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Department of Public Health and Human Services

Montana Healthcare Programs Provider Information » Federally Qualified Health Center

Main Content

Federally Qualified Health Center

FQHC

Federally Qualified Health Center

Provider Manuals

General Information for Providers  06/2018

Medicaid manual with general information for all provider types.

Federally Qualified Health Center Services 09/2017

This manual has information specific to your provider type.

Prescription Drug Program, Prior Authorization Chapter 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

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
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
03/05/2018 Eligibility and Care Team Updates
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

To locate older documents, access the Archive Page.