Provider Connection

MSF Reimbursement for Vocational Rehabilitation Services

DividendMontana State Fund has received numerous inquiries regarding reimbursement for vocational rehabilitation services since the ICD-10 conversion which occurred on October 1, 2015.  In order to assist you in getting paid in a timely manner, please review the following recommendations:

  • Continue to utilize the CMS 1500 form to bill for your services and use the codes set forth your contract with MSF
  • You do not need to bill with a diagnosis code in Box 21.   However, if you do use a diagnosis code, you must use T14.90 for all dates of service on or after October 1, 2015.  If you are billing for dates of service prior to 10/1/15, the diagnosis code to use is 959.9; but again, you do not need to use a diagnosis code.
  • Please ensure all supporting documentation is provided when billing Montana State Fund for services.

In addition, ACS has staff solely dedicated to providers for bill review questions and payment inquiries regarding MSF reimbursements.  The phone number is 888-208-2116 and the email address is

Representatives  from MSF are also here to assist you. Please don’t hesitate to reach out to us at 406-495-5011 if needed.

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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)