website postings by week for 2019...website postings by week for 2019 these documents are available...
TRANSCRIPT
![Page 1: Website Postings by Week for 2019...Website Postings by Week for 2019 These documents are available on the Montana Healthcare Programs Provider Website December 27, 2019 . Page/Provider](https://reader034.vdocuments.us/reader034/viewer/2022050519/5fa29ba28a16851dab13b546/html5/thumbnails/1.jpg)
Website Postings by Week for 2019 These documents are available on the Montana Healthcare Programs Provider Website
December 27, 2019
Page/Provider
Item
Date Approved Date
Posted Document Date
• Hospital Inpatient Critical Access Hospital Manual 12/23/2019 12/23/2019 01/01/2020
• FQHC • RHC
FQHC/RHC Manual 12/23/2019 12/23/2019 01/01/2020
• Audiology • Hearing Aids
Audiology Manual 12/23/2019 12/23/2019 01/01/2020
• DME DEM Manual 12/23/2019 12/23/2019 01/01/2020
• Hospital Inpatient Hospital Inpatient Manual 12/23/2019 12/23/2019 01/01/2020
• Hospital Outpatient Hospital Outpatient Manual 12/23/2019 12/23/2019 01/01/2020
• Indian Health Service
Indian Health Service Manual 12/23/2019 12/23/2019 01/01/2020
• EPSDT • Nutrition
Nutrition Manual 12/26/2019 12/26/2019 01/01/2020
• Optometric • Optician • Eyeglasses
Optometric Manual 12/26/2019 12/26/2019 01/01/2020
• Physician • Mid-Levels • Pharmacy • Indian Health
Service
Provider Notice Prior Authorization Criteria for Atypical Antipsychotics for Children 7 Years of Age and Under
12/26/2019 12/26/2019 01/01/2020
• EPSDT Orientation and Mobility Manual 12/26/2019 12/26/2019 01/01/2020
• Proposed Fee Schedules
January 2020 AmbulanceProposed Fee Schedule and Coversheet
12/26/2019 12/26/2019 01/01/2020
Proposed Fee Schedules
January 2020 Dental Hygienist Proposed Fee Schedule and Coversheet
12/26/2019 12/26/2019 01/01/2020
Proposed Fee Schedules
January 2020 Dental Proposed Fee Schedule and Coversheet
12/26/2019 12/26/2019 01/01/2020
Proposed Fee Schedules
January 2020 Denturist Proposed Fee Schedule and Coversheet
12/26/2019 12/26/2019 01/01/2020
Proposed Fee Schedules
January 2020 Direct Entry Midwife Proposed Fee Schedule and Coversheet
12/26/2019 12/26/2019 01/01/2020
Proposed Fee Schedules
January 2020 DME Proposed Fee Schedule and Coversheet
12/26/2019 12/26/2019 01/01/2020
Proposed Fee Schedules
January 2020 Hearing Aid Proposed Fee Schedule and Coversheet
12/26/2019 12/26/2019 01/01/2020
Proposed Fee Schedules
January 2020 IDTF Proposed Fee Schedule and Coversheet
12/26/2019 12/26/2019 01/01/2020
Proposed Fee Schedules
January 2020 Laboratory Services Proposed Fee Schedule and Coversheet
12/26/2019 12/26/2019 01/01/2020
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
Page/Provider
Item
Date Approved Date
Posted Document Date
Proposed Fee Schedules
January 2020 Mid-Levels Proposed Fee Schedule and Coversheet
12/26/2019 12/26/2019 01/01/2020
Proposed Fee Schedules
January 2020 Mobile Imaging Proposed Fee Schedule and Coversheet
12/26/2019 12/26/2019 01/01/2020
Proposed Fee Schedules
January 2020 Proposed Fee Schedule and Coversheet
12/26/2019 12/26/2019 01/01/2020
Proposed Fee Schedules
January 2020 Oral Surgeon Proposed Fee Schedule and Coversheet
12/26/2019 12/26/2019 01/01/2020
Proposed Fee Schedules
January 2020 Optician Proposed Fee Schedule and Coversheet
12/26/2019 12/26/2019 01/01/2020
Proposed Fee Schedules
January 2020 Optometric Proposed Fee Schedule and Coversheet
12/26/2019 12/26/2019 01/01/2020
Proposed Fee Schedules
January 2020 Podiatry Proposed Fee Schedule and Coversheet
12/26/2019 12/26/2019 01/01/2020
Proposed Fee Schedules
January 2020 Physician Proposed Fee Schedule and Coversheet
12/26/2019 12/26/2019 01/01/2020
Proposed Fee Schedules
January 2020 Psychiatrist Proposed Fee Schedule and Coversheet
12/26/2019 12/26/2019 01/01/2020
Proposed Fee Schedules
January 2020 Public Health Proposed Fee Schedule and Coversheet
12/26/2019 12/26/2019 01/01/2020
Proposed Fee Schedules
January 2020 RBRVS Proposed Fee Schedule 12/26/2019 12/26/2019 01/01/2020
• EPSDT • Private Duty Nursing
Private Duty Nursing Manual 12/27/2019 12/27/2019 01/01/2020
• Occupational Therapy
• Physical Therapy • Speech Therapy
Therapies Manual 12/27/2019 12/27/2019 01/01/2020
• Schools School-Based Services Manual 12/27/2019 12/27/2019 01/01/2020
• All Provider General Manual 12/27/2019 12/27/2019 01/01/2020
• All Providers Provider Notice Elimination of Copayments
12/27/2019 12/27/2019 12/27/2019
• Home Page • Announcements
Elimination of Copayments Announcement 12/27/2019 12/27/2019 12/27/2019
• Home Page • Announcements
Elimination of Copayments FAQs 12/27/2019 12/27/2019 12/27/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
December 20, 2019
Page/Provider
Item
Date Approved Date
Posted Document Date
• Hospital Inpatient APR-DRG FAQ Revised 12/16/2019 12/16/2019 12/16/2019
• Pharmacy Provider Notice Guidance for Pharmacies Billing Prescriptions for Members in Psychiatric Residential Treatment Facilities (PRTF)
12/17/2019 12/17/2019 12/13/2019
• Training Page Audiology Training PowerPoint in PDF 12/19/2019 12/19/2019 12/19/2019
• Optometric • Optician • Eyeglasses
Optometric/Eyeglasses FAQ Revised 12/20/2019 12/20/2019 12/20/2019
• Passport Passport Disenrollment Form Revised 12/20/2019 12/20/2019 12/20/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
December 13, 2019
Page/Provider
Item
Date Approved Date
Posted Document Date
• Proposed Fee Schedules
October 2019 Hospice Compliant (Revised) 12/9/2019 12/9/2019 10/01/2019
• Proposed Fee Schedules
October 2019 Hospice Non-Compliant (Revised) 12/9/2019 12/9/2019 10/01/2019
• State Approved Substance Use Disorder Programs
Provider Notice DLA-20 for Intensive Outpatient Treatment (IOP) Programs
12/10/2019 12/10/2019 12/10/2019
• Pharmacy • Site Index
December 2019 MT PDL 12/10/2019 12/10/2019 12/10/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
December 6, 2019
Page/Provider
Item
Date Approved Date
Posted Document Date
• CJ Newsletters December 2019 Claim Jumper 12/02/2019 12/02/2019 12/01/2019
• Hospital In-Patient APR-DRG FAQs 12/02/2019 12/02/2019 11/27/2019
• Pharmacy • Mid-Levels • Physicians • IHS/Tribal 638
Provider Notice Dosage Restrictions for all Opioids based on Morphine Milligram Equivalents (MME)
12/04/2019 12/04/2019 12/04/2019
• Passport PCCM Member Disenrollment Form (New) 12/05/2019 12/05/2019 12/05/2019
• Passport PCCM Disenrollment Form Instructions (New) 12/05/2019 12/05/2019 12/05/2019
• Forms EPSDT Prior Authorization Form (Revised) 12/06/2019 12/06/2019 12/04/2019
• Home & Community Based Waivers
• Mental Health Centers
• Out of State Hospital Inpatient
• PRTF • State-Approved SUD • Therapeutic Group
Homes
Provider Notice New UR Implementation Date and Provider Portal Training
12/06/2019 12/06/2019 12/06/2019
• School-Based Services
July Fee Schedule in PDF and Excel re-posted under the October 2019 Fee Schedule per program officer.
