• 01/2013 January 2013 Schools PDF
  01/2013 January 2013 Schools Excel
• 09/2012 October 2012 Schools PDF
  09/2012 October 2012 Schools Excel
• 07/2012 July 2012 Schools PDF
  07/2012 July 2012 Schools Excel
• 09/2011 October 2011 Schools PDF
  09/2011 October 2011 Schools Excel
• 07/2011 July 2011 Schools PDF
  07/2011 July 2011 Schools Excel
• 04/2011 April 2011 Schools PDF (08/02/2011)
  04/2011 April 2011 Schools Excel (08/02/2011)
• 01/2011 January 2011 Schools PDF (08/02/2011)
  01/2011 January 2011 Schools Excel (08/02/2011)
• 07/2010 July 2010 Schools PDF (08/02/2011)
  07/2010 July 2010 Schools Excel (08/02/2011)
• 10/2009 October 2009 Schools PDF (02/2010)
  10/2009 October 2009 Schools Excel (02/2010)
• 07/2009 July 2009 Schools PDF (08/24/2009)
  07/2009 July 2009 Schools Excel (08/24/2009)
• 04/2009 April 2009 Schools PDF (08/24/2009)
  04/2009 April 2009 Schools Excel (08/24/2009)
• 10/2008 October 2008 Schools PDF (05/05/2008)
  10/2008 October 2008 Schools Excel (05/05/2008)
• 07/2008 July 2008 Schools (07/29/2008)
  07/2008 July 2008 Schools Excel (07/29/2008)
• 10/2007 October 2007 Schools PDF
  10/2007 October 2007 Schools Excel
• 10/2006 October 2006 Schools PDF
  10/2006 October 2006 Schools Excel
• 07/2006 July 2006 Schools PDF
  07/2006 July 2006 Schools Excel
• 01/2006 January 2006 Schools PDF
  01/2006 January 2006 Schools Excel
• 10/2005 October 2005 Schools PDF
  10/2005 October 2005 Schools Excel
• 07/2005 July 2005 Schools PDF
  07/2005 July 2005 Schools Excel
• 01/2005 January 2005 Schools PDF
  01/2005 January 2005 Schools Excel
• 07/2004 July 2004 Schools PDF
  07/2004 July 2004 Schools Excel
• 07/2003 July 2003 Schools PDF
  07/2003 July 2003 Schools Excel
• 01/2003 January 2003 Schools PDF
  01/2003 January 2003 Schools Excel

• 01/2013 January 2013 72-Hour Preseumptive Eligibility for Crisis Stabilization for Individuals 18 Years of Age and Older
• 08/2012 July 2012 72-Hour Presumptive Eligibility for Crisis Stabilization for Individuals 18 Years of Age and Older

Clients Over 18 – Mental Health

• 01/18/2013 January 2013 Medicaid Mental Health for Clients 18 Years of Age and Older
• 08/03/2012 July 2012 Medicaid Mental Health for Individuals 18 Years of Age and Older

Clients Over 18 – MHSP

• 01/18/2013 January 2013 MHSP for Clients 18 Years of Age and Older
• 08/03/2012 July 2012 MHSP for Individuals 18 Years of Age and Older

Clients Under 18

• 08/03/2012 July 2012 Medicaid Mental Health and MHSP Services for Clients under 18 Years of Age
• 09/01/2011 September 2011 Medicaid Mental Health and MHSP Services for Clients under 18 Years of Age
• 08/01/2010 July 2010 Medicaid Mental Health and MHSP Services for Clients under 18 Years of Age

2013

• 05/28/2013 DPHHS to Discontinue Temporary Hotline Number
• 04/22/2013 Blanket Denials for Direct Care School Services No Longer Needed
• 02/19/2013 Montana Medicaid HIPAA Operating Rules Upgrade

