Administrative
Rules of Montana (ARM)
Administrative rules that apply to Montana Medicaid and other programs
Centers for Medicare
and Medicaid Services (CMS)
CMS web site - formerly HCFA
CMS
–Montana Medicaid Plan
Montana specific information
CMS
– Correct Coding Initiative
Correct Coding Initiative Edits
Code
of Federal Regulations (CFR)
Federal rules regarding Medicaid and other programs
Designated Standards
Maintenance Organization
HIPAA information
EDI Gateway
From the EDI Gateway page, providers can get information on submitting
electronic claims to Montana Medicaid
Healthy Montana
Kids (HMK)
For information on the Healthy Montana Kids health coverage plan, visit
this site.
Medicaid
Mental Health and Public Mental Health Services
AMDD web site with links to Mental Health Services Plan and Medicaid
Mental Health information
Montana
Code Annotated (MCA)
State rules governing Medicaid and other programs
National Council for
Prescription Drugs Program
National standards for pharmacy providers
National Guideline
Clearinghouse
The National Guideline Clearinghouse™ (NGC), a public resource
for evidence-based clinical practice guidelines.
Senior and Long-Term
Care
Senior and Long-Term Care Division's website
The
State Medicaid Manual
The CMS manual used by CMS program components, partners, contractors,
and State Survey Agencies.
Washington Publishing
Company
Publishes HIPAA Implementation Guidelines
Workgroup
for Electronic Data Interchange
HIPAA information
Xerox
Pharmacy Benefits Management
Prescription Benefits Management program for pharmacies
Xerox
State Healthcare, LLC (formerly ACS State Healthcare, LLC)
Xerox is under contract with the state of Montana to process Medicaid
claims. This is a link to the Xerox healthcare website.