Indian Health Service (IHS) IHS Indian Health Service Prior Authorization Forms Claim Jumper Newsletters Provider Manuals General Information for Providers 05/2019 Medicaid manual with general information for all provider types. Indian Health Service/Tribal 638 08/2017 This manual has information specific to your provider type. Tribal Health Improvement Program (T-HIP) Manual 10/2017 This manual has information specific to your provider type. Prescription Drug Program, Prior Authorization Chapter 07/08/2019 Prior authorization requirements and procedures are covered in this chapter. Passport to Health 10/2017 How 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 Fee Schedules – IHS July 2019 Indian Health Services January 2019 Indian Health Services rev. 02/21/2019 July 2018 Indian Health Services Version 2 July 2018 Indian Health Service rev. 08/24/2018 June 2018 Indian Health Service January 2018 Indian Health Service rev. 01/08/2018 July 2017 PDF: July 2017 Indian Health Service January 2017 PDF: January 2017 Indian Health Service Provider Notices 2019 10/01/2019 Chronic Care/Coordinated Care Codes 08/22/2019 Managed Care Referrals 07/25/2019 Cognitive Care Reimbursement (Revised) 07/23/2019 Peer Support Services 07/23/2019 Therapeutic Continuous Glucose Monitor and Sensors – K0554 & K0553 07/09/2019 Vaccine Administration by Pharmacists 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 02/15/2019 DOT Medical Examination 2018 11/20/2018 Appropriate Billing Reminder 11/13/2013 Diabetes Prevention Program (DPP) Claims Update 11/08/2018 Rate Updates Mass Adjustment 10/19/2018 Medicaid Fee Schedules 7/24/2018 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 04/04/2018 Updated Passport Eligible Populations & Reimbursement 02/26/2018 New Rendering Only Provider Enrollment Application 02/19/2018 Medicaid State Plan Waiver Amendments 02/15/2018 Substance Use Disorder Billing 01/31/2018 Montana Healthcare Programs Covered Double Electric Breast Pumps - E0603 2017 12/26/2017 MATH Web Portal Eligibility Inquiry Verification 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 10/24/2017 Clinical Pharmacist Practitioner 10/02/2017 Diabetes Services 09/14/2017 Montana Plan First Anesthesia Update 08/21/2017 Clinical Pharmacist Practitioner 08/01/2017 Telemedicine - Correction 05/26/2017 Federal Final Rule, "Nondiscrimination in Health Program and Activities” and Implication for Coverage of Services Related to Gender Transition 04/20/2017 Plan First Hysterectomy codes added effective April 1, 2017 04/06/2017 New EPSDT Request Form 02/02/2017 EPSDT ( Children's) Lead Screening Requirements IHS/Tribal 638 Training Materials 09/25/2018 Community First Choice/Personal Assistance Services Big Sky Waiver Overview 08/28/2018 Medicaid Provider Enrollment in PDF 04/24/2018 Medicaid Eligibility Refresher in PDF 01/28/2018 Pharmacy Program in PDF 01/23/2018 Diabetes Prevention Program in PDF 09/26/2017 SURS PowerPoint Slides in PDF 08/22/2017 Clinical Laboratory Improvement Amendment 07/25/2017 Medicaid Transportation FAQs 06/27/2017 2017 Passport Program 04/25/2017 2017 HMK Overview 03/28/2017 Medicaid Refresher 02/28/2017 Telemedicine PowerPoint Slides in PDF 02/28/2017 Medicare Savings Plan (MSP) Powerpoint Slides in PDF 11/16/2016 Durable Medical Equipment (DME) PowerPoint Slides in PDF 10/25/2016 Optometry Presentation PowerPoint Slides in PDF 09/20/2016 Passport Presentation PowerPoint Slides in PDF 08/23/2016 Medicaid Transportation Program 06/28/2016 HMK Overview 05/24/2016 Member Enrollment Tutorial 04/26/2016 IHS Provider Enrollment Tutorial 07/23/2013 Billing Multiple Visits 02/20/2013 Claim Procedures HMK/CHIP Dental Tribal and Indian Health Service Montana Medicaid strives to improve billing capacity within Tribal and Indian Health Service clinics. DPHHS is committed to improving the health of the Indian population in Montana. For Tribal or Indian Health Service billing questions contact: Casey Peck, IHS Program Officer, 406.444.4349 or CPeck@.gov Tribal/IHS Meeting Information 09/25/2018 Agenda Agenda September 25, 2018 Handouts/Information Community First Choice/Personal Assistance Services Big Sky Waiver Overview 08/28/2018 Agenda Agenda August 28, 2018 Handouts/Information Enrollment Training in PDF 07/02/2018 Agenda Agenda June 26, 2018 Handouts/Information Medicaid Training in PDF 04/24/2018 Agenda Agenda April 24, 2018 Handouts/Information Medicaid Eligibility Refresher in PDF 02/27/2018 Agenda Agenda January 23, 2018 Handouts/Information Pharmacy Program in PDF 01/23/2018 Agenda Agenda January 23, 2018 Handouts/Information Diabetes Prevention Program in PDF 09/26/2017 Agenda Agenda September 26, 2017 Handouts/Information SURS PowerPoint in PDF 08/22/2017 Agenda Agenda August 22, 2017 Handouts/Information Clinical Laboratory Improvement Amendment 07/25/2017 Agenda Agenda July 25, 2017 Handouts/Information Medicaid Transportation FAQs 06/27/2017 Agenda Agenda June 27, 2017 Handouts/Information 2017 Passport Program 04/25/2017 Agenda Agenda April 25, 2017 Handouts/Information 2017 HMK Overview 03/28/2017 Agenda Agenda March 28, 2017 Handouts/Information Medicaid Refresher 02/28/2017 Agenda Agenda February 28, 2017 Handouts/Information Telemedicine PowerPoint Slides in PDF and Medicare Savings Plan (MSP) Powerpoint Slides in PDF T-HIP Forms T-HIP Member Opt Out Form 02/2019 T-HIP Provider Referral Form 02/2019 T-HIP Tier Request Form - Please request this form from the T-HIP Specialist at the Department. Other Resources Prior Authorization Criteria for Specific Services SURS Provider Self-Audit Protocol 10/2015 To locate older documents, access the Archive Page.