37.86.1706    FAMILY PLANNING SERVICES, REIMBURSEMENT

(1) Reimbursement for family planning services is as follows:

(a) for physicians reimbursement is provided in accordance with the methodologies described in ARM 37.85.212 and 37.86.105;

(b) for mid-level practitioners reimbursement is provided in accordance with the methodologies described in ARM 37.85.212 and 37.86.205;

(c) for local family planning programs as defined at ARM 37.19.101 reimbursement is provided in accordance with the methodologies described in ARM 37.85.212, 37.86.105, and 37.86.205.

(2) The procedure billing codes and department fee schedules are available at the department's web site located at

https://medicaidprovider.mt.gov/16#186992922-fee-schedules--family-planning.

History: 53-6-113, MCA; IMP, 53-6-101, 53-6-141, MCA; NEW, 1986 MAR p. 970, Eff. 5/30/86; AMD, 1990 MAR p. 2302, Eff. 12/28/90; AMD, 1991 MAR p. 1037, Eff. 7/1/91; AMD, 1994 MAR p. 313, Eff. 2/11/94; AMD, 1998 MAR p. 676, Eff. 3/13/98; TRANS, from SRS, 2000 MAR p. 481; AMD, 2001 MAR p. 1476, Eff. 8/10/01; AMD, 2001 MAR p. 2156, Eff. 10/26/01; AMD, 2012 MAR p. 757, Eff. 5/1/12.