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Provider Guide Frequently Asked Questions

Click the letter that corresponds with the first letter of the Provider Guide that you are looking for. For example, if you want to download the Prescription Drug Program Provider Guide, click on the "P."

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Changes this Quarter?​ ​Provider Guide
no Access to Baby and Child Dentistry (ABCD)
​no Acute Physical Medicine & Rehabilitation (Acute PM&R)
​yes Ambulance and Involuntary Treatment Act (ITA) Transportation
no Ambulatory Surgery Centers
Blood Bank Services (Discontinued 4/1/2013)
​no Chemical Dependency
​no Chemical-Using Pregnant (CUP) Women Program
​no Childbirth Education
​no Chiropractic Services for Children
Chronic Pain Management (Discontinued 10/2010)
yes ​Complex Rehabilitation Technology
Dental Program for Clients Age 21 and Older (Discontinued 1/1/2011)
no Dental-Related Services (All Ages)
no​ Diabetes Education Program
​yes Durable Medical Equipment (Other) and Non-CRT Wheelchairs
​yes Early Periodic Screening, Diagnosis & Treatment (EPSDT) Program
no Enteral Nutrition
​yes Family Planning
yes Federally Qualified Health Centers
​yes Habilitative Services
no Hearing Hardware for Clients 20 Years of Age and Younger
​no HIV/AIDS Case Management, Title XIX (Medicaid)
​yes Home Health Services (Acute Care Services)
​no Home Infusion Therapy/Parenteral Nutrition Program
​yes Hospice Services
​no Hospital-Based Inpatient Detoxification
​yes Inpatient Hospital Services
Interpreter Services (Note: Billing Instructions not available, under contract now.)
yes​ Kidney Center Services
no Long Term Acute Care
​no Maternity Support Services/Infant Case Management
​no Medical Nutrition Therapy
​yes Mental Health Services
Mental Health Services for Children (Discontinued 7/1/2012)
See PN 12-45 and New Mental Health Services for Children Psychiatric and Psychological Services
(Discontinued 1/1/2014)
Mental Health Services for Children, Psychiatric and Psychological Services (Discontinued 1/1/2014)
See Mental Health Services
yes​ Neurodevelopmental Centers
​yes Nondurable Medical Supplies & Equipment (MSE)
yes​ Nursing Facilities
Occupational Therapy Program (Discontinued 4/1/2011)
See #Memo 11-12 and New Outpatient Rehabilitation
no Orthodontic Services
​yes Outpatient Hospital Services
​yes Outpatient Rehabilitation
Oxygen Program - (Discontinued 8/1/2012)
See PN 12-59 and New Respiratory Care
Physical Therapy Program (Discontinued 4/1/2011)
See #Memo 11-12 and New Outpatient Rehabilitation Billing Instructions
yes Physician-Related Services/Healthcare Professional Services
​yes Planned Home Births and Births in Birthing Centers
​no Prenatal Genetic Counseling
​no Prescription Drug Program
​no Private Duty Nursing For Children
​yes Prosthetic & Orthotic Devices
yes​ ProviderOne Billing and Resource Guide
Psychologist (Discontinued 7/1/2012)
See PN 12-45 and New Mental Health Services for Children Psychiatric and Psychological Services
no​ Respiratory Care
​no Rural Health Clinics
​yes School-Based Healthcare Services For Special Education Students
Speech/Audiology Program (Discontinued 4/1/2011)
For Speech Therapy, see #Memo 11-12 and OP Rehabilitation
For Audiology, see Physician-Related Services
yes​ Sterilization
​no Tribal Health Program
​yes Vision Hardware for Clients 20 Years of Age and Younger