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Welcome to the Montana Healthcare Programs
Provider Information Website.   

 

In Response to COVID-19 - Telemedicine Policy

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

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.

Hospitals

 April 16, 2020 - This training has been cancelled. We apologize for any inconvenience.

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

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