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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. Sole Proprietor Provider
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.
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.
Montana Healthcare Programs (Medicaid, HMK . Plus /Children’s Medicaid, HMK/CHIP) Provider Enrollment Checklist . For your convenience, we are providing a checklist to ensure that your provider enrollment form is completed correctly. The following information must be read, signed, and dated as applicable. All Medicaid-Only Providers. 1.
The Contact Us section provides direct contact information for providers to receive support to participate in the Montana Healthcare Programs.
The General Information for Providers manual provides answers to general Montana Healthcare Programs questions about provider enrollment, member eligibility, and surveillance and utilization review.
Provider Enrollment User Guide Page 5 of 200 Montana Healthcare Programs Table of Contents Montana Program for Automating and Transforming Healthcare ..... 1 1. Overview..... 15 1.1.
Enter your 10-digit National Provider Identifier (NPI) number. If you are a healthcare provider, this is required. If you are a healthcare provider and do not have an NPI, you must obtain one from www.nppes.cms.hhs.gov before you complete your enrollment. If you are an atypical provider, you might not have an NPI.
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.
Providers who wish to become a Passport provider should complete this agreement to enroll in the program. Providers must be an active Montana Healthcare Programs provider and have primary care within their professional scope of practice.