July 2021 Proposed Fee Schedules

PROPOSED July 2021 Fee Schedules

 

On July 1, 2021, at 10 a.m., the Department of Public Health and Human Services will hold a public hearing via remote conferencing to consider the proposed amendment of the above-stated rule. Because there currently exists a state of emergency in Montana due to the public health crisis caused by the coronavirus, there will be no in-person hearing. Interested parties may access the remote conferencing platform in the following ways:
(a) Join Zoom Meeting at: https://mt-gov.zoom.us/j/87819771558; meeting ID: 878 1977 1558; or
(b) Dial by telephone +1 646 558 8656; meeting ID: 878 1977 1558. Find your local number: https://mt-gov.zoom.us/u/klwkz8SKp.

The Montana Administrative Register should be viewed at mtrules.org , and searching MAR 37-944.
The proposed new fees will be effective July 1, 2021, unless otherwise noted. The proposed fee schedule/rates are posted below in alphabetical order.
Though the fee schedule rates are proposed to be updated for Licensed Direct Entry Midwives (LDEM), currently Montana Healthcare Programs does not have any LDEM providers enrolled. Therefore, there is no fiscal impact.

These schedules are not yet in effect.
When a schedule is adopted it will be posted to the corresponding provider type found at https://medicaidprovider.mt.gov/providertype.

 

RBRVS

Adult Mental Health
Ambulance Cover Sheet     Ambulance Fee Schedule
Audiology Cover Sheet   Audiology Fee Schedule
Behavioral Health Targeted Case Management
Big Sky Waiver Services Cover Sheet  Big Sky Waiver Services Fee Schedule
Community First Choice Cover Sheet Community First Choice Fee Schedule
Children's Chiropractic Cover Sheet   Children's Chiropractic Fee Schedule
Dental Cover Sheet     Dental Fee Schedule
Dental Hygienist Cover Sheet   Dental Hygienist Fee Schedule
Denturist Cover Sheet   Denturist Fee Schedule
Dialysis Clinic
Direct Entry Midwife Cover Sheet  Direct Entry Midwife Fee Schedule
DME Cover Sheet     DME Fee Schedule
HCBS for Adults with SDMI
Hearing Aid Services Cover Sheet     Hearing Aid Services Fee Schedule
Home Health Cover Sheet   Home Health Fee Schedule
Home Infusion Cover Sheet   Home Infusion Fee Schedule
IDTF Cover Sheet   IDTF Fee Schedule
Laboratory Services Cover Sheet     Laboratory Services Fee Schedule
Mid-Level Cover Sheet     Mid-level Fee Schedule
Mobile Imaging Cover Sheet      Mobile Imaging Fee Schedule
Nutrition Services Cover Sheet   Nutrition Services Fee Schedule
Occupational Therapy Cover Sheet   Occupational Therapy Fee Schedule
Optician Services Cover Sheet   Optician Services Fee Schedule
Optometric Cover Sheet     Optometric Fee Schedule
Oral Surgeon Cover Sheet   Oral Surgeon Fee Schedule
Orientation and Mobility Cover Sheet   Orientation and Mobility Fee Schedule
Personal Assistance Services Cover Sheet   Personal Assistance Services Fee Schedule
Physical Therapy Cover Sheet   Physical Therapy Fee Schedule
Physician Cover Sheet     Physician Fee Schedule
Podiatry Cover Sheet   Podiatry Fee Schedule
Private Duty Nursing Cover Sheet   Private Duty Nursing Fee Schedule
Psychiatrist Cover Sheet   Psychiatrist Fee Schedule
Public Health Services Cover Sheet   Public Health Services Fee Schedule
Speech Therapy Cover Sheet   Speech Therapy Fee Schedule
Substance Use Disorder Medicaid
Substance Use Disorder Non-Medicaid
Targeted Case Management (Non-Mental Health) Cover Sheet   Targeted Case Management (Non-Mental Health) Fee Schedule
Transportation (Non-Emergency Specialized Services) Cover Sheet   Transportation (Non-Emergency Specialized Services) Fee Schedule
Transportation (Personal and Commercial) Cover Sheet   Transportation (Personal and Commercial) Fee Schedule
Mental Health Services Plan (Adult) 
Youth Mental Health Fee Schedule