2012

• 12/26/2012 Medicaid/HMK Plus Toll-Free Number
• 10/02/2012 New FMAP Rate Reflects Changes to Reimbursement on the Fee Schedule
• 08/22/2012 Deleted ICD-9-CM-Codes
• 02/07/2012 Comprehensive School and Community Treatment (CSCT) Program Changes
• 01/06/2012 Psychiatric Residential Treatment Facility (PRTF) Prior Authorization Start Date Must Match Admission Date

2011

• 11/07/2011 Provider Information on HIPAA 5010 837 Health Care Claim Transactions
• 09/09/2011 HIPAA 5010/OCR Qualifier Changes Effective January 1, 2012
• 09/07/2011 Payment Error Rate Measurement (PERM)
• 08/25/2011 CSCT Team Number on 5010 Electronic Claim (837P) Transactions (Effective 01/01/2012)
• 07/22/2011 School-Based Service Rate Changes
• 07/18/2011 Reimbursement Changes for Covered Ancillary Services Provided to Youth in a PRTF and Additional Ancillary Services Are Covered
• 07/18/2011 Prior Authorization Requirements Discontinued for Targeted Case Management (TCM) and Outpatient Therapy Concurrent with Comprehensive School Community Treatment (CSCT)
• 06/27/2011 HIPAA 5010/OCR Qualifier Changes Effective January 1, 2012
• 04/12/2011 Request: Claims Submission, Date of Payment by June 30, 2011

2010

• 11/17/2010 Free Care and CSCT
• 10/05/2010 Changes to NCCI Edits
• 07/28/2010 Provider Record Update Procedures
• 06/23/2010 Cost Sharing Exemption under ARRA
• 06/23/2010 Resource Based Relative Value Scale (RBRVS) Information
• 06/22/2010 Electronic Health Records Link
• 02/09/2010 United States 2010 Census

2009

• 10/01/2009 Healthy Montana Kids Plan
• 05/07/2009 FMAP Adjustment for School-Based Services Including Comprehensive School and Community Treatment (CSCT) Program
• 03/16/2009 Timely Filing for Medicare Crossovers
• 02/12/2009 Reimbursement Change for Psychiatric Residential Treatment Facilities and How It Affects Other Montana Medicaid Providers

2008

• 10/20/2008 Changes in Transplant Coverage (10/27/2008)
• 08/12/2008 Federal Government May Request Medical Records (09/18/08)
• 07/24/2008 New FMAP Rate Reflects Changes to Reimbursement on the Fee Schedule
• 07/24/2008 Medicaid Administrative Claiming (MAC) Program Extended
• 07/10/2008 Multiple Conversion Factors for RBRVS Providers
• 07/08/2008 Adjustment for Claims Using Multiple Conversion Factors
• 05/29/2008 When to Submit an NDC (National Drug Code) If You Are Billing as a 340B Provider
• 05/22/2008 Frequently Asked Questions About NPI Reenrollment and Billing (06/17/2008)
• 03/17/2008 Resubmission of Denied Claims (03/19/2008)
• 03/10/2008 NPI Reenrollment and Billing
• 03/03/2008 Passport Requirement Removed From School-Based Services (03/18/2008)
• 03/03/2008 Place of Service Change for CSCT Services
• 02/14/2008 Elimination of Medicaid Administrative Claiming (MAC)
• 01/29/2008 Enhanced Claims Editing – Medicare Correct Coding Initiative Edits (CCI)
• 01/18/2008 Possible Duplicate Claims Processed Through Electronic Data Interchange