12/06/2019 12/06/2019 07/01/2019
• Pharmacy – DUR DUR Minutes September 25, 2019 12/06/2019 12/06/2019 09/25/2019
• Pharmacy – DUR DUR Minutes October 30, 2019 12/06/2019 12/06/2019 10/30/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
November 29, 2019
No Postings This Week.
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
November 22, 2019
Page/Provider
Item
Date Approved Date
Posted Document Date
• All Providers Provider Notice HCPS Modifiers – XE, XP,XS, XU
11/18/2019 11/18/2019 11/18/2019
• Home & Community Based Waivers
• Mental Health Centers
• Out-Of-State Hospital Inpatient
• PRTF • State-Approved SUD • Therapeutic Group
Homes
Provider Notice New UR Introduction and Training Information
11/18/2019 11/18/2019 11/18/2019
• All Providers General Manual Revised 11/19/2019 11/19/2019 11/15/2019
Training FQHC/RHC Training PowerPoint in PDF 11/21/2019 11/21/2019 11/21/2019
• Hospital Inpatient • Hospital Outpatient • EPSDT • Private Duty Nursing • DME • Mid-Levels • Physician • Home Health
Agencies • Ambulance
Provider Notice New Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Review and Process through Qualitrac Portal
11/22/2019 11/22/2019 11/22/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
November 15, 2019
Page/Provider
Item
Date Approved Date
Posted Document Date
• Training • Home • Registration
January, February, and March 2020 online trainings posted and added to registration data capture
11/13/2019 11/13/2019 N/A
• DME • EPSDT • IHS/Tribal 692
Provider Notice Daily Supply Kit by Day for Enteral Feeding (B4034, B4035, B4036)
11/13/2019 11/13/2019 11/13/2019
• All Provider Types REMOVED the following provider notices: • 10/01/2019 Chronic Care/Coordinated
Care Codes • 07/25/2019 Cognitive Care
Reimbursement • 06/28/2019 Cognitive Care
Reimbursement
11/12/2019 11/14/2019 10/01/2019 07/25/2019 06/28/2019
• Physician • Hospital Inpatient • Hospital Outpatient • FQHC • RHC • ASC • Mid-Levels
Provider Notice (Re-issued from 2016) Circumcision Prior Authorization Changes
11/14/2019 11/14/2019 11/14/2019
• CAH • Hospital Inpatient • Hospital Outpatient • Mid-Levels • Pharmacy • Physicians
Provider Notice Prior Authorization Criteria for Synagis®
11/14/2019 11/14/2019 11/14/2019
• CPC+ • FQHC • Hospital Inpatient • Hospital Outpatient • Mid-Levels • PCMH • Physician • Psychiatrist • RHC
Provider Notice Chronic Care Codes Revised
11/15/2019 11/15/2019 11/12/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
November 8, 2019
Page/Provider
Item
Date Approved Date
Posted Document Date
• Medicaid Statistics Medicaid Statistics July 1, 2018 – June 30, 2019 added
11/04/2019 11/04/2019 06/30/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
November 1, 2019
Page/Provider
Item
Date Approved Date
Posted Document Date
• Hospital Inpatient Fee Schedule October 2019 APC in PDF and Excel revised
10/30/2019 10/31/2019 10/01/2019
• Hospital Inpatient Fee Schedule October 2019 OPPS in PDF and Excel revised
10/30/2019 10/31/2019 10/01/2019
• Hospital Inpatient Fee Schedule July 2019 OPPS in PDF and Excel revised
10/30/2019 10/31/2019 07/01/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
October 25, 2019
Page/Provider
Item
Date Approved Date
Posted Document Date
• Pharmacy Provider Notice Pharmacy Provider License Renewal Reminder
10/21/2019 10/21/2019 10/18/2019
• FQHC • RHC • Tribal 638
Provider Notice REMOVED Peer Support Services
10/21/2019 10/21/2019 07/23/2019
• Hospital Outpatient Fee Schedule & Coversheet in PDF & Excel October 2019 APC Fee Schedule
10/23/2019 10/23/2019 10/01/2019
• Hospital Outpatient Fee Schedule & Coversheet in PDF & Excel October 2019 OPPS Fee Schedule
10/23/2019 10/23/2019 10/01/2019
• Hospital Inpatient Fee Schedule in Excel October 2019 APR-DRG Calculator (revised)
10/25/2019 10/25/2019 10/01/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
October 18, 2019
Page/Provider
Item
Date Approved Date
Posted Document Date
• Laboratory Services July 2019 Laboratory Services Fee Schedule in PDF and Excel Revised
10/14/2019 10/14/2019 07/01/2019
• Mid-Levels July 2019 Mid-Levels Fee Schedule in PDF and Excel Revised
10/14/2019 10/14/2019 07/01/2019
• Physician July 2019 Physician Fee Schedule in PDF and Excel Revised
10/14/2019 10/14/2019 07/01/2019
• Pharmacy DUR DUR B Agenda October 30, 2019 10/16/2019 10/16/2019 10/30/2019
• Pharmacy DUR DUR B Minutes September 25, 2019 10/17/2019 10/17/2019 09/25/2019
• Training Optometric/Eyeglasses PowerPoint 10/17/2019 10/17/2019 10/17/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
October 11, 2019
Page/Provider
Item
Date Approved Date
Posted Document Date
• Chemical Dependency
Provider Notice Continued Stay Requirements for Substance Use Disorder (SUD) Intensive Out Patient Services (ASAM 2.1) Adult And Adolescent Are Temporarily On Hold Until Further Notice
10/10/2019 10/10/2019 10/10/2019
• ASC Fee Schedule & Coversheet in PDF and Excel October 2019 ASC
10/10/2019 10/10/2019 10/01/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
October 4, 2019
Page/Provider
Item
Date Approved Date
Posted Document Date
• Newsletters October 2019 Claim Jumper 09/30/2019 09/30/2019 10/01/2019
• All Providers Provider Notice Chronic Care Coordinated Care Codes
10/01/2019 10/01/2019 09/24/2019
• IHS July 2019 IHS Fee Schedule 10/01/2019 10/01/2019 07/01/2019 • School Based
Services October 2019 School Based Services Cover Sheet
09/30/2019 10/01/2019 10/01/2019
• Site Index • Hospital Inpatient • Hospital Outpatient • Podiatrist • ASC • Family Planning • Pharmacy • Optometric • Ambulance • Physicians • Laboratory Services • Mid-Levels • Eyeglasses • Dialysis Clinic • Psychiatrist • Clinical Pharmacist • Mobile Imaging • Licensed Direct
Entry Midwife
October 2019 Quarterly Rebateable Labelers 10/01/2019 10/01/2019 10/01/2019
• Proposed Fee Schedules
Proposed October 2019 HCBS for Adults With SMI Fee Schedule
10/03/2019 10/03/2019 10/10/2019
• Proposed Fee Schedules
Proposed October 2019 Physically Disabled HCBS Waiver Service Coversheet
10/03/2019 10/03/2019 10/10/2019
• Proposed Fee Schedules
Proposed October 2019 Physically Disabled HCBS Waiver Service Fee Schedule
10/03/2019 10/03/2019 10/10/2019
• FAQs New Enrollment FAQ – for Requirements for Business Purchases
10/04/2019 10/04/2019 10/04/2019
• Provider Enrollment • Provider File
U d t
Requirements For Business Purchases 10/04/2019 10/04/2019 10/04/2019
• FQHC • RHC • IHS
Provider Notice Peer Support Services
10/04/2019 10/04/2019 10/04/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
September 27, 2019
Page/Provider
Item
Date Approved Date
Posted Document Date
• Dental Services • Dental Hygienist • Denturist
Provider Manual 09/23/2019 09/23/2019 10/01/2019
• Hospital Outpatient APC Coversheet July 2019 09/24/2019 09/24/2019 07/01/2019
• Hospital Outpatient OPPS Coversheet July 2019 09/24/2019 09/24/2019 07/01/2019
• Pharmacy • Site Index
PDL 09/24/2019 09/24/2019 09/25/2019
• FQHC • RHC
FQHC/RHC Fee Schedule Sections Removed 09/25/2019 09/26/2019 N/A
• Dental Services October 2019 Dental Fee Schedule in PDF and Excel Revised
09/26/2019 09/27/2019
09/26/2019 09/27/2019
10/01/2019 10/01/2019
• Hospital Inpatient Provider Notice Reimbursement Rate Change
09/27/2019 09/27/2019 09/26/2019
Page/Provider
Item
Date Approved Date
Posted Document Date
• Dental Services • Dental Hygienist • Denturist
Provider Manual 09/23/2019 09/23/2019 10/01/2019
