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For claims questions or additional information, contact Montana Provider Relations at (800) 624-3958 or (406) 442-1837 or email Montana Provider Relations Helpdesk. Visit the Montana Healthcare Programs Provider Information website to access your provider type page. Choose Resources by Provider Type in the left-hand menu.
Claim Instructions. New Provider Services Portal for Enrollment, Maintenance and Claims Entry available 12/13/2021. Montana Healthcare Programs is excited to introduce a new Provider Services Module. Beginning December 13, 2021, you will notice a change to the online enrollment links.
Montana Healthcare Programs Provider Enrollment. Individual Providers. Montana Medicaid has three enrollment types for individual providers: Sole Proprietor Provider. Rendering Provider. Ordering/Referring/Prescribing Provider. These enrollment types have different functions and requirements.
The Contact Us section provides direct contact information for providers to receive support to participate in the Montana Healthcare Programs.
What To Do When Your Search Term Returns Too Many Results. Often general searches on this site will return many pages of results. To narrow a search, adding what is called a “search operator” will help to get more specific results more quickly. On the Medicaid Provider as well as the DPHHS website, these terms may be used on the site ...
Everything a provider needs to know to be a successful Passport provider. Medicaid Rules and Regulations. Passport Forms. Providers who wish to become a Passport provider should complete this agreement to enroll in the program.
Request a provider or pharmacy change for a member. Team Care Referral Form 10/2024 Providers may use this form when referring a member to the Team Care Program.
Select Your Provider Type. Provider types are listed in alphabetical order. Available resources include fee schedules, provider notices, provider manuals, and more.
In order to comply with the Patient Protection and Affordable Care Act, Section 6401 (a) and 42 CFR 455.414, Montana Healthcare Programs now requires all actively enrolled providers and suppliers to revalidate the enrollment information on file every three to five years, depending on provider type. Currently the Montana Department of Public ...
This user guide is designed to be a step-by-step document to guide Montana Healthcare Program providers through the use of the secure, online Montana Provider Portal. This guide includes information about registering for a portal account, claim submission, and general website navigation. Table of Contents. Help for Users of the Montana Provider ...