Dentist
Provider Manuals (Updated July 7, 2005)
Medicaid Rules/Regulations (Updated May 9, 2006)
Fee Schedules (Updated September 24, 2008)
Notices and Replacement Pages (Updated October
27, 2008)
Other Resources (Updated January 2, 2008)
Remittance Advice Notice
Key Contacts (Updated November 25, 2008)
Provider
Manuals
General Information
For Providers
Medicaid billing manual with general information for all provider types.
04/2005
Dental and Denturist
Services
This manual has billing instructions specific to your provider type.
07/2005
CHIP Dental Services
This manual has billing instructions for CHIP dental services.
01/2003
Prescription Drug
Prior Authorization
Prior Authorization requirements and procedures are covered in this
manual.
11/2004
Medicaid
Rules/Regulations
Administrative
Rules of Montana (ARM)
Montana
Code Annotated (MCA)
Code
of Federal Regulations (CFR)
Fee
Schedules
Current
Dental Hygienist Fee Schedule in PDF Format
- Updated September 24!
07/2008
Current Dental
Hygienist Fee Schedule in Excel Format
- Updated September 24!
07/2008
Current Fee Schedule
in PDF Format - Updated September
24!
07/2008
Current Fee Schedule
in Excel Format - Updated September
24!
07/2008
Previous Fee Schedule
in PDF Format
01/2008
Previous Fee Schedule
in Excel Format
01/2008
Previous Fee Schedule
in PDF Format
10/2007
Previous Fee Schedule
in Excel Format
10/2007
Previous
Dental Hygienist Fee Schedule in PDF Format
10/2007
Previous Dental
Hygienist Fee Schedule in Excel Format
10/2007
Previous
Dental Hygienist Fee Schedule in PDF Format
01/2007
Previous Dental
Hygienist Fee Schedule in Excel Format
01/2007
Previous Fee Schedule
in PDF Format
01/2007
Previous Fee Schedule
in Excel Format
01/2007
Previous Fee Schedule
in PDF Format
07/2006
Previous Fee Schedule
in Excel Format
07/2006
Previous Fee Schedule
in PDF Format
07/2005
Previous Fee Schedule
in Excel Format
07/2005
Previous Fee Schedule
in PDF Format
07/2004
Previous Fee Schedule
in Excel Format
07/2004
Previous Fee Schedule
in PDF Format
07/2003
Previous Fee Schedule
in Excel Format
07/2003
Previous Fee Schedule
in PDF Format
01/2003
Previous Fee Schedule
in Excel Format
01/2003
Previous Fee Schedule
in PDF Format
07/2002
Previous Fee Schedule
in Excel Format
07/2002
Previous Fee Schedule
in PDF Format
01/2001
Previous Fee Schedule
in Excel Format
01/2001
Notices
and Replacement Pages
10/20/08
Changes
in Transplant Coverage - Updated
October 27!
09/15/08
Dental
Sealant Revisions
09/03/08
Tamper-Resistant
Rx Pad Update: Three Features Required October 1
08/12/08
Federal
Government May Request Medical Records -
Updated September 18!
07/28/08
Fee Schedule and
Claim Forms
07/10/08
Multiple Conversion
Factors for RBRVS Providers
06/24/08
Revision to Procedure
Code D3240
05/22/08
Frequently
Asked Questions About NPI Reenrollment and Billing -
Updated June 17!
03/17/08
Resubmission
of Denied Claims - Updated March 19!
