Department of Public Health & Human Services

Addictive & Mental Disorders Division

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Seeking Public Comment Montana Strategic Suicide Prevention Plan

• Contact AMDD
• AMDD Legislature 2007
• Project Descriptions
• Goals & Objectives
• Organizational Chart
• Annual Report 2003
• Co-Occurring Initiative

SERVICES

• Adult Mental Health Services
  
• Children's Mental Health Services
  
• Chemical Dependency Services

FACILITIES

• Montana State Hospital
  
• Montana Chemical Dependency Center
  
• Montana Mental Health Nursing Care Center

MORE INFORMATION

• Commonly Used Acronyms
• Health Education Answers
• Local Advisory Council and Service Area Authority Information
• Mental Health Oversight Advisory Council
  
• Online Resources
  
• Prevention Resource Center
  
• Forms & Applications
  
• Plans & Publications

Chemical Dependency Contract Billing
Instructions and Forms

Ancillary Services Forms

• Ancillary Services "How To" Instructions (MS Word)
• Ancillary Services Billing Form Sample (Excel)
• Frontier Ancillary Billing Correction Form (Excel)
• Frontier Ancillary Billing Form (Excel)
• Frontier Ancillary Billing Supplemental Form (Excel)
• Urban Ancillary Billing Correction Form (Excel)
• Urban Ancillary Billing Form (Excel)
• Urban Ancillary Billing Supplemental Form (Excel)

Community-Based Residential

• CB Residential Billing Form (Excel)
• CB Billing Correction Form (Excel)
• CB Billing Form Sample (Excel)
• Community-Based Residential 'How To' Instructions (MS Word)

Co-Occurring

• Co-Occurring Billing Correction Form (Excel)
• Co-Occurring Billing Form (Excel)
• Co-Occurring Billing Form Sample (Excel)
• Co-Occurring Billing Supplemental Form (Excel)
• Co-Occurring "How To" Instructions (MS Word)

Day Treatment

• Day Treatment Billing Form (Excel)
• Day Treatment 'How To' Instructions (MS Word)
• Day Txt Billing Correction Form (Excel)
• Day Txt Billing Form Sample (Excel)
• Day Txt Billing Supplemental Form (Excel)

Inpatient Residential Forms

• Inpatient Residential Billing Correction Form (Excel)
• Inpatient Residential Billing Form (Excel)
• Inpatient Residential Billing Form Sample (Excel)
• Inpatient Residential Billing Supplemental Form (Excel)
• Inpatient Residential 'How To' Instructions(MS Word)

MTUPP Grant

• MTUPP Grant Correction (Excel)
• MTUPP Grant Form (Excel)

Prevention

• Prevention Services Correction (Excel)
• Prevention Services Form (Excel)

Shelter Care

• Shelter Care Billing Correction Form (Excel)
• Shelter Care Billing Form (Excel)
• Shelter Care Billing Form Sample (Excel)
• Shelter Care 'How To' Instructions (MS Word)

Urban Outpatient & Frontier Outpatient

• Frontier Outpatient Billing Correction Form (Excel)
• Frontier Outpatient Billing Form (Excel)
• Frontier Outpatient Billing Supplemental Form (Excel)
• Outpatient Billing Form Sample (Excel)
• Outpatient 'How To' Instructions (MS Word)
• Urban Outpatient Billing Correction Form (Excel)
• Urban Outpatient Billing Form (Excel)
• Urban Outpatient Billing Supplemental Form (Excel)

If you have any questions or concerns regarding these instructions or billing forms, please contact Danielle Murphy via email or by phone (406) 444-9304.

Page last updated: 12/14/2007