PUBLIC HEALTH AND HUMAN SERVICES
37.85 - general medicaid services
37.85.104
effective dates of provider fee schedules for montana non-medicaid services
37.85.105
effective dates, conversion factors, policy adjusters, and cost-to-charge ratios of montana medicaid provider fee schedules
37.85.105
effective dates, conversion factors, policy adjusters, and cost-to-charge ratios of montana medicaid provider fee schedules
37.85.106
medicaid behavioral health targeted case management fee schedule
37.85.201
selection of provider
37.85.204
member requirements, cost sharing
37.85.205
recipient restriction of access to medical services
37.85.206
services provided
37.85.207
services not provided by the medicaid program
37.85.212
resource based relative value scale (rbrvs) reimbursement for specified provider types
37.85.219
mobile imaging/portable x-ray supplier
37.85.220
independent diagnostic testing facilities
37.85.221
medicaid overpayment auditor evaluation hearings; recovery audit contractor (rac) program
37.85.401
provider participation
37.85.402
provider enrollment and agreements
37.85.403
icd clinical modification (cm) and procedural coding system (pcs) services
37.85.406
billing, reimbursement, claims processing, and payment
37.85.407
third party liability
37.85.410
determination of medical necessity
37.85.411
provider rights
37.85.412
interpretation of rules
37.85.413
limitations on coding advice
37.85.414
maintenance of records and auditing
37.85.415
medical assistance medicaid payment
37.85.416
statistical sampling audits
37.85.501
grounds for sanctioning
37.85.502
sanctions
37.85.505
factors governing imposition of sanction
37.85.506
scope of sanction
37.85.507
notice of sanction
37.85.511
provider education
37.85.512
notice of adverse action
37.85.513
suspension or withholding of payments
37.85.903
physician-administered drugs, definitions
37.85.905
physician-administered drugs, billing requirements
37.85.1101
purpose
37.85.1103
definitions
37.85.1105
eligible provider registration with centers for medicare and medicaid (cms) national level repository (nlr)
37.85.1107
eligible provider and eligible hospital eligibility verification by dphhs
37.85.1109
eligible hospital eligibility verification by dphhs
37.85.1111
registration, attestations, and certification
37.85.1113
reporting requirements in first and subsequent years
37.85.1115
proof of electronic health records certification
37.85.1117
communication with providers
37.85.1119
application for payments by an eligible provider or eligible hospital
37.85.1121
eligible provider incentive payment schedule
37.85.1123
eligible hospital incentive payment calculation
37.85.1125
denials and appeals