• Hospital Outpatient APC Coversheet July 2019 09/24/2019 09/24/2019 07/01/2019
• Hospital Outpatient OPPS Coversheet July 2019 09/24/2019 09/24/2019 07/01/2019
• Pharmacy • Site Index
PDL 09/24/2019 09/24/2019 09/25/2019
• FQHC • RHC
FQHC/RHC Fee Schedule Sections Removed 09/25/2019 09/26/2019 N/A
• Dental Services October 2019 Dental Fee Schedule in PDF and Excel Revised
09/26/2019 09/27/2019
09/26/2019 09/27/2019
10/01/2019 10/01/2019
• Hospital Inpatient Provider Notice Reimbursement Rate Change
09/27/2019 09/27/2019 09/26/2019
Page/Provider
Item
Date Approved Date
Posted Document Date
• Dental Services • Dental Hygienist • Denturist
Provider Manual 09/23/2019 09/23/2019 10/01/2019
• Hospital Outpatient APC Coversheet July 2019 09/24/2019 09/24/2019 07/01/2019
• Hospital Outpatient OPPS Coversheet July 2019 09/24/2019 09/24/2019 07/01/2019
• Pharmacy • Site Index
PDL 09/24/2019 09/24/2019 09/25/2019
• FQHC • RHC
FQHC/RHC Fee Schedule Sections Removed 09/25/2019 09/26/2019 N/A
• Dental Services October 2019 Dental Fee Schedule in PDF and Excel Revised
09/26/2019 09/27/2019
09/26/2019 09/27/2019
10/01/2019 10/01/2019
• Hospital Inpatient Provider Notice Reimbursement Rate Change
09/27/2019 09/27/2019 09/26/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
September 20, 2019
Page/Provider
Item
Date Approved Date
Posted Document Date
• Mid-Levels Fee Schedule July 2019 Mid Level in Excel and PDF Revised
09/17/2019 09/17/2019 07/01/2019
• Physician Fee Schedule July 2019 Physician in Excel and PDF Revised
09/17/2019 09/17/2019 07/01/2019
• Psychiatrist Fee Schedule July 2019 Psychiatrist in Excel and PDF Revised
09/17/2019 09/17/2019 07/01/2019
• Public Health Fee Schedule July 2019 Public Health in Excel and PDF Revised
09/17/2019 09/17/2019 07/01/2019
• Chemical Dependency
Fee Schedule October 2019 Medicaid SUD
09/19/2019 09/20/2019 10/01/2019
• Chemical Dependency
Fee Schedule October 2019 Non-Medicaid SUD
09/19/2019 09/20/2019 10/01/2019
• Social Worker • Psychologist • PRTF • School-Based
Services • Licensed
Professional Counselor
• Mental Health Center
• Targeted Case Management
• Therapeutic Group Home
• Therapeutic Foster Home
Fee Schedule October 2019 Adult Mental Health
09/19/2019 09/20/2019 10/01/2019
• Training CSCT PowerPoint in PDF 09/19/2019 09/19/2019 09/19/2019
• Dental Fee Schedule & Cover Sheet October 2019 Dental Services in Excel and PDF
09/20/2019 09/20/2019 10/01/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
• Oral Surgeon Fee Schedule & Cover Sheet October 2019 Oral Surgeon in Excel and PDF
09/20/2019 09/20/2019 10/01/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
September 13, 2019
Page/Provider
Item
Date Approved Date
Posted Document Date
• DDP Montana Provider Portal User Guide Revised 09/10/2019 09/10/2019 09/09/2019
• Physicians • Mid-Levels • Psychiatrists
Provider Notice Medication-Assisted Treatment (MAT) Bundled Rates
09/11/2019 09/11/2019 09/11/2019
• Dental Services Fee Schedule & Coversheet in PDF and Excel July 2019 Dental Services Revised
09/13/2019 09/13/2019 07/01/2019
• Dental Services Fee Schedule in PDF and Excel July 2019 Dental Hygienist Revised
09/13/2019 09/13/2019 07/01/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
September 6, 2019 No Documents Posted This Week.
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
August 30, 2019
Page/Provider
Item
Date Approved Date
Posted Document Date
• Pharmacy DUR DURB Agenda September 2019 08/23/2019 08/26/2019 09/25/2019
• Dental Fee Schedule July 2019 Dental Hygienist Fee Schedule Revised
08/26/2019 08/26/2019 07/01/2019
• Contact Us Contact Us Page Re—Design Two pane sets were combined into one to make searching easier for providers
08/27/2019 08/27/2019 08/27/2019
• Forms PA Form for Suboxone Films for Medication Assisted Therapy Revised
08/27/2019 08/27/2019 08/27/2019
• Pharmacy • Mid-Levels • Physicians
Provider Notice and Form Revised Electronic Authorization Process for Suboxone Films for Medication Assisted Therapy
08/27/2019 08/27/2019 08/27/2019
• Pharmacy NCPDP Payer Sheet Revised 08/28/2019 08/28/2019 08/28/2019
• Presumptive Eligibility
Updated Training Dates 08/29/2019 08/29/2019 08/29/2019
• Newsletters September 2019 Claim Jumper 08/29/2019 08/30/2019 09/01/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
August 23, 2019 Page/Provider
Item
Date Approved Date
Posted Document Date
• IHS/Tribal 638 • Passport
Provider Notice Managed Care Referrals
08/22/2019 08/22/2019 08/22/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
August 16, 2019 Page/Provider
Item
Date Approved Date
Posted Document Date
• Home Page • Announcements • Pharmacy
Pharmacy Announcement 08/15/2019 08/15/2019 08/15/2019
• Training Billing 101 PowerPoint 08/15/2019 08/15/2019 08/15/2019
• Home Page • Announcements
IVR Announcement 08/16/2019 08/16/2019 08/16/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
August 9, 2019
Page/Provider
Item
Date Approved Date
Posted Document Date
• DDP Draft 2019 DDP Fee Schedule in PDF and Excel 08/05/2019 08/05/2019 07/01/2019
• Survey Updated Provider Survey 08/07/2019 07/07/2019 07/07/2019
• FQHC • RHC
Provider Notice FQHC & RHC Fee Schedule Reminder
08/08/2019 08/08/2019 08/08/2019
• Dental Services • Oral Surgeon • Denturist • Proposed Fee
Schedule
Proposed Dental Services Manual 08/08/2019 08/08/2019 10/01/2019
• Proposed Fee Schedules
Rule Hearing Information for 08/29/2019 08/08/2019 08/08/2019 08/08/2019
• Proposed Fee Schedules
October 2019 Mental Health Fee Schedule 08/08/2018 08/08/2018 10/01/2019
• Proposed Fee Schedules
October 2019 APR-DRG Fee Schedule 08/08/2018 08/08/2018 10/01/2019
• Proposed Fee Schedules
October 2019 Dental Services Fee Schedule and Cover Sheet
08/08/2018 08/08/2018 10/01/2019
• Proposed Fee Schedules
October 2019 Medicaid SUD Fee Schedule 08/08/2018 08/08/2018 10/01/2019
• Proposed Fee Schedules
October 2019 Non-Medicaid SUD Fee Schedule 08/08/2018 08/08/2018 10/01/2019
• Proposed Fee Schedules
October 2019 Oral Surgeon Fee Schedule and Cover Sheet
08/08/2018 08/08/2018 10/01/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
August 2, 2019
Page/Provider
Item
Date Approved Date
Posted Document Date
• Newsletters August 31, 2019 07/31/219 07/31/2019 08/01/2019
• Training • DDP
DDP Training PowerPoint (in PDF) 08/02/2019 08/02/2019 08/02/2019
• DDP MPATH Provider Services Claims Entry Solution link
08/02/2019 08/02/2019 08/02/2019
• DDP Montana Provider portal User Guide 08/02/2019 08/02/2019 08/02/2019
• DDP Provider Notice Developmental Disabilities Program MMIS Transition
08/02/2019 08/02/2019 08/05/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
July 26, 2019
Page/Provider
Item
Date Approved Date
Posted Document Date
• Optometric July 2019 Optometric Fee Schedule (Revised twice)
07/19/2019 07/23/2019
07/21/2019 07/23/2019
07/01/2019 07/01/2019
• FQHC • RHC
FQHC/RHC Manual Revised (Revised How Payment is Calculated Chapter)
07/22/2019 07/22/2019 07/22/2019
• DME • IHS/Tribal 638 • Physicians • Mid-Levels
Provider Notice Therapeutic Continuous Glucose Monitor and Sensors – K0554 & K0553
07/23/2019 07/23/2019 07/23/2019
• FQHC • RHC • IHS/Tribal 638
Provider Notice Peer Support Services
07/23/2019 07/23/2019 07/23/2019
• All Providers Provider Notice Cognitive Care Services – Revised
07/25/2019 07/25/2019 07/25/2019
• FQHC • RHC
FQHC/RHC Manual Revised Billing Procedures Chapter Revised
