montana medicaid patient portal

How do you apply for Medicaid in Montana?

Apr 04, 2022 · 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. We appreciate the work you do at all hours of the day and night to serve Montana Healthcare Program members.

How to contact Medicaid of Montana claims?

Check your Member Guide or Program Handbook for covered and non-covered services or call the Montana Healthcare Programs Member Helpline for more information regarding your healthcare benefits (800) 362-8312. Make sure your providers are enrolled in the Montana Medicaid Healthcare program. Get Passport referral from your primary care provider ...

What are the requirements for Medicaid in Montana?

HELP/Medicaid Expansion Program State of Montana PO Box 35154 Seattle, WA 98124-5154. If you have premium related questions call 1 (866) 471-9621. Premium Rights and Obligations. Even if you cannot pay your premium, you may still be able to keep HELP/Medicaid Expansion Plan coverage. You will remain in the HELP/Medicaid Expansion Plan if:

How to apply for Medicaid in Montana?

Patient Portal - Montana Gastroenterology Patient Portal gPortal™ The secure gPortal allows you to take an active role in your care: Confirm, cancel, or reschedule upcoming appointments See outstanding balances Pay bills online Send private messages and request refills Receive email notifications when new materials are available

How do I check my Medicaid status in Montana?

Call Montana Healthcare Programs, Member Help Line 1-800-362-8312, M-F, 8am-5pm, for assistance. Find a Montana Medicaid Provider. Choose a Passport Provider.

Is my Medicaid active?

Verify your enrollment online Log in to your HealthCare.gov account. Click on your name in the top right and select "My applications & coverage" from the dropdown. Select your completed application under “Your existing applications.” Here you'll see a summary of your coverage.Aug 24, 2017

What is my Montana Medicaid number?

(800) 362-8312Hotline NumbersServiceNumberMedicaid Fraud and Abuse - Client Eligibility Fraud - Client Abuse (Team Care) - Provider Fraud(800) 201-6308 (800) 362-8312 (800) 376-1115Medicaid Prior Authorization Hotline Out of State Hospital (Mountain-Pacific Quality Health Foundation)(800) 262-1545 (800) 497-823228 more rows

Does Montana Medicaid automatically renew?

HELP Medicaid Plan members, also known as Medicaid Expansion will now receive health coverage through Montana Medicaid. You do not need to reapply, your coverage will be transferred automatically.

How can I check if my insurance is active?

Go to the website of your health insurance provider and log in using your unique policy number. Once logged in, you will be able to see all the details related to your current insurance plan. This will include the active status, the next due premium and the coverage of the plan.

How do I update my Medicaid information?

To report a change, contact your state's Medicaid office. They'll tell you what documents they require, and they'll let you know if this changes your eligibility. You can also report the change to the federal government through HealthCare.gov or HealthSherpa to see if you're eligible for other coverage.

What is the difference between HMK and HMK Plus?

Those with insurance cards for HMK include the logo for Blue Cross Blue Shield and are potentially affected by CHIP funding expiring. Children whose cards say Medicaid or HMK Plus are in the Medicaid program and are not affected. Images of the two different insurance cards can be found on the DPHHS site.Oct 17, 2017

Is Montana a Medicaid expansion state?

In 2019, Montana lawmakers approved extending the 2015 program — the Supreme Court made the Medicaid expansion provision in the Affordable Care Act optional for states — as long as it included work requirements.Aug 5, 2021

What is the phone number for Medicare?

(800) 633-4227Centers for Medicare & Medicaid Services / Customer service

What is the income limit for Montana Medicaid?

Who is eligible for Montana Medicaid?Household Size*Maximum Income Level (Per Year)1$13,5902$18,3103$23,0304$27,7504 more rows

What is the cut off for Medicaid in Montana?

Adult members of Montana families whose household countable income equal is between than 25% and 138% FPL are eligible for Medicaid Expansion. Montana families whose household countable income equal is between than 25% and 138% FPL are eligible for Medicaid Expansion.

What does Medicaid in Montana cover?

