Provider Connection

Massage Therapy to Gain Licensure in Montana

Beginning July 1, 2010, massage therapists will be licensed by the state of Montana. House Bill 662 will regulate the massage therapy profession. For more information regarding this bill go to http://data.opi.mt.gov/bills/2009/billpdf/HB0662.pdf.

All massage therapists will need to apply for an NPI  (National Provider Identification) number and taxonomy.

Massage therapy services and all physical medicine services must be prescribed by the injured employee’s treating physician. Pre-authorization is strongly recommended prior to initiating services for an injured employee. Helpful hints to prevent denials for massage therapy:

  1. Obtain pre-authorization from the claim examiner assigned to the claim.
  2. Services must be billed on a CMS 1500 form.
    1. Field24: ID Qualifier – ‘blank’ and preprinted ‘NPI’ space. Blank space should be populated with ZZ for taxonomy code list in 24J.
    2. Field24J: Rendering Provider ID # – If blank 24I is populated with ZZ, enter 10-character taxonomy code without spaces in the second box. The taxonomy code for massage therapy is 225700000x.
  3. Codes that may be billed for massage therapy:
    1. 97124: Massage – including effleurage, petrissage and/or tapotement (stroking compression percussion) each 15 minutes (each 15 minutes – 1 unit). No more than three 15-minute units in one day can be billed without prior authorization. Time must be documented in the note.
    2. 97010: Application of modality to one or more areas hot/cold packs.
  4. Documentation must be submitted to support the services billed. Please include the following in your documentation:
    1. Part(s) of body treated. The services rendered must be related to the injury of record in order to be compensable by MSF. Pre-authorization  does not guarantee payment if treatment is not related to the injury. If you are unsure of what the injury/part of body is, contact the claim examiner.
    2. The injured employee’s response to treatment (improvement, worsening, etc.).
    3. A plan of care, if applicable
    4. Total time spent treating the injured employee.
    5. Your signature for each date of service. Each date of service must stand on its own to support payment.
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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
Email customer.care@risingms.com

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
406-495-5362

Justin Kennedy
Nurse Manager
406-495-5417

Shannon Hadley
Provider Relations Specialist
406-495-5245

Kym Vonada
Medical Auditor
406-495-5389

Annalyn Stewart
Medical Payment Auditor
406-495-5367

Sheryl Semans
Pharmacy Liaison
406-495-5010

Susan Bomar
Medical Payment Auditor
406-495-5271

Cindy Gallus
Medical Customer Service Liaison
406-495-5189

Sherri Sprenger
Medical Customer Service Liaison
406-495-5420

Shannon Mergenthaler
Medical Customer Service Liaison
406-495-5185

Maggie Pentecost
Medical Customer Service Liaison
406-495-5322

Jamie Statton
Medical Customer Service Liaison
406-495-5386

Website Information

Montana State Fund montanastatefund.com

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)