Welcome to the Montana Healthcare Programs
Provider Information Website.

In Response to COVID-19

The following documents are available:

Additional Fax Number for Provider Relations Now Available

Provider Relations has added a second fax number, 888-772-2341. If the primary number is busy, please use the new fax number. Both lines can be used for faxed requests for Provider Relations.(Posted 03/12/2020).

Discrepancy in denial reason codes:

The denial reason codes on eSors may be different than what is made available on the web portal or in 835 responses. Our technicians are working on the issue and will provide an update when more information is available. (posted 2/19/2020 8:45am)

Elimination of Copayments

Effective January 1, 2020, all claims paid will no longer post a copayment amount. For specifics, please refer to the Elimination of Copayment Provider Notice and the Copayment Elimination FAQs.

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 APPLICATION STATUS
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. (posted 08/16/2019)

Online Training Available

PERM

Presented by Krista Cronholm, Program Specialist, Quality Assurance Division, DPHHS, at 2pm Mountain Time June 18, 2020 (1 hour)

Billing 101 / Policy Updates
Presented by Deb Braga, Field Rep, Provider Relations, at 2pm Mountain Time July 16, 2020 (2 hours)

Psychology / Adult Mental Health
Presented by Betty Franklin, Medicaid Waiver & State Plan Program Officer, AMDD, at 2pm Mountain Time August 20, 2020 (1 hours)

Billing 101 / Policy Updates
Presented by Deb Braga, Field Rep, Provider Relations, at 2pm Mountain Time September 17, 2020 (2 hours)

SURS Training
Presented by Jen Tucker, SURS Supervisor, DPHHS, October 15, 2020 at 2pm Mountain Time (1 hour)

Dental/Ortho Training
Presented by Jesse Gill, Ambulance, Transportation, and Dental Program Officer, DPHHS, November 19, 2020 at 2pm Mountain Time (1 hour)

Nursing Home/Swing Bed Training
Presented by Beranda Liedle, Program Specialist Nursing Facility Services Bureau, DPHHS, December 17, 2020 at 2pm Mountain Time (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.