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37.85.511    PROVIDER EDUCATION

(1) Except where termination has been imposed, the department may in its discretion direct each provider, who has been sanctioned, to participate in a provider education program as a condition of continued Medicaid participation.

(2) Provider education programs may include any of the following at the discretion of the department:

(a) instruction in claim form completion;

(b) instruction on the use and format of provider manuals;

(c) instruction on the use of procedure codes;

(d) instruction on statutes and regulations governing the Montana Medicaid program;

(e) instruction on reimbursement rates;

(f) instructions on how to inquire about coding or billing problems;

(g) any other matter as determined by the department.

History: 53-6-111, MCA; IMP, 53-6-111, MCA; NEW, 1980 MAR p. 1619, Eff. 6/13/80; TRANS, from SRS, 2000 MAR p. 479.

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