Provider News
Stay on top of the latest provider news from Mountain-Pacific including: implementation updates, stakeholder meetings, policy changes and other issues related to services provided to Montana Medicaid members.
- Ordering Genetic Lab Tests from Assurex Health – May 10, 2024
- Prior Authorization Changes to Eyeglasses and Contacts – April 23, 2024
- Negative Pressure Wound Therapy Pumps (E2402) Do Not Require Prior Authorization – April 8, 2024
- Temporary Suspension of Prior Authorization and Continued Stay Review Requirements – April 2, 2024
- Complex Care Add-On Structure – February 8, 2024
- Criteria Update for Gait Trainers – EPSDT Only – January 26, 2024
- Prior Authorization Information – November 8, 2023
- Temporary Suspension of Prior Authorizations and Continued Stay Reviews – October 6, 2023
- Reminder DME Prior Authorization Requirements – October 6, 2023
- Wheelchair and Bariatric Equipment Coverage for Nursing Facility Residents – June 28, 2023
- New Dental Prior Authorization Process Through Qualitrac Portal – June 16, 2023
- New Hearing Aid Review and Approval Process Through Qualitrac Portal – June 2, 2023
- Medicaid Coverage of Abortion Services (Revised) – May 5, 2023
- Non-Adjunctive (Therapeutic) and Adjunctive (Non-Therapeutic) Continuous Glucose Monitors – May 1, 2023
- Medicaid Coverage of Abortion Services – May 1, 2023
- Resumption of Face-to-Face Requirements for Selected Programs (Revised) – April 10, 2023
- Resumption of Prior Authorization Requirements (Revised) – March 22, 2023
- Reinstatement of the Primary Care Provider Referral for Passport – March 22, 2023
- Non-Covered Services Agreement Policy Return to Requirements – March 22, 2023
- Coverage and Reimbursement Policy for Telemedicine/Telehealth Services – March 22, 2023
- End of Public Health Emergency – March 3, 2023
- Omnipod Coverage – January 31, 2023
- Youth Therapeutic Group Home Continued Stay Review Requirements – January 23, 2023
- Resumption of Prior Authorizations and Continued Stay Reviews (Behavioral Health) – May 27, 2022
- Prior Authorization Qualitrac Portal Reissued – May 11, 2022
- Physician Administered Drug Prior Authorization Information (Revised) – May 9, 2022
- Resumption of Prior Authorizations and Continued Stay Reviews for SUD Clinically Managed High-Intensity Residential Treatment (ASAM 3.5) – April 5, 2022
- Applied Behavior Analysis Services State Plan Amendment Approved – January 27, 2022
- Non-Therapeutic CGM Devices – January 3, 2022
- CFC/PAS COVID-19 Reinstatement of Mountain-Pacific Quality Health – December 14, 2021
- Ambulance Appeal Submissions via the Portal – October 7, 2021
- Prior Authorization Criteria for Synagis® – September 23, 2021
- Updated Criteria for ENTYVIO (vedolizumab) – July 30, 2021
- Fetal Chromosomal Aneuploidy Testing – July 20, 2021
- Prior Authorization Required for Lemtrada – July 13, 2021
- Procedure Code 58350, Chromotubation – June 11, 2021
- Process to Enter PASRR Requests through the Qualitrac Portal – May 17, 2021
- Date Spans for Prior Authorization Through the Qualitrac Portal – May 5, 2021
- Durable Medical Equipment (DME) and DME Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Prior Authorizations through the Qualitrac Portal – March 1, 2021
- Psychiatric Residential Treatment Facility Discharge Authorization Process – February 10, 2021
- EPSDT Prior Authorization Requests – December 4, 2020
- Discarded Drugs and Biologicals and the Use of the JW Modifier – October 19, 2020
- HMK-CHIP DMEPOS Claims Administration Change – September 10, 2020
- Physician Administered Drug (PAD) Prior Authorization (PA) Requests (Revised) – August 10, 2020
- Expanded Behavioral Health Services for Adults – July 27, 2020
- Montana Healthcare Programs Notice: Elimination of Prior Authorization and Criteria Requirements for MRI of the Head and CT of the Brain – April 23, 2020
- Provider Notice for Suspension of Prior Authorizations or Continued Stay Reviews and Clinical Requirements for Some Medicaid Programs – April 22, 2020
- Provider Notice for Psychiatric Residential Treatment Facility (PRTF) Prior Authorization Requests – April 6, 2020
- Provider Notice for Prior Authorization and Continued Stay Requirements for SUD and Adult Mental Health – January 17, 2020
- Provider Notice for Children’s Mental Health Continued Stay Review Process – December 30, 2019
- Provider Notice: New Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Review and Approval Process through Qualitrac Portal – November 22, 2019
- Provider Notice for Medicaid Behavioral Health Services – November 14, 2019