07/26/2019 07/26/2019 07/26/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
July 19, 2019 Page/Provider
Item
Date Approved Date
Posted Document Date
• DDP DDP Manual 07/15/2019 07/16/2019 07/2019
• ASC July 2019 ASC Fee Schedule & Coversheet in PDF and Excel
07/17/2019 07/17/2019 07/01/2019
• Hospital Outpatient July 2019 OPPS Fee Schedule & Coversheet in PDF and Excel
07/17/2019 07/17/2019 07/01/2019
• Hospital Outpatient July 2019 APC Fee Schedule & Coversheet in PDF and Excel
07/17/2019 07/17/2019 07/01/2019
• Training Online Training Provider Website Navigation PowerPoint Slides in PDF
07/18/2019 07/18/2019 07/18/2019
• Training Online Training MATH Web Portal PowerPoint Slides in PDF
07/18/2019 07/18/2019 07/18/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
July 12, 2019 Page/Provider
Item
Date Approved Date
Posted Document Date
• Audiology July 2019 Audiology Coversheet & Fee Schedule in PDF and Excel
07/08/2019 07/08/2019 07/01/2019
• DME July 2019 DME Coversheet & Fee Schedule in PDF and Excel
07/08/2019 07/08/2019 07/01/2019
• Hearing Aid July 2019 Hearing Aid Coversheet & Fee Schedule in PDF and Excel
07/08/2019 07/08/2019 07/01/2019
• Dental Hygienist July 2019 Dental Hygienist Coversheet & Fee Schedule in PDF and Excel
07/08/2019 07/08/2019 07/01/2019
• Dental Services July 2019 Dental Services Coversheet & Fee Schedule in PDF and Excel
07/08/2019 07/08/2019 07/01/2019
• Denturist July 2019 Denturist Coversheet & Fee Schedule in PDF and Excel
07/08/2019 07/08/2019 07/01/2019
• Oral Surgeon July 2019 Oral Surgeon Coversheet & Fee Schedule in PDF and Excel
07/08/2019 07/08/2019 07/01/2019
• Pharmacy • Physicians • Mid-Levels • FQHC
Prescription Drug Manual - Revised
07/08/2019 07/08/2019 07/08/2019
• Physicians • Mid-Levels • Pharmacy • IHS
Provider Notice Vaccine Administration by Pharmacists
07/09/2019 07/09/2019 07/09/2019
• Physicians • Mid-Levels • Hospital Outpatient • CAH
Provider Notice Consent for Sterilization Form
07/10/2019 07/10/2019 07/10/2019
• Ambulance July 2019 Ambulance Coversheet & Fee Schedule in PDF and Excel
07/10/2019 07/10/2019 07/01/2019
• Physician July 2019 Physician Fee Schedule in PDF and Excel
07/10/2019 07/10/2019 07/01/2019
• Enrollment Full Enrollment Paper Application – Revised (updated email addresses)
07/10/2019 07/10/2019 07/10/2019
• Enrollment Rendering Enrollment Paper Application – Revised (updated email addresses)
07/10/2019 07/10/2019 07/10/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
Page/Provider
Item
Date Approved Date
Posted Document Date
• Enrollment Limited Enrollment Paper Application – Revised (updated email addresses)
07/10/2019 07/10/2019 07/10/2019
• Enrollment Cover Letter and Checklist – Revised (updated email addresses)
07/10/2019 07/10/2019 07/10/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
July 5, 2019
Page/Provider
Item
Date Approved Date
Posted Document Date
• Family Planning Clinic
• FQHC • Inpatient Hospital • Outpatient Hospital • ASC • RHC • Mid-Levels • Pharmacy • Public Health Clinics • Plan First
Provider Notice and Code List Montana Plan First – Update to Covered Code List
07/02/2019 07/02/2019 07/05/2019
• Plan First July 2019 Plan First Service Codes 07/02/2019 07/02/2019 07/05/2019
• Dental Fee Schedule HMK Dental
07/03/2019 07/03/2019 07/01/2019
• Mid-Level July 2019 Mid-Level Fee Schedule in PDF and Excel and Cover Sheet
07/03/2019 07/03/2019 07/01/2019
• Physician July 2019 Physician Fee Schedule in PDF and Excel and Cover Sheet
07/03/2019 07/03/2019 07/01/2019
• Podiatry July 2019 Podiatry Fee Schedule in PDF and Excel and Cover Sheet
07/03/2019 07/03/2019 07/01/2019
• Hospital Outpatient • CAH
Provider Notice Frequently Asked Hospital Laboratory Services Questions
06/28/2019 07/02/2019 06/11/2019
• Direct Entry Mid-Wife
July 2019 Direct Entry Mid-Wife Fee Schedule in PDF and Excel and Cover Sheet
07/03/2019 07/03/2019 07/01/2019
• Psychiatrist July 2019 Psychiatrist Fee Schedule in PDF and Excel and Cover Sheet
07/03/2019 07/03/2019 07/01/2019
• School-Based Services
July 2019 School-Based Services Fee Schedule in PDF and Excel and Cover Sheet
07/03/2019 07/03/2019 07/01/2019
• IDTF July 2019 IDTF Fee Schedule in PDF and Excel and Cover Sheet
07/03/2019 07/03/2019 07/01/2019
• Laboratory Services • Hospital Outpatient
July 2019 Laboratory Services Fee Schedule in PDF and Excel and Cover Sheet
07/03/2019 07/03/2019 07/01/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
Page/Provider
Item
Date Approved Date
Posted Document Date
• Public Health Services
July 2019 Public Health Services Fee Schedule in PDF and Excel and Cover Sheet
07/03/2019 07/03/2019 07/01/2019
• Occupational Therapy Services
July 2019 Occupational Therapy Fee Schedule in PDF and Excel and Cover Sheet
07/05/2019 07/05/2019 07/01/2019
• Optician July 2019 Optician Fee Schedule in PDF and Excel and Cover Sheet
07/05/2019 07/05/2019 07/01/2019
• Optometrics July 2019 Optometrics Fee Schedule in PDF and Excel and Cover Sheet
07/05/2019 07/05/2019 07/01/2019
• Physical Therapy July 2019 Physical Therapy Fee Schedule in PDF and Excel and Cover Sheet
07/05/2019 07/05/2019 07/01/2019
• Speech Therapy July 2019 Speech Therapy Fee Schedule in PDF and Excel and Cover Sheet
07/05/2019 07/05/2019 07/01/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
June 28, 2019
Page/Provider
Item
Date Approved Date
Posted Document Date
• Psychologist • PRTF • Social Worker • School-Based
Services • License Professional
Counselor • Mental Health
Centers • TCM – Mental
Health • Therapeutic Group
Home • Therapeutic Foster
Home
July 2019 72 Hour Fee Schedule 06/25/2019 06/25/2019 07/01/2019
• Psychologist • PRTF • Social Worker • School-Based
Services • License Professional
Counselor • Mental Health
Centers • TCM – Mental
Health • Therapeutic Group
Home • Therapeutic Foster
Home
July 2019 Adult Mental Health Fee Schedule 06/25/2019 06/25/2019 07/01/2019
• Psychologist • PRTF • Social Worker • School-Based
Services • License Professional
Counselor • Mental Health
Centers • TCM – Mental
Health • Therapeutic Group
Home • Therapeutic Foster
Home
July 2019 HCBS for Adults w/ SDMI Fee Schedule
06/25/2019 06/25/2019 07/01/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
Page/Provider
Item
Date Approved Date
Posted Document Date
• Psychologist • PRTF • Social Worker • School-Based
Services • License Professional
Counselor • Mental Health
Centers • TCM – Mental
Health • Therapeutic Group
Home • Therapeutic Foster
Home
July 2019 MHSP Fee Schedule 06/25/2019 06/25/2019 07/01/2019
• Chemical Dependency
July 2019 SUD Medicaid Fee Schedule 06/25/2019 06/25/2019 07/01/2019
• Chemical Dependency
July 2019 Non-Medicaid Fee Schedule 06/25/2019 06/25/2019 07/01/2019
• TCM-Mental Health July 2019 TCM – Mental Health Fee Schedule in PDF and Excel and Cover Sheet
06/25/2019 06/25/2019 07/01/2019
• Site Index July 2019 RBRVS
06/26/2019 06/26/2019 07/01/2019
• Audiology July 2019 Audiology Fee Schedule in PDF and Excel and Cover Sheet
06/26/2019 06/26/2019 07/01/2019
• EPSDT July 2019 Children’s Special Health Services Fee Schedule in PDF and Excel and Cover Sheet
06/26/2019 06/26/2019 07/01/2019
• Children’s Chiropractic
July 2019 Children’s Chiropractic Fee Schedule in PDF and Excel and Cover Sheet
06/26/2019 06/26/2019 07/01/2019
• Dental July 2019 Dental Hygienist Fee Schedule in PDF and Excel and Cover Sheet
