Montana Medicaid MNT coverage: codes, limits and referrals
The short answerMontana Healthcare Programs covers nutrition services for members age 20 and under, from a licensed or registered nutritionist or dietitian, billed in 15-minute units. The July 1, 2025 fee schedule lists 97802 $31.05, 97803 $27.10, G0270 $27.10 and G0271 $14.40. Nutrition services generally need no prior authorization.
By Javier Alvarez · Updated · 1 min read
1 row: Medicaid (by state) · Montana. Public policy, not the member's benefits.
Montana Medicaid
Medicaid (Nutrition Manual, EPSDT) · Montana
| 97802 | Listed ($31.05 per unit (7/1/2025).) [1] |
|---|---|
| 97803 | Listed ($27.10 per unit (7/1/2025).) [1] |
| G0270 | Listed ($27.10 per unit (7/1/2025).) [1] |
| G0271 | Listed ($14.40 per unit (7/1/2025).) [1] |
| Where it applies | Members ages 20 and under (EPSDT). Eligible children may receive any medically necessary covered service. [2] |
| Diagnoses | Not published: call the payer. |
| Other codes | 97804 $14.40 (7/1/2025). G0108 $46.27 and G0109 $13.27 are on the same Nutrition (EPSDT) fee schedule. [1] |
| Telehealth POS | Not published: call the payer. |
| Telehealth modifier | Not published: call the payer. |
| Visit limits | Reimbursed in 15-minute units. The manual states no visit or unit cap. [2] |
| Referral and prior auth | Children with nutritional problems may be referred to a licensed nutritionist or dietician. Passport to Health and prior authorization requirements apply where applicable; nutrition services generally do not require prior authorization, but check the current fee schedule. [2] |
| Who can bill | A provider of nutrition services must be a licensed or registered nutritionist or dietitian. [2] |
| Payment | Fee schedule effective July 1, 2025: 97802 $31.05; 97803 $27.10; 97804 $14.40; G0270 $27.10; G0271 $14.40. [1] |
- Montana Healthcare Programs: Fee Schedule, Nutrition (EPSDT) Services (July 1, 2025), checked October 30, 2026
- Montana Healthcare Programs: Nutrition Manual (update log last entry 01/01/2020), checked October 30, 2026
Check a Medicaid claim against the row
Before a Montana Medicaid claim goes out, compare it with the row above: the code is one the policy lists, the place of service and modifier match for a video visit, and the units fit the limit. Change the filters to compare Medicaid with another payer, then download the PDF of what you see.