Rural Health Clinic RHC Rural Health Clinic Provider Manuals General Information for Providers 06/2018 Medicaid manual with general information for all provider types. Rural Health Clinic 09/2017 This manual has information specific to your provider type. Prescription Drug Program, Prior Authorization 07/31/2018 Prior authorization requirements and procedures are covered in this chapter. Passport to Health 10/2017 Everything a provider needs to know to become a successful Passport provider. Medicaid Rules and Regulations Code of Federal Regulations (Title 42) Montana Code Annotated (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 Schedule - FQHC/RHC 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. January 2018 FQHC/RHC Fee Schedule July 2017 PDF: FQHC/RHC Fee Schedule July 2017 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. For prescription medication notices, see the Pharmacy page/ 2018 11/13/2013 Diabetes Prevention Program (DPP) Claims Update 11/08/2018 Rate Updates Mass Adjustment 11/08/2018 Rate Updates Mass Adjustment 10/19/2018 Medicaid Fee Schedules 10/03/2018 Vaccine for Children Code Update - Revised 07/24/2018 Diabetes Prevention Program (DPP) Coding Change 07/17/2018 Caregiver Depression Screenings Reissued Notice 07/02/2018 Updated CLIA Claims Editing 06/04/2018 Coding Resources Change 05/24/2018 Reimbursement for LARCs 04/24/2018 Substance Use Disorder Treatment CPT Code Update rev. 05/09/2018 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 03/02/2018 Physician Administered Drug Update rev. 03/08/2018 03/02/2018 Physician Administered Drug Update 02/26/2018 New Rendering Only Provider Enrollment Application 02/21/2018 TCM Social Determinant Diagnosis Code Update 02/20/2018 Substance Use Disorder CPT Code Update 01/31/2018 Montana Healthcare Programs Covered Double Electric Breast Pumps - E0603 01/17/2018 Xgeva® Prior Authorization Criteria 01/12/2018 Zinplava Prior Authorization Criteria (Revised, provider types added) 01/12/2018 Infertility Treatment Code-J0725 2017 12/26/2017 MATH Web Portal Eligibility Inquiry Verification Update 12/14/2017 Vaccine Administration Code 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 10/30/2017 Licensed Addiction Counselors 10/02/2017 Montana Medicaid Expansion Changes 10/02/2017 Long Acting Reversible Contraceptive Devices (LARCs) Rev. 10/06/207 09/25/2017 Vaccine Administration Code Update 09/19/2017 Individual Adjustment Request Form on Split Claims 09/14/2017 Montana Plan First Anesthesia Update 08/21/2017 Clinical Pharmacist Practitioner 08/01/2017 Telemedicine - Correction 07/25/2017 Physician Administered Drugs - Update - NDC Requirements 07/25/2017 Physician Administered Code Update - Procedure Codes Rev. 07/26/2017 07/03/2017 Clinical Pharmacist Practitioner 06/13/2017 Policy Clarification of Activities Billed as Targeted Case Management 05/26/2017 Federal Final Rule, "Nondiscrimination in Health Program and Activities” and Implication for Coverage of Services Related to Gender Transition 05/01/2017 Vaccine Administration Code Update 04/20/2017 Plan First Hysterectomy codes added effective April 1, 2017 04/06/2017 New EPSDT Request Form 02/22/2017 Licensed Addiction Counselors added to definition of a health professional/core provider for FQHC and RHC 02/02/2017 EPSDT ( Children's) Lead Screening Requirements 2016 PDF: 11/14/2016 Licensed Addiction Counselors (LAC) added to the added to the definition of a Health Professional/core provider for Montana Medicaid FQHC and RHC facilities TXT: 11/14/2016 Licensed Addiction Counselors (LAC) added to the added to the definition of a Health Professional/core provider for Montana Medicaid FQHC and RHC facilities PDF: 11/10/2016 Vaccines For Children Administration Update TXT: 11/10/2016 Vaccines For Children Administration Update PDF: 07/28/2016 Montana Plan First Preventive Code Additions TXT: 07/28/2016 Montana Plan First Preventive Code Additions PDF: 07/18/2016 Changes to Member Cost Share Update TXT: 07/18/2016 Changes to Member Cost Share Update PDF: 07/12/2016 Vaccine Administration Code Update TXT: 07/12/2016 Vaccine Administration Code Update PDF: 07/05/2016 PA For Botox No Longer Required TXT: 07/05/2016 PA For Botox No Longer Required PDF: 07/05/2016 Circumcision Prior Authorization Changes TXT: 07/05/2016 Circumcision Prior Authorization Changes PDF: 05/19/2016 Changes to Member Cost Share TXT: 05/19/2016 Changes to Member Cost Share PDF: 04/07/2016 Montana Plan First - IUD and Anesthesia Updates TXT: 04/07/2016 Montana Plan First - IUD and Anesthesia Updates 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 SURS Provider Self-Audit Protocol 10/2015 To locate older documents, access the Archive Page.