Passport to Health

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Passport to Health Manual
Everything a provider needs to know to be a successful Passport provider.

Passport to Health Agreement 01/2019

Providers who wish to become a Passport provider should complete this agreement to enroll in the program. Providers must be an active Montana Healthcare Programs provider and have primary care within their professional scope of practice.

Passport Amendment to Increase Caseload Capacity 01/2019

Providers should complete this amendment to the Passport to Health Agreement when increasing member caseload capacity.

Passport Provider Change Form  01/2019

Medicaid/HMK Plus members can use this form to change Passport providers. Provider changes will not take effect until the beginning of the month after the request has been processed.

Passport Referral Form 01/2019

Passport providers may use this form when providing a referral for their members to another provider.

Primary Care Case Management Staff Amendment 03/2019

Providers should complete this amendment to the Passport to Health Agreement when adding new providers to a group practice.

Member Disenrollment Form 12/2019

This form is used to remove a member from your caseload for approved reasons.

2022

05/16/2022 Help Members Receive Important Information from Montana Medicaid and Stay Covered
03/29/2022 Nurse First Advice Line Services Ending
03/16/2022 Revalidation Extended to June 2022 
02/23/2022 Revalidation Extended to June 2022 Rev. 03/16/2022
02/23/2022 Standing Orders and Medicaid Reimbursement
01/14/2022 Montana Healthcare Programs Support Services Holiday Closures

2021

12/15/2021 Health Behavior Assessment and Intervention Billing Codes
12/10/2021 New Provider Services Portal
09/16/2021 Billing Update - Licensed Marriage and Family Therapist (LMFT)
07/20/2021 Enrollment Update – Licensed Marriage and Family Therapist
07/06/2021 Adoption Of Temporary Emergency Rule To Allow for COVID-19-Related
Regulatory Discretion Beyond The Expiration Of The Governor-Declared State Of Emergency
06/11/2021 COVID-19 Vaccine Administration Billing Guidance
04/02/2021 New Provider Type – Licensed Marriage and Family Therapist
01/28/2021 Montana Healthcare Programs Support Services Holiday Closures
01/11/2021 Provider Support Services Closed for Martin Luther King Day, Monday, January 18, 2021

2020

12/07/2020 Medicaid Expansion Extended Through December 31, 2021
10/28/2020 Provider Relief Fund General Allocation
08/28/2020 Provider Relief Fund General Allocation Rev. 10/28/2020 08/11/2020 Provider Relief Fund General Allocation Rev. 08/28/2020
07/24/2020 Provider Relief Fund General Allocation Rev. 08/11/2020
07/17/2020 Medicaid Reimbursement and Court Ordered Services
06/17/2020 National Correct Coding Initiative Announcement
05/15/2020 Temporary Revision to Case Management General Provisions
04/30/2020 National Correct Coding Initiative Announcement
04/28/2020 Temporary Suspension of PCP Referral Requirements
04/27/2020 Non-Covered Services Agreement Policy Change
04/22/2020 Suspension of Prior Authorizations or Continued Stay Reviews and Clinical Requirements for Some Medicaid Programs 04/01/2020 Suspension of Face to Face Requirements for Some Medicaid Programs
03/27/2020 Telemedicine Medicaid Coverage and Reimbursement Policy for Telemedicine/Telehealth 
03/19/2020 Telemedicine Policy Clarification Rev. 03/27/2020

2019

11/15/2019 Chronic Care/Coordinated Care Codes Revised
08/22/2019 Managed Care Referrals

2018

04/04/2018  Updated Passport Eligible Populations & Reimbursement