06/26/2019 06/26/2019 07/01/2019
• Dental July 2019 Dental Services Fee Schedule in PDF and Excel and Cover Sheet
06/26/2019 06/26/2019 07/01/2019
• Denturist July 2019 Denturist Fee Schedule in PDF and Excel and Cover Sheet
06/26/2019 06/26/2019 07/01/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
Page/Provider
Item
Date Approved Date
Posted Document Date
• Hearing Aid Services July 2019 Hearing Aid Fee Schedule in PDF and Excel and Cover Sheet
06/26/2019 06/26/2019 07/01/2019
• Laboratory Services • Physician
July 2019 Laboratory Services Fee Schedule in PDF and Excel and Cover Sheet
06/26/2019 06/26/2019 07/01/2019
• DME July 2019 DME Fee Schedule in PDF and Excel and Cover Sheet
06/26/2019 06/26/2019 07/01/2019
• Home Infusion July 2019 Home Infusion Fee Schedule in PDF and Excel and Cover Sheet
06/26/2019 06/26/2019 07/01/2019
• Mobile Imaging July 2019 Mobile Imaging Fee Schedule in PDF and Excel and Cover Sheet
06/26/2019 06/26/2019 07/01/2019
• Occupational Therapy
July 2019 Occupational Therapy Fee Schedule in PDF and Excel and Cover Sheet
06/26/2019 06/26/2019 07/01/2019
• Optician Services July 2019 Optician Services Fee Schedule in PDF and Excel and Cover Sheet
06/26/2019 06/26/2019 07/01/2019
• Mobile Imaging Services
July 2019 Mobile Imaging Services Fee Schedule in PDF and Excel and Cover Sheet
06/26/2019 06/26/2019 07/01/2019
• EPSDT • Nutritionist
July 2019 Nutrition Services Fee Schedule in PDF and Excel and Cover Sheet
06/26/2019 06/26/2019 07/01/2019
• Occupational Therapy
July 2019 Occupational Therapy Fee Schedule in PDF and Excel and Cover Sheet
06/26/2019 06/26/2019 07/01/2019
• Optometric Services July 2019 Optometric Fee Schedule in PDF and Excel and Cover Sheet
06/26/2019 06/26/2019 07/01/2019
• Optician July 2019 Optician Fee Schedule in PDF and Excel and Cover Sheet
06/26/2019 06/26/2019 07/01/2019
• Oral Surgeon July 2019 Oral Surgeon Fee Schedule in PDF and Excel and Cover Sheet
06/26/2019 06/26/2019 07/01/2019
• EPSDT July 2019 Orientation and Mobility Fee Schedule in PDF and Excel and Cover Sheet
06/26/2019 06/26/2019 07/01/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
Page/Provider
Item
Date Approved Date
Posted Document Date
• EPSDT • Private Duty Nursing
July 2019 Private Duty Nursing Fee Schedule in PDF and Excel and Cover Sheet
06/26/2019 06/26/2019 07/01/2019
• Speech Therapy July 2019 Fee Schedule in PDF and Excel and Cover Sheet
06/26/2019 06/26/2019 07/01/2019
• Physical Therapy July 2019 Fee Schedule in PDF and Excel and Cover Sheet
06/26/2019 06/26/2019 07/01/2019
• Transportation – Personal and Commercial
July 2019 Personal and Commercial Transportation Fee Schedule in PDF and Excel and Cover Sheet
06/26/2019 06/26/2019 07/01/2019
• TCM – Non Mental Health
July 2019 Targeted Case Management – Non Mental Health Fee Schedule in PDF and Excel and Cover Sheet
06/26/2019 06/26/2019 07/01/2019
• Transportation – Non Emergency Specialized Services
July 2019 Transportation – Non Emergency Specialized Services Fee Schedule in PDF and Excel and Cover Sheet
06/26/2019 06/26/2019 07/01/2019
• Hospital In-Patient April 2019 OPPS Fee Schedule, Revised 06/26/2019 06/26/2019 04/01/2019
• Presumptive Eligibility
Updated Training Dates 06/26/2019 06/26/2019 06/26/2019
• All Providers Provider Notice Cognitive Care Reimbursement
06/27/2019 06/27/2019 06/26/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
June 21, 2019 Page/Provider
Item
Date Approved Date
Posted Document Date
• Newsletters July 2019 Claim Jumper 06/17/2019 06/17/2019 07/01/2019
• Forms Federal Consent for Sterilization Revised 06/20/2019 06/20/2019 06/20/2019
• Pharmacy • Mid-Levels • Physician
Provider Notice Electronic Prior Authorization Process for Suboxone Films for Medication Assisted Therapy
06/21/2019 06/21/2019 06/20/2019
• Forms Buprenorphine/Naloxone MAT Attestation Form
06/21/2019 06/21/2019 06/20/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
June 14, 2019
Page/Provider
Item
Date Approved Date
Posted Document Date
• Pharmacy • Site Index
PDL 06/11/2019 06/11/2019 06/11/2019
• Proposed Fee Schedules
Proposed July Dental Fee Schedule Revised 06/12/2019 06/12/2019 07/01/2019
• Hospital Inpatient • Hospital Outpatient • CAH
Provider Notice Unlisted billing Codes Reminder
06/12/2019 06/12/2019 06/11/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
June 7, 2019 Page/Provider
Item
Date Approved Date
Posted Document Date
• All Mental Health Providers
Provider Notice Reminder – Comprehensive School and Community Treatment (CSCT) Summer Program Requirements
06/06/2019 06/06/2019 06/05/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
May 31, 2019 Page/Provider
Item
Date Approved Date
Posted Document Date
• End User Agreement– Claim Jumper
Updated CMS Language 05/28/2109 05/28/2109 05/28/2109
• End User Agreement– Enhanced Payment
Updated CMS Language 05/28/2109 05/28/2109 05/28/2109
• End User Agreement– Government Rights
Updated CMS Language 05/28/2109 05/28/2109 05/28/2109
• End User Agreement–Proposed Fee Schedules
Updated CMS Language 05/28/2109 05/28/2109 05/28/2109
• End User Agreement–RBRVS
Updated CMS Language 05/28/2109 05/28/2109 05/28/2109
• End User Agreement–RBRVS VS
Updated CMS Language 05/28/2109 05/28/2109 05/28/2109
• End User Agreement–Providers
Updated CMS Language 05/28/2109 05/28/2109 05/28/2109
• All Provider Type Manuals
Complete Manual Tab moved from the bottom to the top of the manuals
05/28/2019 05/29/2019 05/28/2019
• All Provider Types Provider Notice Revised Nurse Visit Appropriate Billing Reminder Revised
05/31/2019 05/31/2019 05/31/2019
• Hospital In-Patient Fee Schedule April 2019 OPPS Revised
05/30/2019 05/30/2019 04/01/2019
• Proposed Fee Schedules
Proposed Dental Fee Schedule July 2019 05/30/2019 05/30/2019 07/01/2019
• Proposed Fee Schedules
Proposed Oral Surgeon Fee Schedule July 2019 05/30/2019 05/30/2019 07/01/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
May 24, 2019 Page/Provider
Item
Date Approved Date
Posted Document Date
• All Providers Provider Notice Nurse Visit – Appropriate Billing Reminder – Revised Clarification
05/20/2019 05/20/2019 05/17/2019
• Newsletters June 2019 Claim Jumper 05/20/2019 05/20/2019 06/01/2019
• Proposed Fee Schedules
Hearing Language for Proposed July 2019 Fee Schedules
05/232019 05/23/2019 05/23/2019
• Proposed Fee Schedules
Proposed Fee Schedule July 2019 Home Infusion
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee Schedule & Coversheet July 2019 Children’s Mental Health
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee Schedule & Coversheet July 2019 TCM – Mental Health
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee Schedule & Coversheet July 2019 Occupational Therapy
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee Schedule & Coversheet July 2019 Physical Therapy
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee Schedule & Coversheet July 2019 Speech Therapy
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee Schedule & Coversheet July 2019 Audiology
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee Schedule & Coversheet July 2019 Hearing Aid
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee Schedule & Coversheet July 2019 DME
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee Schedule & Coversheet July 2019 Orientation & Mobility
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee Schedule & Coversheet July 2019 Psychiatrist
