The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Montana other services schedule has 726 codes.
- Every code on all 51 published schedules
- Full-schedule CSV export
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Published codes
726
Other Services procedures on the 2026 schedule
Median % of Medicare
100%
vs national Medicare, GPCI-neutral
PA required
66
+2 conditional or varies
Common other services procedures and what Montana Medicaid pays
A curated sample of recognizable procedures from the 726-code schedule. Rates are the state's published fee-for-service amounts; the percentage compares each rate with the national Medicare amount for the same code.
| Code | Procedure | Montana rate | % of Medicare |
|---|---|---|---|
| S5125 | Attendant care services; per 15 minutes | $9.19 | -- |
| T1019 | Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | $9.23 | -- |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * show the schedule's representative published variant.
More Montana Medicaid fee schedules
- Montana physician fee schedule · 7,001 codes
- Montana lab & imaging fee schedule · 2,711 codes
- Montana dme & supplies fee schedule · 1,843 codes
- Montana drugs fee schedule · 895 codes
- Montana anesthesia fee schedule · 275 codes
- Montana vision fee schedule · 145 codes
Other Services rates in neighboring states
Frequently asked questions
What does Montana Medicaid pay for other covered services?
Montana Medicaid publishes 726 other services procedure rates effective 2026, paying a median 100% of the national Medicare amount for the same services. The schedule covers clinic encounters, screenings, and state-specific service codes. The table on this page shows published rates for common procedures; the complete all-codes schedule is available as a CSV download with a ProviderSignal Rates subscription.
How do Montana's other services rates compare with Medicare?
Across other services codes with a national Medicare comparator, Montana Medicaid pays a median 100% of the Medicare amount (GPCI-neutral national comparison). Individual codes vary widely, so check the per-code percentage in the table.
Do other services services need prior authorization in Montana?
Montana publishes prior-authorization flags on its schedule: 66 other services codes are marked as always requiring PA. Codes without a flag carry no published PA indicator.
Where do these rates come from?
Directly from Montana's published Medicaid fee-for-service schedule (effective 2026), collected and normalized by ProviderSignal across all 50 states + DC. Rates are re-collected on a rolling schedule and this page updates automatically. Procedure descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.
Get an email the next time Montana changes these rates.