2007

• 12/17/2007 Enhanced Claims Editing – Assistant/Team/Co-Surgeon
• 12/17/2007 Enhanced Claims Editing – Multiple Evaluation and Management Services Provided on the Same Day
• 12/03/2007 NPI Requirement for Fee-for-Service Healthcare Provider Claims
• 11/27/2007 Cost Share Changes
• 11/13/2007 New Rates
• 11/01/2007 Enhanced Claims Editing – Add-On Codes
• 11/01/2007 Enhanced Claims Editing – New Visit Evaluation and Management Codes
• 11/01/2007 Enhanced Claims Editing – Bloodhound ClaimsGuard®
• 09/17/2007 Montana Healthcare Schools Reenrollment and Billing CSCT (05/05/2008)
• 08/01/2007 Elimination of ESOR
• 06/25/2007 NPI on the Web Portal
• 06/11/2007 Ownership and Control Information Required for Reenrollment
• 06/06/2007 NPI Contingency Plan Implemented, Reenrollment Extended
• 05/31/2007 New CMS-1500 to Be Required Beginning July 2, 2007
• 05/01/2007 Future FMAP Rate Reflects Changes to Reimbursement on the Fee Schedule
• 04/20/2007 Montana Healthcare Schools Reenrollment With Managing Employee Social Security Number and Date of Birth
• 02/23/2007 New FMAP Rate Reflects Changes to Reimbursement on the Fee Schedule
• 01/01/2007 Federal Medical Assistance Percentage (FMAP) Change

2000-2006

• 10/31/2006 New Permission to Bill Medicaid Form
• 07/28/2006 Third-Party Insurance Must Be Billed Prior to Billing Medicaid
• 08/31/2005 Federal Medical Assistance Percentage (FMAP) Change
• 07/28/2005 Scales – Congestive Heart Failure
• 04/04/2005 Pricing Logic Changes for Professional (CMS-1500) Claims
• 02/04/2005 Introduction to Preferred Drug List
• 08/31/2004 CSCT Services Audit and Program Requirements
• 07/29/2004 New Fee Schedule Reflects Reimbursement Changes
• 06/10/2004 Team Care Program – A New Component of the Passport to Health Program
• 02/25/2004 Billing for CSCT Services
• 10/12/2003 CSCT Changes
• 10/01/2003 Manual Replacement Pages with Billing Correction
• 08/29/2003 Passport to Health Implementation in Prairie County
• 08/29/2003 DMEOPS Advisory Workgroup Openings
• 08/20/2003 Submitting HIPAA Compliant Claims – Information for All Providers
• 05/05/2003 CSCT Program Reinstated
• 04/14/2003 New Services
• 01/10/2003 New Provider Notification Procedure and Medicaid Changes
• 01/10/2003 Therapy Service Limits
• 12/12/2001 School-Based Services Third Party Billing

General Information for Providers

• 04/13/2012 Medicaid Covered Services and Client Eligibility
• 04/29/2005 Member Number a Billable Number and Key Contacts Updated
• 11/05/2004 References to Medicaid Rules/Regulations Added
• 09/16/2004 Team Care and Nurse First Information Added

School-Based Services

• 04/27/2012 Covered Services
• 06/09/2011 Covered Services
• 09/16/2008 Key Contacts, Covered Services, Billing Procedures, and Claim Instructions
• 02/14/2007 Revised Physician Order Information, New Private Duty Nursing Request Form
• 04/25/2006 Coordination of Benefits Information
• 01/17/2006 Documentation Requirements, Restricted CSCT Services, Private-Duty Nursing Review Requirements, and School-Based Services Codes
• 10/06/2005 Covered Services and Billing Information for CSCT and Therapy
• 05/12/2005 Key Contacts and Place of Service
• 04/11/2005 Key Contacts
• 08/30/2004 Audiology Services Defined
• 04/26/2004 Key Contacts and Websites, Covered Services, COB, Billing Procedures, Claim Forms, RAs and Adjustments, Forms and Definitions
• 01/14/2004 Covered Services Error Correction
• 12/23/2003 CSCT Changes