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee Schedule & Coversheet July 2019 Private Duty Nursing
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee Schedule & Coversheet July 2019 TCM Non-Mental Health
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee Schedule & Coversheet July 2019 Children’s Chiropractic
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee Schedule & Coversheet July 2019 CSHS Services
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee Schedule & Coversheet July 2019 Nutrition
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee Schedule & Coversheet July 2019 Optometric
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee Schedule & Coversheet July 2019 Optician
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee Schedule & Coversheet July 2019 Ambulance
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee Schedule & Coversheet July 2019 Dental Hygienist
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee Schedule & Coversheet July 2019 Dental Services
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee Schedule & Coversheet July 2019 Denturist
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee Schedule & Coversheet July 2019 Oral Surgeon
05/23/2019 05/23/2019 07/01/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
Page/Provider
Item
Date Approved Date
Posted Document Date
• Proposed Fee Schedules
Proposed Fee Schedule & Coversheet July 2019 Transportation – Non Emergency Specialized Services
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee Schedule & Coversheet July 2019 Transportation PCS Services
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee ScheduleJuly 2019
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee Schedule & Coversheet July 2019 RBRVS
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee Schedule & Coversheet July 2019 PAS Services
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee Schedule & Coversheet July 2019 CFC Services
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee Schedule & Coversheet July 2019 Home Health
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee Schedule & Coversheet July 2019
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee Schedule & Coversheet July 2019 Laboratory Services
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee Schedule & Coversheet July 2019 Mid-Levels
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee Schedule & Coversheet July 2019 Mobile Imaging
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee Schedule & Coversheet July 2019 Physician
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee Schedule & Coversheet July 2019 Podiatry
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee Schedule & Coversheet July 2019 Public Health
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee Schedule & Coversheet July 2019 Direct Entry Mid-Life
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee Schedule & Coversheet July 2019 IDTF
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee Schedule & Coversheet July 2019 Elderly & Physically Disabled Big Sky Waiver
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee Schedule July 2019 72-Hour
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee Schedule July 2019 HCBS Adults with SDMI
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee Schedule July 2019SUD Non-Medicaid
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee Schedule July 2019 Adult Medicaid Mental Health
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee Schedule July 2019 MHSP
05/23/2019 05/23/2019 07/01/2019
• Proposed Fee Schedules
Proposed Fee Schedule July 2019 SUD Medicaid
05/23/2019 05/23/2019 07/01/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
May 17, 2019 Page/Provider
Item
Date Approved Date
Posted Document Date
• Pharmacy DUR Mayzent® Medicaid Dossier 05/13/2019 5/13/2019 5/13/2019
• Mid-Levels Fee Schedule January 2019 Mid-Levels Revised
05/16/2019 05/16/2019 01/01/2019
• Oral Surgeon Fee Schedule July 2018 Oral Surgeon Revised
05/17/2019 05/17/2019 07/01/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
May 10, 2019 Page/Provider
Item
Date Approved Date
Poste
Document Date
• All Providers General Manual Revised 05/06/2019 05/06/2019 05/03/2019
• Dental Provider Notice Dental Blanket Denial Process
05/06/2019 05/06/2019 05/06/2019
• Site Index • Pharmacy
MT Quarterly PDL 05/07/2019 05/07/2019 05/07/2019
• ASC Fee Schedule & Coversheet ASC April 2019
05/09/2019 05/09/2019 04/01/2019
• Physician • Mid-Levels • Hospital Outpatient • CAH • ASC • IDTF
Provider Notice NDC Required on All Radiopharmaceuticals
05/10/2019 05/10/2019 05/13/2019
• Hospital Outpatient Fee Schedule & Coversheet APC April 2019 Fee Schedule
05/10/2019 05/10/2015 04/01/2019
• Hospital Outpatient Fee Schedule & Coversheet OPPS April 2019 Fee Schedule
05/10/2019 05/10/2015 04/01/2019
• Hospital Inpatient APR-DRG Calculator Revised 05/10/2019 05/10/2015 01/01/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
May 3, 2019 Page/Provider
Item
Date Approved Date
Posted Document Date
• Hospital Inpatient APR-DRG January 2019 revised 04/29/2019 04/29/2019 01/01/2019
• All Provider Types Updated MCA/Legislative links in the Medicaid Rules and Regulations panes
04/30/2019 04/30/2019 04/30/2019
• Pharmacy • Physicians • Mid-Levels
Provider Notice Dosage Restrictions for all Opioids Based on Morphine Milligram Equivalents (MME)
05/01/2019 05/01/2019 05/01/2019
• All Mental Health Providers
Provider Notice Outpatient Psychotherapy Limits
05/02/2019 05/02/2019 05/01/2019
• Oral Surgeon Oral Surgeon Fee Schedule V2 July 2018 revised
05//02/2019 05/02/2019 07/01/2018
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
April 26, 2019 Page/Provider
Item
Date Approved Date
Posted Document Date
• School-Based Services
January 2019 School Based Services Fee Schedule – Revised
04/22/2019 04/22/219 01/01/2019
• Pharmacy DUR April 2019 DUR Meeting Minutes 04/22/2019 04/23/2019 04/17/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
April 19, 2019 Page/Provider
Item
Date Approved Date
Posted Document Date
• DME January 2019 DME Fee Schedule revised 04/15/2019 04/15/2019 01/01/2019
• Pharmacy Provider Notice 2019 AAC Survey
04/15/2019 04/15/2019 04/15/2019
• Pharmacy Provider Notice 2019 Annual Montana Dispensing Fee Survey
04/16/2019 04/16/2019 04/16/2019
• WebEx • Training • Home
Added Web Navigation WebEx Registration for July 2019
04/17/2019 04/17/2019 07/18/2019
• Training SURS Training PowerPoint (in PDF) 04/18/2019 04/18/2019 04/18/2019
• Pharmacy DUR DUR Board Meeting Agenda May 22, 2019 04/19/2019 04/19/2019 05/22/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
April 12, 2019 Page/Provider
Item
Date Approved Date
Posted Document Date
• Physician January 2019 Physician Fee Schedule - Revised
04/10/2019 04/11/2019 01/01/2019
• Psychiatrist January 2019 Psychiatrist Fee Schedule - Revised
04/10/2019 04/11/2019 01/01/2019
• HCBS January 2019 HCBS for Adults w/ SMDI Fee Schedule - Revised
04/01/2019 04/11/2019 01/01/2019
• Newsletters May 2019 Claim Jumper 04/12/2019 04/12/2019 05/01/2019
• ASC ASC Manual – Revised 04/12/2019 04/12/2019 04/11/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
April 5, 2019 Page/Provider
Item
Date Approved Date
Posted Document Date
• Presumptive Eligibility
2019 Presumptive Eligibility Income Calculator 04/01/2019 04/01/2019 01/01/2019
