Montana Medicaid says Policy 475 limits TMS for Medicaid members to licensed physicians or psychiatrists and requires semiannual outcome reporting.
Montana Medicaid provider requirements
Montana Healthcare Programs, also known as Montana Medicaid, issued a provider notice titled Transcranial Magnetic Stimulation Provider Requirements and Medical Necessity Criteria. The notice reiterates requirements and medical-necessity criteria for transcranial magnetic stimulation, or TMS, under Policy 475.
According to Montana Healthcare Programs, the notice applies to TMS services provided to Montana Medicaid members. The source describes the document as a provider notice, meaning it addresses requirements for providers delivering this service within the Medicaid program.
Who may provide TMS
Montana Healthcare Programs states that only licensed physicians or psychiatrists may provide TMS to Medicaid members under Policy 475. The provider notice specifically says that mid-level practitioners may not provide TMS to Medicaid members.
The source does not identify a broader set of eligible provider types in the supplied extract. Its stated requirement is limited to licensed physicians or psychiatrists for TMS services involving Montana Medicaid members.
Reporting requirement
Montana Healthcare Programs also says providers must report outcome measures on a semi-annual basis. The source links this reporting requirement to TMS services under Policy 475.
The supplied extract does not list the individual outcome measures that must be reported or describe the reporting process. It does state that semi-annual outcome reporting is part of the reiterated provider requirements and medical-necessity criteria.
Scope of the notice
The Montana Healthcare Programs notice was published on January 21, 2025, according to the source information provided. It reiterates existing TMS provider requirements and medical-necessity criteria under Policy 475 rather than describing a proposed bill or new law.
For Medicaid members seeking TMS, the notice identifies provider qualifications and reporting expectations that apply within Montana Medicaid. The source does not provide details in the supplied extract about appointment availability, coverage decisions in individual cases, or how members should select a provider.
What this means for Montana patients
People looking for TMS locally can use the directory’s 12 published Montana clinics to begin identifying treatment options, while confirming whether a provider meets Montana Medicaid requirements.
This is general information, not medical advice.
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This report is educational and is not medical advice. Coverage, availability and eligibility can change; verify details with the named source or your care team.