Ambulatory Surgical Center
Provider Manuals (Updated April 25, 2006)
Medicaid Rules/Regulations (Updated May 9, 2006)
Fee Schedules (Updated January 7, 2008)
Notices and Replacement Pages (Updated August
12, 2008)
Other Resources (Updated January 2, 2008)
Remittance Advice Notice
Key Contacts (Updated March 1, 2007)
Provider
Manuals
General Information
For Providers
Medicaid billing manual with general information for all provider types.
04/2005
Ambulatory Surgical Center
Services
This manual has billing instructions specific to your provider type.
06/2003
Passport
to Health Provider Handbook
Everything providers need to know to become a successful Passport provider.
09/2005
Medicaid
Rules/Regulations
Administrative
Rules of Montana (ARM)
Montana
Code Annotated (MCA)
Code
of Federal Regulations (CFR)
Fee
Schedules
Current Fee Schedule
in PDF Format
01/2008
Current
Fee Schedule in Excel Format
01/2008
Notices
and Replacement Pages
08/12/08
Federal
Government May Request Medical Records
07/22/08
Billing
Procedures Regarding Electronic Claims (837P and 837I)
05/29/08
When to Submit
an NDC (National Drug Code) If You Are Billing as a 340B Provider
05/22/08
Frequently
Asked Questions About NPI Reenrollment and Billing -
Updated June 17!
04/09/08
Billing
Procedures Regarding National Drug Code (NDC) for Providers Using the
CMS-1500 and 837-P
03/17/08
Resubmission
of Denied Claims - Updated March 19!
03/11/08
Billing
Procedures Regarding National Drug Code (NDC) -
Updated April 2!
03/10/08
NPI Reenrollment
and Billing
02/20/08
Changes to Prior
Authorization for Circumcision - Updated
August 5!
02/19/08
New HCPCS/CPT
Codes
02/04/08
Duplicate
Issue
01/18/08
Possible
Duplicate Claims Processed Through Electronic Data Interchange
12/26/07
WINASAP Upgrade
Required for NDC Data Collection
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
12/03/07
NDC Requirement
on All Physician-Administered Drugs - Updated
January 17!
12/03/07
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®
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
03/08/07
New and Deleted Codes
12/08/06
Changes to ASC Payment
Rates
02/10/06
New and Deleted Codes
07/28/05
Scales - Congestive
Heart Failure
04/29/05
General Manual
Replacement Page - Member Number a Billable Number and Key Contacts
Updated
03/01/05
Hysterectomy Acknowledgement
Update
02/04/05
Introduction to
Preferred Drug List
02/01/05
New and Deleted Codes
and New Botox Criteria
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
06/10/04
Team Care Program
- A New Component of the Passport to Health Program
06/01/04
Important Reminder
Regarding Sterilizations, Hysterectomies and Abortions
02/01/04
New and Deleted
Codes
12/01/03
Expanded Botox Criteria
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
06/01/03
Discontinued Services
and Services That Now Require Prior Authorization
05/12/03
Provider Rate and Payment Update
04/30/03
Gastric Bypass Surgeries
and Circumcisions
03/01/03
Pharmacy Prior Authorizaton
and Refill Changes
03/01/03
New and Deleted HCPCS/CPT
Codes
01/29/03
Prescription Drug
Update
01/15/03
Dental Program Changes
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
2.6% Reduction
06/20/02
Passport to Health
24-Hour Availability
02/14/02
Weekly Payment
Available
10/17/01
Dental Implants
Other
Resources
2008 Medicaid
Payment Schedule
Medicaid claims payment schedule for 2008
01/2008
Self
Audit Policy and Procedure
06/2007
Current ATP Fees
2004-2005 ATP tests and fee schedule
01/2005
Carrier ID List
TPL insurance carriers listed by carrier ID
06/2007
Carrier ID
List
TPL insurance carriers listed by name
06/2007
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
ASC
08/2002
CHIP
08/2002
Claims
08/2002
County Offices
01/2005
Eligibility
05/2006
Passport
07/2006
Policy Information
07/2006
Prior Authorization
03/2007
