Welcome to the Montana Healthcare Programs
Provider Information Website.

Important Announcements

IVR Reminder

Providers are able to access information 24/7 by calling the Interactive Voice Response system: (800) 362-8312

OPTION 1: MEMBER ELIGIBILITY

OPTION 2: PROVIDER PAYMENT INFORMATION

OPTION 3: CLAIMS STATUS

OPTION 4: ADDITIONAL INFORMATION

We appreciate the work you do at all hours of the day and night to serve Montana Healthcare Program members. The IVR is there to help you get the information you need when you need it. (posted 08/16/2019)

Pharmacy Claims

We are aware that yesterday 8/14/2019, prior to 3 PM Mountain Time, there were a number of pharmacy claims submitted that displayed incorrect dollar information both for reimbursement rates and/or for co-pays. Those errors did not affect the reimbursement rates that you will see in your Monday remittance advice.

We will be providing information to specific providers, who saw these issues, later today (08/15/2019) in the event that they want to re-submit specific claims to ensure their internal systems and reporting reflect the correct data. (Posted 08/15/2019)

Online Training Available

Did you know there are monthly online trainings with the Program Officers? These trainings are a great opportunity for providers to learn about their program, policy changes, and ask questions.

Comprehensive School and Community Treatment (CSCT) Program
Christine White, CSCT Medicaid Program Officer, DPHHS, September 19, 2019 at 2pm MST (1 hour)

Optometric

Rena Steyaert, Therapies, School Services, and Optometric Program Officer, DPHHS, October 17, 2019 at 2pm MST (1 hour)

FQHC/RHC
Alyssa Clark, FQHC/RHC Program Officer, DPHHS, November 21, 2019 at 2pm MST (1 hour)

Audiology/Hearing Aid Services

Aleasha Horn, DME, Audiology & Hearing Aids Program Officer. DPHHS, December 19, 2019 at 2pm MST (1 hour)

Register on the Online Training Registration page at https://medicaidprovider.mt.gov/registration.

For access to previous Training PowerPoints, please visit the Training page at https://medicaidprovider.mt.gov/training.