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Department of Public Health and Human Services

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Proposed Fee Schedules

DPHHS Medicaid 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 September 27, 2018 at 10:00 p.m. in the auditorium of the Department of Public Health and Human Services Building, 111 North Sanders, Helena, Montana.  You may access a draft notice of the proposed rules prior to September 7th at:  https://dphhs.mt.gov/legalresources/administrativerules#proposal, MAR 37-863. After September 7th, the Montana Administrative Register should be viewed at mtrules.org, and searching MAR 37-863.

The proposed new fees will be effective July 1, 2018 unless otherwise noted. The proposed fee schedule/rates are posted below in alphabetical order. 

  

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.

 

July 2018 V2 Proposed Fee Schedules

July 2018 Proposed Fee Schedules Version 2:

APR-DRG Proposed Fee Schedule 
72-Hour Presumptive Eligibility Program for Crisis Stabilization Proposed Fee Schedule

Ambulance Cover Sheet  Ambulance Proposed Fee Schedule

APC Cover Sheet  APC Proposed Schedule

ASC Cover Sheet  ASC Proposed Fee Schedule

ATP Fee Schedule

Audiology Cover Sheet   Audiology Proposed Fee Schedule

CFC Cover Sheet   CFC Proposed Fee Schedule

Children's Chiropractic Cover Sheet Children's Chiropractic Proposed Fee Schedule

Children's Special Health Services Cover Sheet   Children's Special Health Services Fee Schedule

Dialysis Proposed Fee Schedule

Dental Hygienist Cover Sheet  Dental Hygienist Proposed Fee Schedule

Dental Services Cover Sheet  Dental Services Proposed Fee Schedule

Denturist Cover Sheet  Denturist Proposed Fee Schedule

Direct Entry Midwife Services Cover Sheet  Direct Entry Midwife Services Proposed Fee Schedule

DME Cover Sheet   DME Proposed Fee Schedule

Elderly and Physically Disabled - Big Sky Waiver Cover Sheet  Elderly and Physically Disabled - Big Sky Waiver Proposed Fee Schedule

Hearing Aid Services Cover Sheet   Hearing Aid Services Proposed Fee Schedule

HCBS Adults with SDMI Proposed Fee Schedule

Home Health Cover Sheet   Home Health Proposed Fee Schedule

Home Infusion Cover Sheet  Home Proposed Fee Schedule

IHS Proposed Fee Schedule

Independent Diagnostic Testing Facility (IDTF) Cover Sheet  Independent Diagnostic Testing Facility (IDTF) Proposed Fee Schedule

Lab Services Cover Sheet  Lab Services Proposed Fee Schedule

Medicaid MHSP Adult  Proposed Fee Schedule

Medicaid Mental Health Adult Proposed Fee Schedule

Medicaid Youth Mental Health Proposed Fee Schedule

Mid Level Services Cover Sheet     Mid Level Services Proposed Fee Schedule

Mobile Imaging Services Cover Sheet  Mobile Imaging Services Proposed Fee Schedule

Nutrition EPSDT Cover Sheet  Nutrition EPSDT Proposed Schedule

Occupational Therapy Cover Sheet   Occupational Therapy Proposed Fee Schedule

OPPS Cover Sheet   OPPS Proposed Fee Schedule

Optician Cover Sheet   Optician Proposed Fee Schedule

Optometric Cover Sheet   Optometric Proposed Fee Schedule

Oral Surgeon Cover Sheet  Oral Surgeon Proposed Fee Schedule

Orientation and Mobility Cover Sheet  Orientation and Mobility Proposed Fee Schedule

PAS Cover Sheet  PAS Proposed Fee Schedule

Physical Therapy Cover Sheet  Physical Therapy Proposed Fee Schedule

Physician Services Cover Sheet  Physician Services Proposed Fee Schedule

Podiatry Services Cover Sheet  Podiatry Services Proposed Fee Schedule

Psychiatrist Services Cover Sheet  Psychiatrist Services Proposed Fee Schedule

Public Health Services Cover Sheet  Public Health Services Proposed Fee Schedule

RBRVS  Proposed Fee Schedule

Speech Therapy Cover Sheet  Speech Therapy  Proposed Fee Schedule

Substance Use Disorder Chemical Dependency Proposed Fee Schedule - Medicaid

Substance Use Disorder Chemical Dependency Proposed Fee Schedule - Non-Medicaid

Targeted Case Management - Mental Health Proposed Fee Schedule

Targeted Case Management - Non Mental Health Cover Sheet   Targeted Case Management - Non Mental Health Fee Schedule

January 2019 Proposed Fee Schedules