Full Medical Service Fee Schedule Update Effective June 1, 2020

Jan. 14, 2020

The Blue Cross and Blue Shield of Montana (BCBSMT) medical service fee schedules are on a biennial update. The next full medical service fee schedules' update will be effective June 1, 2020 for all reimbursement schedules, excluding Infusion Therapy codes, which will be updated by September 1, 2020.

This change from annual to biennial update is to improve predictability and streamline administrative processes for our provider network. Any interim compensation updates will be published on the BCBSMT Secure Provider Portal with a 60-day advance notification to providers.

BCBSMT compensation policies and fee schedules are published on the BCBSMT Secure Provider Portal. Updated compensation policies will be updated on the Secure Provider Portal no later than April 1, 2020:

  • Codes with No Other Standard BCBSMT Compensation Methodology Policy
  • Hospital Outpatient Diagnostic Lab, Machine Test, and Radiology Compensation Policy
  • Professional Provider and Hospital Outpatient DX&L Compensation Update Policy
  • RBRVS Compensation Policy
  • Website Publication Policy

Please check News & Updates and subscribe to the bi-weekly provider enews for important policy and pricing updates.