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Proposed Fee Schedules

DPHHS Medicaid Proposed Fee Schedules


These schedules are not yet in effect. 

When a schedule is adopted it will be posted to the corresponding provider type found at http://www.medicaidprovider.mt.gov/providertype. Current schedules are found on each provider type page.


January 2019 Proposed Fee Schedules

The Department of Public Health and Human Services will hold a rule hearing for the proposed revision of fee schedules for Medicaid providers, on November 8, 2018 at 2:00 p.m., in the auditorium of the Department of Public Health and Human Services Building, 111 North Sanders, Helena, Montana.  The Montana Administrative Register should be viewed at mtrules.org, and searching MAR 37-869.
The proposed new fees will be effective January 1, 2019 unless otherwise noted. The proposed fee schedule/rates are posted below in alphabetical order. 
The RBRVS, ASP, vaccine, hearing aid, DME, optometric, lab and imaging, and mobile imaging fee schedules are not provided as the proposed change incorporate unpublished codes for January 1, 2019. 

APC Proposed Cover Sheet    APC Proposed Fee Schedule
OPPS Proposed Cover Sheet    OPPS Proposed Fee Schedule