Welcome to the Montana Healthcare Programs
Provider Information Website.

Co-Payment Assessed in Error for January 6, 2020 Payment

Co-payments may have been assessed for January 6th, 2020 payments in error. A mass adjustment is being made to correct the issue which will appear on the January 20th remittance advice. Do not bill Medicaid Members for the copayment amount erroneously assessed on the January 6, 2020 remittance advice.

Please refer to the provider notice, Elimination of Copayments, dated December 27, 2019, or contact Provider Relations if you have questions at 800-624-3958.

In addition, the January 16th monthly training will review the co-payment elimination change, to join this meeting please visit the training registration site: https://medicaidprovider.mt.gov/registration

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

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.

W-9/1099-MISC Training

Presented byJessica Brown, Accounting Technician, Fiscal Department, February 20, 2020 at 2pm MST (1 hour)

Billing 101
Presented by Deb Braga, Field Rep, Provider Relations, March 19, 2020 at 2pm MST (2 hours)

Hospitals
Presented by Val St. Clair, Hospitals Program Officer, DPHHS, April 16, 2020 at 2pm MST (1 hour)

SURS Training
Presented by Jen Tucker, SURS Supervisor, DPHHS, May 21, 2020 at 2pm MST(1 hour)

PERM
Presented by Krista Crombolm, Program Specialist, Quality Assurance Division, DPHHS, at 2pm MST June 18, 2020 (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.