Rural Health Clinic Rural Health Clinic Prior Authorization Forms Claim Jumper Newsletters Provider Manuals General Information for Providers Medicaid manual with general information for all provider types. Rural Health Clinic This manual has information specific to your provider type. Prescription Drug Program, Prior Authorization Prior authorization requirements and procedures are covered in this chapter. Passport to Health 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 - 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 Provider Notices For prescription medication notices, see the Pharmacy page/ 2020 08/28/2020 Provider Relief Fund General Allocation rev. 08/28/2020 Overview and Access Guide for Seeking Provider Relief Funding from HHS Allocation to Medicaid Providers rev. 08/28/2020 08/11/2020 Provider Relief Fund General Allocation rev. 08/11/2020 Overview and Access Guide for Seeking Provider Relief Funding from HHS Allocation to Medicaid Providers rev. 08/11/2020 07/27/2020 Montana Plan First - Additional Covered Code, COVID - Testing 07/24/2020 Provider Relief Fund General Allocation Overview and Access Guide for Seeking Provider Relief Funding from HHS Allocation to Medicaid Providers 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 FAQ for Suspension of Prior Authorizations or Continued Stay Reviews and Clinic 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 Frequently Asked Questions on Telemedicine / Telehealth 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 12/27/2019 Elimination of Copayments 11/18/2019 HCPCS Modifiers - XE, XS, and XU (Reissued Notice) 11/15/2019 Chronic Care/Coordinated Care Codes Revised 11/14/2019 Circumcision Prior Authorization Changes Re-Issued from 2016 08/08/2019 FQHC and RHC Fee Schedule Reminder 07/23/2019 Peer Support Services 07/02/2019 Montana Plan First - Update to Covered Code List 05/20/2019 Nurse Visit - Appropriate Billing Reminder - Revised Clarification rev. 05/30/2019 03/25/2019 Montana Plan First - Change to Covered Procedures and Service Codes 03/20/2019 Prior Authorization Qualitrac Portal 02/27/2019 Billing Multiple Same-day Visits on a UB-04 or 837I and Condition Code G0 - Re-Issued Notice 02/21/2019 Dental Hygienist and Dental Hygienist with Limited Access Permit (LAP) 02/20/2019 Telehealth Originating Site Facility Fee 02/15/2019 DOT Medical Examination 01/17/2019 Physician Administered Drug Update 2018 11/20/2018 Appropriate Billing Reminder 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 Other Resources SURS Provider Self-Audit Protocol 10/2015 To locate older documents, access the Archive Page. 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