Independent Diagnostic Testing Facilities (IDTF) IDTF Independent Diagnostic Testing Facility Prior Authorization Forms Claim Jumper Newsletters Provider Manuals General Information for Providers 05/2019 Medicaid manual with general information for all provider types. Physician-Related Services 12/2017 This manual has information specific to your provider type. 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 – Independent Diagnostic Testing Facility (IDTF) July 2019 IDTF Coversheet July 2019 IDTF Fee Schedule PDF July 2019 IDTF Fee Schedule Excel January 2019 IDTF Coversheet January 2019 IDTF Fee Schedule PDF rev. 04/02/2019 January 2019 IDTF Fee Schedule Excel rev. 04/02/2019 July 2018 IDTF Coversheet Version 2 July 2018 IDTF Fee Schedule Version 2 PDF July 2018 IDTF Fee Schedule Version 2 Excel July 2018 IDTF Coversheet July 2018 IDTF Fee Schedule PDF July 2018 IDTF Fee Schedule Excel January 2018 IDTF Coversheet January 2018 IDTF Fee Schedule PDF January 2018 IDTF Fee Schedule Excel January 2017 PDF: January 2017 IDTF Excel: January 2017 IDTF Text: January 2017 IDTF Provider Notices 2019 10/01/2019 Chronic Care/Coordinated Care Codes 07/25/2019 Cognitive Care Reimbursement (Revised) 06/28/2019 Cognitive Care Reimbursement 05/20/2019 Nurse Visit - Appropriate Billing Reminder - Revised Clarification rev. 05/30/2019 05/10/2019 NDC Required on All Radiopharmaceuticals 3/07/2019 Systematic Approval Diagnosis for MRI of the Head and CT of the Brain (Revised) 02/15/2019 Systematic Approval Diagnosis for MRI of the Head and CT of the Brain 02/15/2019 Claims Processing for CT of the Brain and MRI of the Head 2018 11/20/2018 Appropriate Billing Reminder 10/19/2018 Medicaid Fee Schedules 10/09/2018 CT of the Brain and MRI of the Head Tips 10/02/2018 MRI Brain with Contrast Radiology - revised 10/02/2018 CT of the Brain Radiology - revised 09/18/2018 MRI of the Brain with Contrast Radiology - revised 09/18/2018 CT of the Brain Radiology - revised 06/04/2018 Coding Resources Change 04/04/2018 Updated Passport Eligible Populations & Reimbursement 03/15/2018 Criteria for MRI of the Brain rev. 04/10/2018 03/15/2018 Criteria for CT of the Brain rev. 04/10/2018 02/26/2018 New Rendering Only Provider Enrollment Application 02/20/2018 Advanced Imaging Prior Authorization 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 11/02/2017 Physician Administered Drugs - Famotidine 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 Other Resources Prior Authorization Criteria for Specific Services Rebateable Manufacturers 10/02/2019 SURS Provider Self-Audit Protocol 10/2015 To locate older documents, access the Archive Page.