For prescription medication notices, see the Pharmacy page/
2021
01/11/2021 Provider Support Services Closed for Martin Luther King Day, Monday, January 18, 2021
01/05/2021 FQHC and RHC Requirements
2020
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
11/12/2020 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
10/08/2020 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
08/28/2020 Provider Relief Fund General Allocation rev. 08/28/2020
08/11/2020 Provider Relief Fund General Allocation rev. 08/11/2020
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
07/09/2020 Medicare Telehealth Requirement – Procedure Code G2025
06/17/2020 National Correct Coding Initiative Announcement
06/11/2020 Substance Use Disorder Billing Reminder
05/15/2020 Temporary Revision to Case Management General Provisions
05/01/2020 Telephone Services – Revenue Code 982
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
04/22/2020 Suspension of Prior Authorizations or Continued Stay Reviews and Clinical Requirements for Some Medicaid Programs
04/22/2020 Dental Telemedicine Notice
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
02/25/2020 Physician Administered Drug Update
02/20/20 Peer Support Services Revenue Code Update
01/10/2020 Co-Payment Assessed in Error for January 6, 2020
01/03/2020 Changes to Hepatitis C Treatment Criteria
2019
2018
11/20/2018 Appropriate Billing Reminder
11/13/2018 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