Specialized Non-Emergency Transportation

As of October 1, 2026, the Non-Emergency Medical Transportation (NEMT) and Specialized NEMT programs will no longer utilize this website for enrollment and billing information. They are now managed by Modivcare whose contact information is:

Providers can access the Modivcare provider enrollment webpage at https://www.modivcare.com/transportation-providers-contact-us/ or call the Transportation Provider Line at (866) 726-1471.

Members can access the Montana Modivcare webpage at https://www.mymodivcare.com/members-mt/ or call the Member Reservation Line at (800) 292-7114.

Facilities can access the Modivcare Facility Portal, TripCare at https://tripcare.modivcare.com/login, the facility page at https://www.modivcare.com/facilities/mt/, and/or call the Facility Provider Line at (866) 726-1469.

This page will remain active for providers who were enrolled under the previous program and billed prior to 10/1/2026 or to access any prior information and documents.

Prior Authorization Forms Claim Jumper Newsletters

General Information for Providers 
Medicaid manual with general information for all provider types.

Commercial and Specialized Non-Emergency Transportation Services
This manual has information specific to your provider type.

2026

10/01/2026 Affiliations Requirement in the Claim Modernization System REVISED
10/01/2026 Changes to Medicaid Non-Emergency Medical Transportation
09/30/2026 Claim Adjustment and Void Changes in the Montana Healthcare Claims System
09/17/2026 Resuming Payments to Previously Prohibited Entities Under H.R. 1, Section 71113
09/03/2026 Primary Care Montana (PCMT) Enrollment Deadline Extended - Final Opportunity for Retroactive PMPM Payments
08/26/2026 Big Sky Care Connect Data Quality Resource Website
08/21/2026 Referrals, Medical Orders, and Prior Authorization Requirements Beginning July 1, 2026
07/27/2026 Trading Partner Changes Coming in 2027
07/09/2026 Changes to NEMT: Enrollment, Billing, and Accessibility
05/29/2026 State Fiscal Year 2027 Provider Rate Update
05/11/2026 Temporary PCMT Enrollment and Required Provider Enrollment Actions
05/07/2026 CMS-1500 Coordination of Benefits Processing: Medicare vs. TPL
05/07/2026 Medicaid Expansion Changes
04/10/2026 Affiliations Requirements in the Claims Modernization System
04/07/2026 Not Enrolled with Medicare Provider Notice
03/20/2026 Transition of Passport to Health, CPC+, and PCMH to New Primary Care Montana (PCMT) Program
01/12/2026 Montana Healthcare Programs Support Services Holiday Closures

2025

12/30/2025 Provider Licensure, DEA, and CLIA Maintenance
12/18/2025 Submission of Supporting Claim Documentation
10/30/2025 Training Resources on the Medicaid Provider Site
09/04/2025 Medicaid Enrollment for Ordering, Referring and Prescribing (ORP) Providers
07/09/2025 Claim Adjustment Reminder
06/25/2025 July 1, 2025 Fee Schedule Updates
06/17/2025 How to Read a Remittance Advice
04/29/2025 Audio-Only Codes
03/31/2025 Payment To Be Suspended for Providers Without Current Financial Information
02/11/2025 EFT Authorization Agreement Updated
02/04/2025 Health Behavior Assessment and Intervention Billing Codes
01/15/2025 Montana Healthcare Programs Support Services Holiday Closures

2024

12/19/2024 IRS Tax Identification Letter Required for Pay-To Providers
11/04/2024 Paper Claim Denials
10/18/2024 Electronic Adjustments Void or Void/Replace
10/15/2024 Revalidation Requirements Deadline
06/28/2024 January 1, 2024 and July 1, 2024 Fee Schedule Updates
06/18/2024 DEA Number Required for Prescribers REVISED
06/11/2024 Health Resources Division Claims Appeal Process
05/21/2024 DEA Number Required for Prescribers
05/01/2024 Paperwork Attachments Submission Timing for Electronic Claims
05/01/2024 Eligibility Inquiry and Service Type Code in the MATH Portal
04/19/2024 Changes Regarding Opioid Prior Authorization and Medication for Opioid Use Disorder
03/27/2024 HHS Letter to Healthcare Providers
03/27/2024 Resources for Providers in Response to the Change Healthcare Cyberattack
03/27/2024 Updated CLIA Claims Editing
03/27/2024 Avoiding Claim Denials
03/27/2024 Location Address and Provider Maintenance Updates
03/19/2024 Electronic Funds Transfer Payment Verification
03/12/2024 Valid Member ID and Eligibility Verification
03/12/2024 Provider Initiated Claims Adjustment
03/05/2024 Voiding Claims With a Prior Authorization
01/23/2024 Montana Healthcare Programs Support Services Holiday Closure REVISED
01/08/2024 Electronic Claim Adjustment Processing Change 

2023

12/22/2023 Passport Provider Referral Number on Claims
12/12/2023 Individual Providers Enrolled as Sole Proprietors Due for Revalidation
11/08/2023 Prior Authorization Information
10/31/2023 Managed Care Referrals IHS, Tribal 638, and Urban Indian Organizations REVISED
09/15/2023 Claims Payment Discrepancy Update
09/14/2023 Claims Payment Discrepancy Identified
09/08/2023 Medicaid Claims Payment Delayed
09/06/2023 Provider Rate Increases Systematic Adjustments
08/01/2023 Provider License Expiration Reminder Letters
07/06/2023 Provider Rate Increases
05/26/2023 Medicaid Reimbursement and Court Ordered Services REVISED
04/10/2023 Resumption of Face-to-Face Requirements for Selected Programs REVISED
03/22/2023 Coverage and Reimbursement Policy for Telemedicine/Telehealth Services
03/22/2023 End of Public Health Emergency (PHE) Effects on Pharmacy Coverage
03/22/2023 Non-Covered Services Agreement Policy Return to Requirements
03/22/2023 Reinstatement of the Primary Care Provider Referral for Passport
03/22/2023 Resumption of Face-to-Face Requirements for Selected Programs
03/22/2023 Resumption of Prior Authorization Requirements Revised 04/03/2023
03/17/2023 End of Temporary Revision to Case Management General Provisions
03/10/2023 Provider Meetings for Medicaid Eligibility Redetermination and Unwinding PHE Flexibilities
03/09/2023 Add-on and E&M Code Editing
03/03/2023 End of Public Health Emergency
01/04/2023 Montana Healthcare Programs Support Services Holiday Closures

To locate older documents, access the Archive Page.