• Coordination and Financial Officer Training Summer 2011 (06/2011)
• Financial Data Report Q305 (08/2005)
  For July to September quarter, due by November 1, 2005
• Financial Data Report Q405 (08/2005)
  For October to December quarter, due by February 1, 2006
• Participant List Q405 (08/2005)
  For October to December quarter, due by September 1, 2005
• MAC Agreement Memorandum of Understanding (12/2005)
  This is the agreement that needs to be signed by the district representative and the state Medicaid Administrator in order for your district to participate in the Medicaid Administrative Claiming Program.
• Participant Training Quiz (09/2005)
  This quiz can be used at the end of your training session to help participants code activities. It can be used individually or as a group discussion. This paper can also serve as your documentation of training to keep in your audit file.
• Answers to Training Quiz (09/2005)
  For the coordinator. Answers to Time Study Participant Quiz.
• MAC Coordinators' Guide (10/2004)
  This guide provides a program overview for the person responsible for overseeing the implementation of the MAC program in the district or cooperative. It details how to prepare the participant listing, training time study participants, and managing the time study observation forms.
• MAC Financial Data Guide (09/2004)
  This guide details the requirements for the financial data report necessary for submitting district expenditures in support of Medicaid services.
• MAC Time Study Guide (09/2004)
  This guide provides time study participants information and guidelines on how to complete the Random Moment Sample Time Study Observation forms. It gives details and examples of the activity codes.
• MAC Activity Code Reference Guide (12/2004)
  This guide gives a detailed description of each activity code and provides examples of when the code should be used. Coordinators will find this useful when checking over the observation forms.
• Definition of Activity Codes (12/2004)
  This one-page definition of the activity codes should be copied onto the back of every Random Moment Observation form. It gives examples of when to use each activity code.
• MAC Time Study Training Slide Show (09/2005)
  This PowerPoint presentation is designed to train the staff who will be participating in the RMS Time Study. If you do not have Microsoft PowerPoint, you can download Power Point viewer.

• CSCT PowerPoint Presentation (11/2007)
  This PowerPoint slide show covers the CSCT program including history, requirements, and how to document and bill Medicaid. If you do not have Microsoft PowerPoint, you can download PowerPoint viewer.
• CSCT Contract Boilerplate (09/2005)
  Boilerplate language that may be used and modified to specify the requirements appropriate for the school and CSCT provider.
• CSCT Audit Checklist (08/2005)
  A checklist to ensure school districts and cooperatives are in compliance with CSCT requirements.

Conference Calls and Q&A

• CSCT Frequently Asked Questions (11/2007)
• CSCT Conference Call Q & A (11/2004)
  Questions and answers from the CSCT conference call regarding CSCT worksheets.
• CSCT Conference Call Summary (11/2004)
  Intent of conference call was to clarify purpose of the worksheets schools received from DPHHS to use for 1) certification of match and 2) to assist the Department in establishing an annual rate for CSCT services and to give an overview of how to complete the forms.
• CSCT Summer Program (05/2004) (Updated 06/08/2004)
  Questions and answers regarding the CSCT summer program.
• CSCT November Meeting Q & A (02/2004)
  Questions and answers from the CSCT meeting held November 18, 2003.

Minutes from CSCT Work Group Committee

• April 20, 2005 Meeting Minutes (07/2005)
• March 10, 2005 Meeting Minutes (07/2005)
• February 23, 2005 Meeting Minutes (03/2005)
• January 31, Meeting Minutes (02/2005)
• December 20, 2004 Meeting Minutes (02/2005)
• November 17, 2004 Meeting Minutes (12/2004)
• October 19, 2004 Meeting Minutes (11/2004)

• EOB R&R Crosswalk in PDF Format and
  EOB R&R Crosswalk in Excel Format (02/2011)
  With the implementation of HIPAA, Medicaid discontinued the use of Medicaid EOB codes and began using HIPAA standard reason and remark (R&R) codes. This document crosswalks the HIPAA standard R&R codes to the Medicaid EOB codes.
• METNET Q & A (10/2005)
  Questions and answers from the September 28, 2005, METNET training.
• Self Audit Policy and Procedure (04/2009)
• TPL Insurance Carrier ID List by Carrier ID and
  TPL Insurance Carrier ID List by Name (05/2012)

• School-Based Services (03/2009)
• Claims (03/2012)
• Client Eligibility (04/2012)
• HMK/CHIP (12/2010)
• Passport (03/2012)
• Policy Information (03/2012)
• Prior Authorization (03/2012)
• Public Assistance Offices (03/2012)