Pediatric Complex Care Assistant (PCCA) Services

Prior Authorization Forms Claim Jumper Newsletters

General Information for Providers  
Medicaid manual with general information for all provider types.

Pediatric Complex Care Assistant Manual (PCCA)
This manual has information specific to your provider type.

Code of Federal Regulations (Title 42) 

Montana Code Annotated - https://leg.mt.gov/ (Choose “Laws & Bills” then “ Montana Statutes – MCA”)

Applicable Section: Title 37, Chapter 603 and 610

Administrative Rules of Montana (Title 37)

Administrative Rule (2025)
Pediatric Complex Care Assistant Prior Authorization Request

Pediatric Complex Care Assistant License Attestation Form