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Welcome to the Montana Healthcare Programs
Provider Information Website.

Important Announcements

Call Center Telephone Options Have Changed

As of Monday, January 28, 2019 the options in the Call Center phone systems will change for both providers and members. Please listen carefully to the options when calling the call centers in order to be directed to the correct extension.

WebEx Training Available

Did you know there are monthly WebEx Trainings with the Program Officers? These trainings are a great opportunity for providers to learn about their program, policy changes, and ask questions.

SURS Update WebEx

SURS Update WebEx with Jennifer Tucker, CPC, SURS Supervisor, DPHHS on Thursday, April 18, 2019 at 2:00 PM MST

Third Party Liability- Billing Medicaid When There Is A Primary Insurance Available WebEx, May 16, 2019 at 2:00 PM MST
Olivia J Roussan,Third Party Liability Section Supervisor, DPHHS

Navigating the Provider Website - Finding the information you need without making a phone call.
Emilie Boyles, Publications Specialist, Montana Provider Relations, July 18 at 2:00 PM MST

Billing 101
Montana Provider Relations, August 15, 2019 at 2:00 PM MST

To register, please visit the WebEx Registration Page under the Training Section of the website at https://medicaidprovider.mt.gov/webex.

For access to previous Training PowerPoints, please visit the Training page at https://medicaidprovider.mt.gov/training.

Provider Rate Mass Adjustment

The Department is in the process of adjusting claims impacted by provider rate increases effective July 1, 2018 based on the adoption of MAR 37-863. The Department will handle the adjustment process for impacted claims with a date of service on or after July 1, 2018. Below is a link to the mass adjustment schedule for these claims, by provider type. Modifications to the schedule, if necessary, will be posted to the site as appropriate

The Current Mass Adjustment Schedule may be found at
https://medicaidprovider.mt.gov/Portals/68/docs/current/massadjustmentannouncement.pdf.

No action is required by providers who billed usual and customary charges. Home and Community-Based Services, and Personal Assistance/Community First Choice providers will follow a separate adjustment process and are not included in this schedule.

Medicaid Fee Schedules

In accordance with Montana Administrative Register 37-863, Montana Healthcare Programs has updated provider rates, effective July 1, 2018. The Department will be finalizing the adjustment process for claims billed before October 22, 2018 for claims with a date of service on or after July 1, 2018. The Department will be issuing information pertinent to the rate changes and subsequent claim adjustments. It will be important for providers to review future notices for more detailed information on the Montana Healthcare Programs Provider Information Website under the menu option, Resources by Provider Type. No action on your part is needed at this time.