Welcome to the Montana Healthcare Programs
Provider Information Website.
Important! Pharmacy Claims System Maintenance
This Sunday, 8/9/20, at 12:00 AM MST.
Expected availability 3:00 AM MST.
Notice to all pharmacies that the SmartPA system will be down for scheduled maintenance on 8/9/20 beginning 12:00 AM MST. The expected reactivation time will be no later than 3:00 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 – 3:00 AM MST on Sunday 8/9/20.
Please contact Provider Relations if there are questions or concerns at email MTPRHelpdesk@conduent.com or telephone (800) 624-3958.
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.
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
Psychology / Adult Mental Health
Presented by Betty Franklin, Medicaid Waiver & State Plan Program Officer, AMDD, at 2pm Mountain Time August 20, 2020 (1 hour)
Billing 101 / Policy Updates
Presented by Deb Braga, Field Rep, Provider Relations, at 2pm Mountain Time September 17, 2020 (2 hours)
Presented by Jen Tucker, SURS Supervisor, DPHHS, October 15, 2020 at 2pm Mountain Time (1 hour)
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)
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