discharge Authorization Process
01/28/2021 Montana Healthcare Programs Support Services Holiday Closures
01/11/2021 Provider Support Services Closed for Martin Luther King Day, Monday, January 18, 2021

2020

12/07/2020 Medicaid Expansion Extended Through December 31, 2021 
10/28/2020 Provider Relief Fund General Allocation
08/28/2020 Provider Relief Fund General Allocation rev. 08/28/2020

08/20/2020 Behavioral Health Grants
08/11/2020 Provider Relief Fund General Allocation rev. 08/11/2020

07/24/2020 Provider Relief Fund General Allocation

07/20/2020 Outpatient Psychotherapy Limits
07/17/2020 Medicaid Reimbursement and Court Ordered Services
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
04/24/2020 Changes to Youth Community-Based Psychiatric Rehabilitation and Support Services

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

01/10/2020 Co-Payment Assessed in Error for January 6, 2020

2019

12/27/2019 Elimination of Copayments
12/06/2019 UR New Implementation date and Provider Portal Training 
11/18/2019 New UR Introduction and Training Information
11/18/2019 HCPCS Modifiers - XE, XS, and XU (Reissued Notice)
06/05/2019 Reminder – Comprehensive School and Community Treatment (CSCT) Summer Program Requirements
05/20/2019 Nurse Visit - Appropriate Billing Reminder - Revised Clarification rev. 05/30/2019
05/02/2019 Outpatient Psychotherapy Limits
01/23/2019 New Psychological Testing Rates - Revised
01/16/2019 New Psychological Testing Rates
01/04/2019 New Psychological Testing Codes

2018

11/20/2018 Appropriate Billing Reminder
11/08/2018 Rate Updates Mass Adjustment
10/19/2018 Medicaid Fee Schedules
09/24/2018 Medicaid Reimbursement for PACT Teams
09/24/2018 Prior Authorization for Genetics Testing for Youth Mental Health
07/02/2018 Updated CLIA Claims Editing
06/04/2018 Coding Resources Change
04/18/2018 New AMDD Medicaid Services Provider Manual for Substance Use Disorder and Adult Mental Health
04/04/2018  Updated Passport Eligible Populations & Reimbursement
02/26/2018 New Rendering Only Provider Enrollment Application