03/10/08
NPI Reenrollment
and Billing
02/13/08
Tamper-Resistant
Prescription Pads
02/04/08
Duplicate
Issue
01/18/08
Possible
Duplicate Claims Processed Through Electronic Data Interchange
12/17/07
Enhanced
Claims Editing—Assistant / Team / Co-Surgeon
12/17/07
Enhanced
Claims Editing—Multiple Evaluation and Management Services Provided
on the Same Day
12/06/07
Dental Rates and
Claim Forms
12/04/07
NPI Requirement
for Fee-for-Service Healthcare Provider Claims
11/27/07
Cost Share
Changes
11/01/07
Enhanced
Claims Editing—Add-on Codes
11/01/07
Enhanced
Claims Editing—New Visit Evaluation and Management Codes
11/01/07
Enhanced
Claims Editing—Bloodhound ClaimsGuard®
10/03/07
Rendering Provider
10/01/07
Tamper-Resistant
Prescription Pads — Postponed
09/20/07
Tamper-Resistant
Prescription Pads — Updated
08/07/07
Tamper-Resistant
Prescription Pad Requirement
08/01/07
Elimination
of ESOR
06/25/07
NPI on
the Web Portal
06/11/07
Ownership
and Control Information Required for Reenrollment
06/06/07
NPI Contingency
Plan Implemented, Reenrollment Extended
05/31/07
New CMS-1500
to Be Required Beginning July 2, 2007
02/13/07
Current Dental
Terminology (CDT) and Updated Fee Schedule
01/05/06
Increased Reimbursement
for EPSDT Preventive Services
07/28/05
Scales - Congestive
Heart Failure
07/01/05
Dental
Manual Repacement Pages - Updated Fees
04/29/05
General Manual
Replacement Page - Member Number a Billable Number and Key Contacts
Updated
04/11/05
Dental Program Coverage
Changes
02/04/05
Introduction to
Preferred Drug List
11/05/04
General
Manual Replacement Pages - References to Medicaid Rules/Regulations
Added
09/16/04
General Manual
Replacement Pages - Team Care and Nurse First Information Added
09/02/04
Dental Manual
Replacement Pages - Added "Per Quadrant" Requirements to Codes
D4240-D4261
07/01/04
Dental Manual
Replacement Pages - Covered Services Update
07/01/04
Dental and Denturist
Code Changes and Manual Update
06/10/04
Prescription Drug
Prior Authorization Additions
06/10/04
Team Care Program
- A New Component of the Passport to Health Program
12/01/03
Billing Other Health Insurance
Before Medicaid
08/29/03
Passport to Health
Implementation in Prairie County
08/29/03
DMEOPS Advisory Workgroup
Openings
08/20/03
Submitting
HIPAA Compliant Claims - Information for All Providers
07/02/03
Manual Replacement
Pages - Procedure Limits and Requirements Table
06/08/03
Local Codes Terminated
05/12/03
Provider Rate and Payment Update
03/01/03
Pharmacy Prior Authorization
and Refill Changes
02/06/03
Billing With CDT-4
Dental Codes
01/26/03
Prescription Drug
Update
01/15/03
Dental Program Changes
01/14/03
CHIP Dental Replacement
Page
01/10/03
New Provider
Notification Procedure and Medicaid Changes
01/02/03
Drug Prior Authorization
Changes
10/01/02
Billing for Medicare
Crossovers after Medicare's 45 Day Response Time
09/01/02
Cost Sharing
07/01/02
Dental Program
Changes
07/01/02
Replacement Pages
07/01/02
2.6% Reduction
02/14/02
Weekly Payment
Available
11/14/01
Tooth Number Required for D1510 and
D1515
10/17/01
Dental Implants
06/01/01
Global Surgery Period
Billing
03/20/00
Global Surgery Period
Billing
Other
Resources
2008 Medicaid
Payment Schedule
Medicaid claims payment schedule for 2008
01/2008
Self
Audit Policy and Procedure
06/2007
Carrier ID List
TPL insurance carriers listed by carrier ID
06/2007
Carrier ID
List
TPL insurance carriers listed by name
06/2007
Emergency
Dental Services Form
This form must be completed and submitted with claims for emergency
dental services provide to clients age 21 and over with Basic Medicaid
coverage.
04/2004
EOB
R&R Crosswalk in PDF format
EOB R&R
Crosswalk in Excel format
With the implementation of HIPAA, Medicaid will discontinue the use
of Medicaid EOB codes and begin using HIPAA standard reason and remark
codes (R&R) . This document crosswalks the HIPAA standard R&R
codes to the Medicaid EOB codes.
01/26/04
Remittance
Advice Notice
Your current RA message is as follows:
New 1099 Process
December 14, 2006
Medicaid providers will see a change in the 1099s received for 2006
reporting Medicaid payments. Effective for calendar year 2006 and forward,
ACS will no longer be generating and mailing a separate 1099 for Medicaid
payments. The Department of Administration will be combining all payments
by tax identification number into one 1099 instead of a separate 1099
for each Medicaid provider number. If you have any questions, please
contact Roy Hinman at (406) 444-5932 or Susan Austad (406) 444-4060
at the Department of Public Health and Human Services.
Key
Contacts
Dentist
11/2008
CHIP
08/2002
Claims
08/2002
County Offices
01/2005
Eligibility
05/2006
Passport
07/2006
Policy Information
07/2006
Prior Authorization
03/2007
