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Welcome to the Montana Healthcare Programs
Provider Information Website. 

Important! Pharmacy Claims System Maintenance on
Sunday, 11/22/20, at 12:00 AM MST. Expected availability 4:00 AM MST.

Notice to all pharmacies that the claims system will be down for scheduled maintenance on 11/22/20 beginning 12:00 AM MST. The expected reactivation time will be no later than 4:00 AM MST. 

Pharmacy claims submitted during the downtime will be rejected. It is highly recommended that pharmacy claims are not submitted during the downtime window of 12:00 AM – 4:00 AM MST on Sunday 11/22/20.

We apologize for any inconvenience.

Please contact Provider Relations if there are questions or concerns at (800) 624-3958, or MTPRHelpdesk@conduent.com  
 

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

Nursing Home/Swing Bed Training
Presented by Dee Burnham, Nursing FacilityProgram Officer, SLTC, DPHHS, December 17, 2020 at 2pm Mountain Time (1 hour) 
Targeted Case Management for Youth with Serious Emotional Disturbance
Presented by Renae Huffman, Children's Mental Health Bureau Program Officer, DPPHS, January 21, 2021 at 2pm Mountain Time (1 hour)
Hospitals Training
Presented by Val St. Clair, Hospitals Program Officer, DPHHS, February 18, 2021 at 2pm Mountain Time (1 hour)
FQHC/RHC Training
Presented by Alyssa Clark, FQHC and RHC Program Officer, DPHHS, March 18, 2021 at 2pm Mountain Time (1 hour

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

Reminder: New MATH Web Portal Link

The MATH web portal has a new link.

 The new link is https://mtaccesstohealth.portal.conduent.com/mt/general/home.do

The link to the portal that contained "ACS" has been disabled and if you attempt to use it you will get a security warning.

If you are unable to locate a resource you need, please contact Provider Relations at 1 (800) 624-3958 or (406) 442-1837