• Proposed Fee schedules
July 2019 Proposed HMK Dental Codes 03/29/2019 04/01/2019 07/01/2019
• DME • Physicians • Mid-Levels
Provider Notice DME Criteria for Home Ventilators
03/29/2019 04/01/2019 04/01/2019
• Home Dialysis Fee Schedule April 2019 Home Dialysis Fee Schedule
04/01/2019 04/01/2019 04/01/2019
• Pharmacy DUR DURB Minutes March 28, 2019 04/01/2019 04/01/2019 03/28/2019
• Laboratory Services
Fee Schedule – Revised Laboratory Services January 2019
04/02/2019 04/02/2019 01/01/2019
• Physician Fee Schedule – Revised Physician January 2019
04/02/2019 04/02/2019 01/01/2019
• Psychiatrist Fee Schedule – Revised Psychiatrist January 2019
04/02/2019 04/02/2019 01/01/2019
• Mid-Levels Fee Schedule – Revised Mid-Level Services January 2019
04/02/2019 04/02/2019 01/01/2019
• Podiatry Fee Schedule – Revised Podiatry January 2019
04/02/2019 04/02/2019 01/01/2019
• IDTF Fee Schedule – Revised IDTF January 2019
04/02/2019 04/02/2019 01/01/2019
• School-Based Services
Provider Notice New 2019 Psychological Testing Codes for Schools
04/03/2019 04/03/2019 04/01/2019
• All Providers Provider Notice Chronic Care Management Services – revised
04/04/2019 04/04/2019 03/26/2019
• Site Index • Hospital Inpatient • Hospital Outpatient • Podiatrist • ASC • Family Planning • Pharmacy • Optometric • Ambulance • Physicians • Laboratory Services • Mid-Levels • Eyeglasses • Dialysis Clinic • Psychiatrist • Clinical Pharmacist • Mobile Imaging • Licensed Direct Entry
Midwife
Quarterly Rebateable Labelers – April 2019 04/05/2019 04/05/2019 04/05/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
March 29, 2019 Page/Provider
Item
Date Approved Date
Posted Document Date
• Family Planning Clinics
• Hospital Inpatient • Hospital
Outpatient • CAH • ASC • FQHC • RHC • IHS • Mid-Levels • Pharmacy • Physician • Public Health
Clinic
Provider Notice Montana Plan First – Change to Covered Procedures and service Codes
03/25/2019 03/25/2019 03/25/2019
• All Providers Provider Notice Chronic Care Management Services
03/26/2019 03/26/2019 03/26/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
March 22 , 2019 Page/Provider
Item
Date Approved Date
Posted Document Date
• Pharmacy DUR DUR Agenda April 17, 2019 03/18/2019 03/18/2019 04/17/2019
• Pharmacy DUR Xeljanz® Executive Summary 03/18/2019 03/18/2019 04/17/2019
• Hospital Outpatient
• CAS • IDTF • Physician • Mid-Levels
Provider Notice Systematic Approval Diagnosis for MRI of the Head and CT of the Brain Updated (Revised)
03/18/2019 03/18/2019 03/18/2019
• Enrollment • Forms
EFT/ERA Form (Revised) 03/19/2019 03/19/2019 03/19/2019
• Hospital Inpatient • Hospital
Outpatient • CAH • ASC • DME • Private Duty
Nursing • Mid-Levels • Home Health
Agencies • Ambulance
Provider Notice Prior Authorization Qualitrac Portal
03/20/2019 03/20/2019 03/19/2019
• Passport Primary Care Case Management Agreement Form
03/20/2019 03/20/2019 03/20/2019
• Physicians Fee Schedule Physician January 2019 Revised
03/21/2019 03/21/2019 01/01/2019
• Mid-Levels Fee Schedule Mid-Level January 2019 Revised
03/21/2019 03/21/2019 01/01/2019
• Laboratory Services
Fee Schedule Laboratory Services January 2019 Revised
03/21/2019 03/21/2019 01/01/2019
• Training Dental WebEx Power Point 03/21/2019 03/21/2019 03/21/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
March 15, 2019 Page/Provider
Item
Date Approved Date
Posted Document Date
• Prior Authorization
Physician Administered Drug Pane Kymriah® Criteria
03/12/2019 03/12/2019 03/11/2019
• Prior Authorization
Physician Administered Drug Pane Yescarta® Criteria
03/12/2019 03/12/2019 03/11/2019
• Newsletters April 2019 Claim Jumper 03/15/2019 03/15/2019 04/01/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
March 8, 2019 Page/Provider
Item
Date Approved Date
Posted Document Date
• School-Based Services
School-Based Services Fee Schedule And Cover Sheet January 2019
03/04/2019 03/01/2019 01/01/2019
• Contact Us All Contact Information Updated as received from the Department
03/04/2019 03/04/2019 03/04/2019
• Pharmacy DUR February 27, 2019 Pharmacy DUR Meeting Minutes
03/05/2019 03/05/2019 02/27/2019
• Hospital Outpatient
• CAS • IDTF • Physician • Mid-Levels
Provider Notice Systematic Approval Diagnosis for MRI of the Head and CT of the Brain Updated
03/07/2019 03/07/2019 03/07/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
March 1, 2019 Page/Provider
Item
Date Approved Date
Posted Document Date
• Forms HHS 687 Consent for Sterilization Form Revised
02/22/2019 02/25/2019 02/22/2019
• FQHC • RHC
FQHC/RHC Manual Revised 02/25/2019 02/25/2019 02/22/2019
• Newsletters March 2019 Claim Jumper 02/25/2019 02/25/2019 03/01/2019
• Hospital Outpatient
• FQHC • RHC
Billing Multiple Same-Day Visits on a UB-04 or 837I and Condition Code G0
02/27/2019 02/27/2019 02/19/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
February 22, 2019 Page/Provider
Item
Date Approved Date
Posted Document Date
• Dentists • Denturists
Provider Notice Deleted Dental Codes D1515 and D9940
02/19/2019 02/19/2019 02/19/2019
• Hospital Inpatient Fee Schedule APR-DRG July 2019 Fee Schedule Revised
02/19/2019 02/19/2019 07/01/2018
• Pharmacy DUR DURB Agenda February 27, 2019 02/19/2019 02/20/2019 02/27/2019
• Inpatient Hospital • Outpatient
Hospital
Provider Notice Reimbursement Rate Change
02/20/2019 02/20/2019 02/19/2019
• Inpatient Hospital • Outpatient
Hospital • CAS • FQHC • RHC
Provider Notice Telehealth Originating Site Facility Fee
02/20/2019 02/20/2019 02/19/2019
• Training • Home • WebEx
SURS Update Training added to WebEx list for April 18, 2019
02/20/2019 02/20/2019 04/18/2019
• Training • Home • WebEx
TPL Update Training added to WebEx list for May 16, 2019
02/21/2019 02/21/0219 05/16/2019
• Dentists Provider Notice Orthodontia Prior Authorization Procedure Change
02/21/2019 02/21/2019 02/21/2019
• IHS Fee Schedule HIS January 2019 Revised
02/21/2019 02/212019 01/01/2019
• FQHC • RHC
Provider Notice Dental Hygienist and Dental Hygienist with Limited Access Permit (LAP)
02/21/2019 02/21/2019 02/21/2019
• Passport Amendment to Passport and Team Care Agreement for Private Group Practices Form Revised
02/22/2019 02/22/2019 02/22/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
February 15, 2019 Page/Provider
Item
Date Approved Date
Posted Document Date
• IHS January 2019 IHS Fee Schedule 02/14/2019 02/14/2019 01/01/2019
• Forms • IHS
T-HIP Member Opt-In Form Revised 02/14/2019 02/14/2019 02/14/2019
• Forms • IHS
T-HIP Provider Referral Form Revised 02/14/2019 02/14/2019 02/14/2019
• FQHC • RHC • IHS • Mid-Levels • Physicians • Public Health
Clinics
Provider Notice DOT Medical Examination
02/15/2019 02/15/2019 02/14/2019
• Pharmacy DUR PDL DUR Agenda March 27, 2019 02/15/2019 02/15/2019 03/27/2019
• Hospital Outpatient
• CAS • IDTF • Physicians • Mid-Levels
Provider Notice Systematic Approval Diagnosis for MRI of the Head and CT of the Brain
02/15/2019 02/15/2019 02/15/2019
• Hospital Outpatient
• CAS • IDTF • Physicians • Mid-Levels
Provider Notice Claims Processing for CT of the Brain and MRI of the Head
02/15/2019 02/15/2019 02/15/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
February 8, 2019 Page/Provider
Item
Date Approved Date
Posted Document Date
• Forms MA-3 – Revised 02/5/2019 02/05/2019 02/05/2019
• Hospital Inpatient Fee Schedule & Coversheet January 2019 Opps
02/06/2019 02/07/2019 01/01/2019
