test Test Page for new information Live Accordion Manuals General Information for Providers 09/2017 Medicaid manual with general information for all provider types. Durable Medical Equipment, Prosthetics, Orthotics, and Medical Supplies (DMEPOS) 10/2017 This manual has information specific to your provider type. Medicaid Rules and Regulations Code of Federal Regulations (Title 42) Montana Code Annotated (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 - Name of Schedule March 2018 DME Cover Sheet March 2018 DME Fee Schedule PDF rev/ 03/13/2018 March 2018 DME Fee Schedule Excel rev/ 03/13/2018 January 2018 DME Cover Sheet January 2018 DME Fee Schedule PDF January 2018 DME Fee Schedule Excel 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 04/04/2018 Updated Passport Eligible Populations & Reimbursement 02/27/2018 DME Incontinence Supply Rates 02/26/2018 New Rendering Only Provider Enrollment Application 01/31/2018 Montana Healthcare Programs Covered Double Electric Breast Pumps - E0603 2017 12/26/2017 MATH Web Portal Eligibility Inquiry Verification Update 12/15/2017 Continuous Glucose Monitors-A9278, A9277, & A9276 12/11/2017 Montana Plan First Procedure and Service Codes - Contraceptive (IUD) Update 12/01/2017 Montana Medicaid Expansion Prior Authorization Changes 11/29/2017 Prosthetic Devices 11/21/2017 Bi-Level Positive Airway Pressure Devices (Bi-Pap) 11/20/2017 Qualified Medicare Beneficiary (QMB) Claim Adjustments 11/02/2017 New Medicare Card 10/22/2017 S1040 - Cranial Remolding Orthotic 10/02/2017 Montana Medicaid Expansion Changes 09/14/2017 Montana Plan First Anesthesia Update 08/31/2017 S1040 Cranial Remolding Orthotic 08/21/2017 Clinical Pharmacist Practitioner 08/01/2017 Telemedicine - Correction 06/05/2017 Pulse Oximetry for Children Age 0-20 05/26/2017 Federal Final Rule, "Nondiscrimination in Health Program and Activities” and Implication for Coverage of Services Related to Gender Transition 04/21/2017 Bowel Management Program Supplies 04/17/2017 Prior Authorization for Insulin Pumps - E0784 04/06/2017 New EPSDT Request Form 03/31/2017 Ketone Test Strips - A4250 & A252 01/11/2017 New HCPCS Codes for Insulin Pump Supplies – A4224 & A4225 2016 PDF: 11/10/2016 Insulin Pump PA Removal TXT: 11/10/2016 Insulin Pump PA Removal PDF: 09/26/2016 Coverage of Weighted Blankets TXT: 09/26/2016 Coverage of Weighted Blankets 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: 04/07/2016 Montana Plan First - IUD and Anesthesia Updates TXT: 04/07/2016 Montana Plan First - IUD and Anesthesia Updates PDF: 03/21/2016 HCPCS Code For Ventilators E0465 and E0466 TXT: 03/21/2016 HCPCS Code For Ventilators E0465 and E0466 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 PDF: 01/15/2016 Hospital Grade Electric Breast Pump Requirements TXT: 01/15/2016 Hospital Grade Electric Breast Pump Requirements Other Resources Noridian Administrative Services Medicare's DME Administrative Services provider. Prior Authorization Criteria for Specific Services Region D DMERC/CIGNA Medicare The Durable Medical Equipment Regional Carriers (DMERC) website. DMERC processes Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) for Medicare. Medicare Pricing, Data Analysis, and Coding (PDAC) This website assists manufacturers and suppliers with DMEPOS billing and coding information. Can call toll-free 1-877-735-1326 or e-mail DME PDAC using their contact form. SURS Provider Self-Audit Protocol 10/2015 To locate older documents, access the Archive Page.