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Department of Public Health and Human Services

Montana Healthcare Programs Provider Information » Lab and Imaging

Main Content

Lab and Imaging

Laboratory Services

Provider Manuals

General Information for Providers  06/2018

Physician-Related Services 12/2017

This manual has information specific to your provider type.

 

Medicaid Rules and Regulations

Fee Schedules – ATP Tests and Fees

Some documents on this page are legal and/or historical in nature and cannot be altered to meet 508 Accessibility standards.  Each of those documents has a corresponding .txt document with the same name placed next to it.

July 2018 ATP Fee Schedule
January 2018 ATP Fee Schedule

January 2017 

PDF: January 2017 ATP  
Excel: January 2017 ATP
TXT: January 2017 ATP

January 2016

PDF: January 2016 ATP  
TXT: January 2016 ATP  

 

Fee Schedules – Laboratory Services

Some documents on this page are legal and/or historical in nature and cannot be altered to meet 508 Accessibility standards.  Each of those documents has a corresponding .txt document with the same name placed next to it.

July 2018 Laboratory Services Coversheet Version 2
July 2018 Laboratory Services Fee Schedule Version 2 PDF
July 2018 Laboratory Services Fee Schedule Version 2 Excel 

July 2018 Laboratory Services Coversheet
July 2018 Laboratory Services Fee Schedule PDF
July 2018 Laboratory Services Fee Schedule Excel

January 2018 Laboratory Services Cover Sheet
January 2018 Laboratory Services PDF rev 2/15/2018
January 2018 Laboratory Services Excel rev 215/2018

 

PDF: January 2017 Lab and Imaging Rev. 01/13/2017
Excel: January 2017 Lab and Imaging Rev. 01/13/2017
TXT: January 2017 Lab and Imaging Rev. 01/13/2017

 

PDF: July 2016 Lab and Imaging Rev. 08/22/2016
Excel: July 2016 Lab and Imaging Rev. 08/22/2016
TXT: July 2016 Lab and Imaging Rev. 08/22/2016

 

PDF: January 2016 Lab and Imaging Rev. 01/22/2016
Excel: January 2016 Lab and Imaging Rev. 01/22/2016
TXT: January 2016 Lab and Imaging Rev. 01/22/2016

 

Provider Notices

Some documents on this page are legal and/or historical in nature and cannot be altered to meet 508 Accessibility standards.  Each of those documents has a corresponding .txt document with the same name placed next to it.

2018


11/08/2018 Rate Updates Mass Adjustment
10/19/2018 Medicaid Fee Schedules
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
04/04/2018  Updated Passport Eligible Populations & Reimbursement
03/14/2018 Prior Authorization for Genetics Testing for Youth Mental Health
02/26/2018 New Rendering Only Provider Enrollment Application
01/30/2018 Fetal Chromosomal Aneuploidy Testing

2017

12/26/2017 MATH Web Portal Eligibility Inquiry Verification Update
12/18/2017 Fetal Chromosomal Aneuploidy Testing
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
10/04/2017 Makena Injection Code Change and ReimbursementFetal Chromosomal Aneuploidy Testing
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
01/13/2017 Update to January 2017 Fee Schedule
02/02/2017 EPSDT ( Children's) Lead Screening Requirements

2016

PDF: 07/18/2016 Changes to Member Cost Share Update
TXT: 07/18/2016 Changes to Member Cost Share Update
PDF: 05/19/2016 Changes to Member Cost Share
TXT: 05/19/2016 Changes to Member Cost Share
PDF: 02/01/2016 Basic Medicaid Benefit Increased to Standard Medicaid Benefit
TXT: 02/01/2016 Basic Medicaid Benefit Increased to Standard Medicaid Benefit
PDF: 01/15/2016 Standard Medicaid and HELP Plan Claims Processing Rev. 01/19/2016
TXT: 01/15/2016 Standard Medicaid and HELP Plan Claims Processing Rev. 01/19/2016

Other Resources

To locate older documents, access the Archive Page.