• Hospital Inpatient Fee Schedule & Coversheet January 2019 APC
02/06/2019 02/07/2019 01/01/2019
• WebEx Agenda for February 21, 2019 CMBH WebEx 02/08/2019 02/08/2019 02/21/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
February 1, 2019 Page/Provider
Item
Date Approved Date
Posted Document Date
• Home New IVR Announcement 01/25/2019 01/28/2019 01/28/2019
• Proposed Fee Schedules
Dialysis Clinic Proposed Fee Schedule April 2019
01/29/2019 01/29/2019 01/29/2019
• Physicians • Mid-Levels
Provider Notice Kyleena®, Mirena®, and Skyla® Acquisition Costs
01/31/2019 01/31/2019 01/31/2019
• Forms MA-3 Form Revised 02/01/2019 02/01/2019 02/01/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
January 25, 2019
Page/Provider
Item
Date Approved Date
Posted Document Date
• Direct Entry Midwife
Fee Schedule & Coversheet January 2019 Direct Entry Midwife
01/22/2019 01/22/2019 01/01/2019
• Mobile Imaging Fee Schedule & Coversheet January 2019 Mobile Imaging
01/22/2019 01/22/2019 01/01/2019
• IDTF Fee Schedule & Coversheet January 2019 IDTF
01/22/2019 01/22/2019 01/01/2019
• Podiatry Fee Schedule & Coversheet January 2019 Podiatry
01/22/2019 01/22/2019 01/01/2019
• Public Health Fee Schedule & Coversheet January 2019 Public Health
01/22/2019 01/22/2019 01/01/2019
• ASC Fee Schedule & Coversheet January 2019 ASC
01/22/2019 01/22/2019 01/01/2019
• Physicians Fee Schedule January 2019 Physician Revised
01/22/2019 01/22/2019 01/01/2019
• Mid-Levels Fee Schedule January 2019 Mid-Level Revised
01/22/2019 01/22/2019 01/01/2019
• Presumptive Eligibility
Presumptive Eligibility New Training Dates Added
01/22/2019 01/22/2019 01/01/2019
• Mental Health Centers
• Psychologist • PRTF • Social Worker • School-Based
Services • Licensed
Professional Counselor
• Targeted Case Management
• Therapeutic Group Home
• Therapeutic Foster Care
Provider Notice New Psychological Testing Rates
01/23/2019 01/23/2019 01/23/2019
• Passport Passport Manual – Revised 01/23/2019 01/23/2019 01/18/2019
• Passport Passport Caseload Capacity Amendment 01/23/2019 01/23/2019 01/22/2019
• Passport Passport Provider Agreement 01/23/2019 01/23/2019 05/30/2018
• Passport Passport Referral Form 01/23/2019 01/23/2019 01/22/2019
• Passport Passport Member Change Form 01/23/2019 01/23/2019 01/22/2019
• Passport Requirements for Passport Disenrollment Letter 01/23/2019 01/23/2019 01/22/2019
• Passport What Is Passport 01/23/2019 01/23/2019 01/22/2019
• Forms • Prior
Authorization
Sublocade™ Prior Authorization Criteria and Form Revised
01/23/2019 01/23/2019 01/22/2019
• Site Index • Pharmacy
PDL – Revised 01/24/2019 01/24/2019 01/24/2019 01/24/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
January 18, 2019 Page/Provider
Item
Date Approved Date
Posted Document Date
• Prior Authorization
• Forms
Sublocade® Criteria Revised 01/15/2019 01/15/2019 01/15/2019
• Physicians • Mid-Levels • Hospital
Outpatient
Provider Notice Sublocade® (Injectable Extended Release Buprenorphine)
01/15/2019 01/15/2019 01/15/2019
• Laboratory Services Hospital Outpatient
Fee Schedule & Coversheet Laboratory Services January 2019
01/15/2019 01/15/2019 01/01/2019
• Mid-Levels Fee Schedule & Coversheet Mid-Levels January 2019
01/15/2019 01/15/2019 01/01/2019
• Physicians Fee Schedule & Coversheet Physicians January 2019
01/15/2019 01/15/2019 01/01/2019
• Optometric Fee Schedule & Coversheet Optometric January 2019
01/16/2019 01/16/2019 01/01/2019
• Optician Fee Schedule & Coversheet Optician January 2019
01/16/2019 01/16/2019 01/01/2019
• Nutrition EPSDT Fee Schedule & Coversheet Nutrition EPSDT January 2019
01/16/2019 01/16/2019 01/01/2019
• Mental Health Centers
• Psychologist • PRTF • Social Worker • School-Based
Services • Licensed
Professional Counselor
• Targeted Case Management
• Therapeutic Group Home
• Therapeutic Foster Care
Provider Notice New Psychological Testing Rates
01/16/2019 01/16/2019 01/16/2019
• Newsletters February 2019 Claim Jumper 01/17/2019 01/17/2019 02/01/2019
• DME Fee Schedule & Coversheet DME January 2019
01/17/2019 01/17/2019 01/01/2019
• Physicians • Mid-Levels • Hospital
Outpatient • FQHC • RHC
Provider Notice Physician Administered Drug Update
01/17/2019 01/17/2019 01/15/2019
• Prior Authorization
Physician Administered Drugs Pane CINQUAIR™ Criteria
01/17/2019 01/17/2019 01/17/2019
• Prior Authorization
Physician Administered Drugs Pane Xolair™ Criteria
01/17/2019 01/17/2019 01/17/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
Page/Provider
Item
Date Approved Date
Posted Document Date
• Prior Authorization
Physician Administered Drugs Pane Fasenra™ Criteria
01/17/2019 01/17/2019 01/17/2019
• Prior Authorization
Physician Administered Drugs Pane Nucala™ Criteria
01/17/2019 01/17/2019 01/17/2019
• Hearing Aid Fee Schedule and Coversheet Hearing Aid January 2019
01/17/2019 01/17/2019 01/01/2019
• Psychiatrist Fee Schedule and Coversheet Psychiatrist January 2019
01/17/2019 01/17/2019 01/01/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
January 11, 2019
Page/Provider
Item
Date Approved Date
Posted Document Date
• Pharmacy DUR December 12, 2019 DUR Meeting Minutes 01/04/2019 01/07/2019 12/12/2018
• Training • Home Page • WebEx
CMBH WebEx Registration opened for February 21, 2019
01/07/2019 01/07/2019 02/21/2019
• Enrollment Paper Enrollment – Revised with new DDP Provider Type
01/06/2019 01/07/2019 01/01/2019
• Hospital Inpatient APR-DRG Revised July 2018 01/07/2019 01/07/2019 07/01/2018
• Hospital Inpatient APR-DRG Revised January 2019 01/10/2019 01/10/2019 01/01/2019
• Hospice Fee Schedule Hospice Compliant October 2018
01/09/2019 01/09/2019 10/01/2018
• Hospice Fee Schedule Hospice Non-Compliant October 2018
01/09/2019 01/09/2019 10/01/2018
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
January 4, 2019 Page/Provider
Item
Date Approved Date
Posted Document Date
• Developmental Disabilities
Provider Notice New Developmental Disabilities Program Type
12/28/2018 12/31/2018 12/31/2018
• Hospital Inpatient January 2019 APR-DRG Fee Schedule 01/03/2019 01/03/2019 01/01/2019
• Site Index • Hospital Inpatient • Hospital Outpatient • Podiatrist • ASC • Family Planning • Pharmacy • Optometric • Ambulance • Physicians • Laboratory Services • Mid-Levels • Eyeglasses • Dialysis Clinic • Psychiatrist • Clinical Pharmacist • Mobile Imaging • Licensed Direct
Entry Midwife
Quarterly Rebateable Labelers – January 2019
01/04/2019 01/04/2019 01/04/2019
• Psychologist • PRTF • Social Worker • School-Based
Services • Licensed
Professional Counselor
• Mental Health Centers
• Therapeutic Group Home
• Therapeutic Foster Home
Provider Notice New Psychological Testing Codes
01/04/2019 01/04/2019 01/04/2019
• Psychologist • PRTF • Social Worker • School-Based
Services • Licensed
Professional Counselor
• Mental Health Centers
• Therapeutic Group Home
• Therapeutic Foster Home
Provider Notice Severe Emotional Disturbance (SED) Incorrect ICD-10 Code
01/04/2019 01/04/2019 01/03/2019
• Psychologist Provider Notice Outpatient Psychotherapy Limits
01/04/2019 01/04/2019 01/03/2019
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Website Postings by Week for 2019
These documents are available on the Montana Healthcare Programs Provider Website
Page/Provider
Item
Date Approved Date
Posted Document Date
• PRTF • Social Worker • School-Based
Services • Licensed
Professional Counselor
• Mental Health Centers
• Therapeutic Group Home
• Therapeutic Foster Home