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Department of Public Health and Human Services

Montana Healthcare Programs Provider Information » Targeted Case Management (Mental Health)

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Targeted Case Management (Mental Health)

Targeted Case Management

Mental Health

Provider Manuals

General Information for Providers  06/2018

Medicaid manual with general information for all provider types.

Targeted Case Management

This link brings you to Manuals and Guides on the Department website.

Mental Health Services – Adult
This manual has information specific to your provider type.
This link brings you to the AMDD page of the DPHHS.mt.gov website.

 

Medicaid Rules and Regulations

Fee Schedules - Medicaid Behavioral Health Targeted Case Management

Fee Schedules – 72-Hour Presumptive

Fee Schedule - Medicaid Mental Health Adults 18 and Over

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.

July 2018 Medicaid Mental Health for Adults Version 2
July 2018 Medicaid Mental Health for Adult Version 2
January 2018 Medicaid Mental Health for Adult Version 2
July 2016

PDF: July 2016 Medicaid Mental Health for Adults
TXT: July 2016 Medicaid Mental Health for Adults

January 2016

PDF: January 2016 Medicaid Mental Health for Adults Rev. 12/24/2015
TXT: January 2016 Medicaid Mental Health for Adults Rev. 12/24/2015

 

Fee Schedule - Medicaid Mental Health Youth Under 18

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.

10/19/2018 July 2018 Medicaid Mental Health for Youth Version 2
08/09/2018 August 2018 Medicaid Mental Health for Youth 
07/01/2018 July 2018 Medicaid Mental Health for Youth
02/28/2018 March 2018 Medicaid Mental Health for Youth
01/03/2018 January 2018 Medicaid Mental Health for Youth

January 2017

PDF: January 2017 Medicaid Mental Health for Youth

November 2016

PDF: Integrated Co-Occurring Treatment Fees
TXT: Integrated Co-Occurring Treatment Fees

July 2016

PDF: July 2016 Medicaid Mental Health for Youth
TXT: July 2016 Medicaid Mental Health for Youth

 

Fee Schedule - Mental Health Services Plan (MHSP) Adults 18 and Over

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.

July 2018 Medicaid Mental Health for Adults Version 2
July 2018 Medicaid Mental Health for Adult 
January 2018 Medicaid Mental Health for Adult

July 2016

PDF: July 2016 MHSP for Adults
TXT: July 2016 MHSP for Adults

January 2016

PDF: January 2016 MHSP for Adults Rev. 12/24/2015
TXT: January 2016 MHSP for Adults Rev. 12/24/2015

 

 

 

 

 

Fee Schedule - Mental Health Services Plan (MHSP) Youth Under 18

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.

10/19/2018 July 2018 Medicaid Mental Health for Youth Version 2
08/09/2018 August 2018 Medicaid Mental Health for Youth 
07/01/2018 July 2018 Medicaid Mental Health for Youth
02/28/2018 March 2018 Medicaid Mental Health for Youth
01/03/2018 January 2018 Medicaid Mental Health for Youth

 

January 2017

PDF: January 2017 Medicaid Mental Health for Youth
TXT: January 2017 Medicaid Mental Health for Youth

July 2016

PDF: July 2016 Medicaid Mental Health for Youth
TXT: July 2016 Medicaid Mental Health for Youth

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.

2018

11/08/2018 Rate Updates Mass Adjustment
10/19/2018 Medicaid Fee Schedules
09/24/2018 Medicaid Reimbursement for PACT Teams
09/24/2018 Prior Authorization for Genetics Testing for Youth Mental Health
07/02/2018 Updated CLIA Claims Editing
06/04/2018 Coding Resources Change
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
02/26/2018 New Rendering Only Provider Enrollment Application
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
11/01/2017 Billing Clarification for HB 589 TCM Data Collection
10/02/2017 Montana Medicaid Expansion Changes
09/14/2017 Montana Plan First Anesthesia Update
08/21/2017 Clinical Pharmacist Practitioner
08/01/2017 Telemedicine - Correction
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
04/06/2017 New EPSDT Request Form
02/17/2017 Targeted Mental Health Case Management and Representative Payee Services

2016

PDF: 07/18/2016 Changes to Member Cost Share Update
TXT: 07/18/2016 Changes to Member Cost Share Update
PDF: 05/19/2016 Changes to Member Cost Share
TXT: 05/19/2016 Changes to Member Cost Share
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.