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  • contactus
    The Resources section provides information for providers to support the implementation of services reimbursed through the Montana Healthcare Programs The tabs below are intended to provide access to information that will assist in the understanding and support implementation of services to Montana Healthcare Programs members
  • Welcome to the Montana Healthcare Programs
    Medicaid Enrollment for Ordering, Referring, and Prescribing (ORP) Providers, Attending Providers April 1, 2026 Federal regulation 42 CFR 455 410 requires all providers who order, refer, or prescribe (ORP) services for Montana Healthcare Programs members to be enrolled with Montana Healthcare Programs
  • Montana Medicaid Provider
    For more information on Medicaid Provider Requirements, refer to the Provider Requirements chapter of the General Information for Providers Manual Thank you for your interest in becoming a Montana Healthcare Programs provider
  • Health Resources Division Claims Appeal Process - Montana
    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
  • Montana Medicaid Provider
    Eligibility Fraud and Abuse MATH Web Portal, FaxBack, and IVR Medicaid Policy Passport Payment-Related Prior Authorization
  • member change form - Montana
    1 Write the name, Medicaid HMK Plus ID number, and date of birth for each member you are enrolling Look at your Medicaid HMK Plus card to find each member’s number Choose a Passport provider for each member 2 Write your name, telephone number or message telephone number and sign and date the form The member MUST authorize the change
  • Montana Medicaid Provider
    Montana Medicaid does not reimburse for convenience, off label or experimental use of drugs, per Administrative Rules of Montana (ARM) 37 85 207 In general, drugs billed with unlisted codes require prior authorization from the State
  • Montana Medicaid Provider
    General Information for Providers Medicaid manual with general information for all provider types Big Sky Waiver This link brings you to Manuals and Guides on the Department website
  • Paperwork Attachment Cover Sheet - Montana
    Instructions This form is used as a cover sheet for attachments to electronic and paper Montana Healthcare Programs (Medicaid, Healthy Montana Kids, Mental Health Services Plan, and Indian Health Service) claims sent to the address below
  • Healthy Montana Kids Overview
    How to Become a HMK Provider Contact BCBSMT to sign up as a HMK medical provider The BCBSMT provider customer service phone number is 855-313-8914 Contact XEROX to sign up as a HMK dental or eyeglass provider The HMK and HMK Plus dental networks are not the same The XEROX provider relations phone number is 800-624-3958





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