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Welcome to the Montana Healthcare Programs
Provider Information Website.

Provider Services Portal COVID-19 Provider Information and Notices

 

Planned Call Center Closure

March 16, 2023
The Call Center will be closed today, March 16, 2023 from 4:00 - 4:30 PM for training. We apologize for any inconvenience.


Upcoming Webinars
Medicaid Eligibility and Unwinding PHE Flexibilities 

Revised March 14, 2023

Throughout the duration of the PHE, many programmatic flexibilities were implemented at both the federal and state levels. This allowed the ability to waive or modify certain requirements in a range of areas.

Please join the informational webinars to learn which flexibilities will remain in place after the PHE.

• Medicaid Eligibility Redetermination
• Health Resources Division Webinar
• Behavioral Health Provider Webinar
• Home and Community Based Services Provider Webinar

For information on the dates, times and content of the webinars, see the provider notice Provider Meetings for Medicaid Eligibility Redetermination and Unwinding PHE Flexibilities.
 


Provider Revalidation Extension

Revised May 13, 2022

On December 13, 2021, Montana Healthcare Programs began sending revalidation notices to providers who are due for provider revalidation. The letters specify a due date. Montana Healthcare Programs is extending the required revalidation date for any provider who has received a revalidation notice. This extension is primarily due to a known system issue that is creating challenges for some providers when trying to revalidate. Providers should not attempt to revalidate their provider information at this time. Notices will be posted when the online revalidation feature is working properly. Providers will be given a minimum of 90 days to complete revalidation activities once notification has occurred.

 

Information Reminder

Providers are able to access information 24/7 by calling Provider Relations at (800) 624-3958.

When the system answers, Providers choose Option 7. Option 1 is for pharmacies requesting unlock and Option 5 is for members.

On the next menu, select one of the following options:

OPTION 1: Last 5 PAYMENTS
OPTION 2: CLAIMS STATUS
OPTION 3: MEMBER ELIGIBILITY
OPTION 4: PROVIDER ENROLLMENT SUPPORT
OPTION 5: VALIDATE PROVIDER NUMBER
OPTION 6: GET EDI HELP
OPTION 7: WEB PORTAL PASSWORD RESET

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.

 

Online Training Available

Public Health Emergency Transition Plan Summary
Conduent and DPHHS, April 20, 2023 at 2pm Mountain Time (1 Hour)

SURS
Jen Tucker, SURS Supervisor, DPHHS, May 18, 2023 at 2pm Mountain Time (1 Hour)

To register for upcoming Online Training and access to previous Training PowerPoints, please visit the Training page at https://medicaidprovider.mt.gov/training.

 

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