Lab and Imaging Laboratory Services Prior Authorization Forms Claim Jumper Newsletters Provider Manuals General Information for Providers 05/2019 Physician-Related Services 12/2017 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 – ATP Tests and Fees July 2018 ATP Fee Schedule January 2018 ATP Fee Schedule January 2017 PDF: January 2017 ATP Excel: January 2017 ATP TXT: January 2017 ATP Fee Schedules – Laboratory Services July 2019 Laboratory Services Coversheet July 2019 Laboratory Services Fee Schedule PDF July 2019 Laboratory Services Fee schedule Excel January 2019 Laboratory Services Coversheet January 2019 Laboratory Services Fee Schedule PDF Rev. 04/02/2019 January 2019 Laboratory Services Fee Schedule Excel Rev. 04/02/2019 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 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 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 Other Resources Prior Authorization Criteria for Specific Services Rebateable Manufacturers 10/02/2019 SURS Provider Self-Audit Protocol 10/2015 To locate older documents, access the Archive Page.