Provider Connection

Legislative Updates

Fee Schedule

A hearing was held December 3, 2010, regarding the Administrative Rules of Montana (ARM) 24.29.1432, 24.29.1533 and 24.29.1538 for proposed changes to the fee schedules. For a status on the proposed changes please contact the Department of Labor and Industry at 406-444-6530.

Utilization and Treatment Guidelines

In 2007, the Montana Legislature authorized DLI, Employment Relations Division (ERD) to establish medical treatment guidelines for use within the Montana workers’ compensation system. A Medical Provider Group (MPG) was formed with the end result being a recommendation to adopt the state of Colorado Medical Treatment Guidelines as the primary treatment guidelines and The American College of Occupational and Environmental Medicine (ACOEM) Guidelines for those procedures not addressed by the Colorado guidelines. A hearing was held October 15, 2010, regarding the adoption of the guidelines, which are slated to become final, effective July 1, 2011. For more information go to the DLI website and under I’m Looking For click on U&T Guidelines.

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Bill Status – 1-866-274-7464

Main Phone Number 406-495-5000 or 800-332-6102

Main Fax  406-495-5020

Medical Team – 406-495-5011

Submit your Claims and/or Correspondence To
Montana State Fund
PO Box 4759
Helena, MT  59604

RMS (Bill Status)
Phone  866-274-7464

For questions about information in this bulletin, call 800-332-6102 and ask for a member of the Medical Team.
For questions about Advanced Nurse Review contact Kym Vonada at 406-495-5389.

Medical Team

Michele Fairclough
Medical Team Leader

Justin Kennedy
Nurse Manager

Shannon Hadley
Provider Relations Specialist

Kym Vonada
Medical Auditor

Annalyn Stewart
Medical Payment Auditor

Sheryl Semans
Pharmacy Liaison

Susan Bomar
Medical Payment Auditor

Cindy Gallus
Medical Customer Service Liaison

Sherri Sprenger
Medical Customer Service Liaison

Shannon Mergenthaler
Medical Customer Service Liaison

Maggie Pentecost
Medical Customer Service Liaison

Jamie Statton
Medical Customer Service Liaison

Website Information

Montana State Fund

Department of LaborDepartment of Labor and Industry (DLI) website.
The website includes the Facility and Non-Facility Fee Schedule information as well as the Administrative Rules of Montana (ARM) and the instruction set for the Non-Facility Fee Schedule. Historical fee schedule information can also be found on this website.

If you have questions regarding the fee schedules call 406-444-6530 and someone will direct you to a DLI representative. For NPI information click here National Plan and Provider Enumeration System (NPPES)