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Department of Public Health and Human Services

Montana Healthcare Programs Provider Information » Psychiatrist

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Psychiatrist

Psychiatrist

Provider Manuals

General Information for Providers  06/2018

Medicaid manual with general information for all provider types.

Physician-Related Services 12/2017

This manual has information specific to your provider type.

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.

Mental Health Services – Children 

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

Prescription Drug Program, Prior Authorization Chapter 07/31/2018

This manual has information specific to your provider type.

Medicaid Rules and Regulations

Fee Schedules – Psychiatrist

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 Psychiatrist Coversheet Version 2
July 2018 Psychiatrist Fee Schedule Version 2 PDF
July 2018 Psychiatrist Fee Schedule Version 2 Excel

July 2018 Psychiatrist Coversheet
July 2018 Psychiatrist Fee Schedule PDF
July 2018 Psychiatrist Fee Schedule Excel

January 2018 Psychiatrist Cover Sheet
January 2018 Psychiatrist Fee Schedule PDF rev. 03/28/2018
January 2018 Psychiatrist Fee Schedule Excel rev. 03/28/2018

January 2017

PDF: January 2017 Psychiatrist Rev. 01/13/2017
Excel: January 2017 Psychiatrist Rev. 01/13/2017

July 2016

PDF: July 2016 Psychiatrist  Rev. 08/22/2016
Excel: July 2016 Psychiatrist  Rev. 08/22/2016
TXT: July 2016 Psychiatrist  Rev. 08/22/2016

January 2016

PDF: January 2016 Psychiatrist Rev. 01/22/2016
Excel: January 2016 Psychiatrist Rev. 01/22/2016
TXT: January 2016 Psychiatrist Rev. 01/22/2016

 

Fee Schedules – ATP Tests and Fees

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 ATP Fee Schedule
January 2018 ATP Fee Schedule

January 2017

PDF: January 2017 ATP  
Excel: January 2017 ATP
TXT: January 2017 ATP

January 2016

PDF: January 2016 ATP  
TXT: January 2016 ATP  

 

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
03/14/2018 Prior Authorization for Genetics Testing for Youth Mental Health
02/26/2018 New Rendering Only Provider Enrollment Application
01/30/2018 Psych Care Management New Codes 99492 - 99494

2017

12/29/2017 Prior Authorization for Transgender Mastectomy/Breast Augmentation
12/29/2017 Prior Authorization for Gender Reassignment Surgery
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
11/21/2017 Severe Disabling Mental Illness (SDMI) rev. 11/22/2017
11/20/2017 Qualified Medicare Beneficiary (QMB) Claim Adjustments
11/02/2017 New Medicare Card
11/02/2017 Physician Administered Drugs - Famotidine
11/01/2017 Billing Clarification for HB 589 TCM Data Collection
10/04/2017 Makena Injection Code Change and Reimbursement
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
07/25/2017 Physician Administered Drugs - Update - NDC Requirements
07/25/2017 Physician Administered Code Update - Procedure Codes Rev. 07/26/2017
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
03/16/2017  Physician Administered Drugs - Update
02/07/2017 New Place of Service for Telehealth
01/13/2017 Update to January 2017 Fee Schedules
01/03/2017 New Guidelines for Outpatient Psychotherapy

2016

PDF: 12/15/2016 Billing and Code Clarification for Psychotherapy and Psychiatric Diagnostic Services
TXT: 12/15/2016 Billing and Code Clarification for Psychotherapy and Psychiatric Diagnostic Services
PDF: 12/08/2016 Physician Administered Drugs - Local Anesthetics
TXT: 12/08/2016 Physician Administered Drugs - Local Anesthetics
PDF: 11/01/2016 ICD 10 Updates and Coding Changes Revised 12/07/2016
TXT: 11/01/2016 ICD 10 Updates and Coding Changes Revised 12/07/2016
PDF: 09/27/2016 Physician Administered Drugs - NDC Requirements Revised
TXT: 09/27/2016 Physician Administered Drugs - NDC Requirements Revised
PDF: 09/22/2016 Physician Administered Drugs Update - NDC Requirements
TXT: 09/22/2016 Physician Administered Drugs Update - NDC Requirements
PDF: 08/12/2016 Vaccine Administration by Pharmacists
TXT: 08/12/2016 Vaccine Administration by Pharmacists
PDF: 08/12/2016 Removal of 15-day Supply Limit on Initial Atypical Antipsychotic Prescriptions
TXT: 08/12/2016 Removal of 15-day Supply Limit on Initial Atypical Antipsychotic Prescriptions
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: 05/10/2016 PRTF Ancillary Services
TXT: 05/10/2016 PRTF Ancillary Services
PDF: 02/19/2016 Physician Fee Schedule Update
TXT: 02/19/2016 Physician Fee Schedule Update
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.