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Rural Health Clinic

Rural Health Clinic

Provider Manuals

General Information for Providers  05/2019

Medicaid manual with general information for all provider types.

Rural Health Clinic 07/2019

This manual has information specific to your provider type.

Prescription Drug Program, Prior Authorization 07/08/2019

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

Provider Notices

For prescription medication notices, see the Pharmacy page/


10/01/2019 Chronic Care/Coordinated Care Codes
08/08/2019 FQHC and RHC Fee Schedule Reminder
07/25/2019 Cognitive Care Reimbursement (Revised)
07/23/2019  Peer Support Services
07/02/2019 Montana Plan First - Update to Covered Code List
06/28/2019 Cognitive Care Reimbursement
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


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


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

Other Resources

To locate older documents, access the Archive Page.



Rural Health Clinic