The MT Medicaid program includes comprehensive benefits like doctor and hospital visits, family planning, emergency services, mental health, prescription drugs, rehabilitation, transportation to medical appointments, dental, and vision. Some MT Medicaid members will be responsible for copayments for certain services.

American Rescue Plan Act of 2021

Montana Home and Community Services Spending Narrative and Plan Submitted July 12, 2021#N#The American Rescue Plan Act of 2021 (ARPA) provides a unique opportunity to improve home and community-based service (HCBS) provision for Montanan’s enrolled in the Montana Medicaid program.#N#Section 9817 of the ARPA provides states with a one year 10-percentage point increase to the federal medical assistance percentage (FMAP) for certain Medicaid expenditures that meet the ARPA definition of HCBS.#N#States are then able to invest the saved state funding in eligible activities that enhance, expand, or strengthen HCBS under the Medicaid program.

Applied Behavior Analysis (ABA) Services State Plan Amendment

The Applied Behavior Analysis Services State Plan Amendment, which includes Autism services, will be submitted to CMS for review by September 30, 2021. While the State Plan Amendment is under review, Montana Medicaid will not process claims for the proposed expanded CPT codes and services.

Montana Uninsured COVID-19 Testing and Treatment Program Expiration

On June 30, 2021, Governor Gianforte issued Executive Order Number 10-2021. This Executive Order rescinds Executive Order Number 2-2021 and lifts the Montana state of emergency.#N#Effective July 1, 2021, this declaration ends the Montana Uninsured COVID-19 Testing and Treatment Program.

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).

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.

Online Training Available

Register on the Online Training Registration page at https://medicaidprovider.mt.gov/registration.

How to contact Montana Medicaid?

Check your Member Guide or Program Handbook for covered and non-covered services or call the Montana Healthcare Programs Member Helpline for more information regarding your healthcare benefits (800) 362-8312. Make sure your providers are enrolled in the Montana Medicaid Healthcare program.

What is covered by family planning?

Most family planning services are covered, including, but not limited to: physical exams with breast exams, pap test (to test for pre-cancerous conditions), pregnancy tests, birth control, sexual health counseling (how to prevent unintended pregnancy and sexually transmitted infections), testing and treatment for sexually transmitted infections, shots for German measles, shots for HPV, sterilization information and counseling. Sterilization is covered for people who are mentally competent and 21 years old or older at the time the consent form is signed. The consent form must be signed by the patient at least 30 days before the scheduled sterilization.

How old do you have to be to get sterilized?

Sterilization is covered for people who are mentally competent and 21 years old or older at the time the consent form is signed. The consent form must be signed by the patient at least 30 days before the scheduled sterilization.

Does Medicaid cover lab tests?

All Medicaid eligible individuals have access to services provided by physicians and midlevel providers. Medicaid reimburses for services including, but not limited to: office visit s, lab tests, x-rays, surgeries, childbirth, prenatal care and anesthesia

What are the different types of therapy?

Three types of therapy are covered, occupational therapy, physical therapy, and speech therapy . Therapy services must be ordered by your primary care physician and can occur whether you are in a hospital or are an outpatient.

Do you need prior authorization for Medicaid?

Otherwise, you will be responsible for payment. All out-of-state hospital inpatient services need prior authorization. Other Medicaid and HMK Plus services may require prior authorization as shown in your member guide. If you have Passport, you need your doctor’s approval for services as shown in the member guide.

Does urgent care cover Medicaid?

Services you receive at an urgent care center may be covered if the center accepts Medicaid. If you have Passport, be sure to obtain a referral from your doctor if you go to an urgent care center.

Will I still have to pay a monthly premium?

You are still responsible for your monthly premium and may be disenrolled from the HELP/Medicaid Expansion Program if you do not pay your premium. It is due on the first of each month and should be submitted to the address below or online.

Premium Rights and Obligations

Even if you cannot pay your premium, you may still be able to keep HELP/Medicaid Expansion Plan coverage. You will remain in the HELP/Medicaid Expansion Plan if:

What if I am having my premium automatically deducted?

If your premium is being automatically deducted from your checking or savings account, be sure to go online to update this information in the new payment system. If you haven't signed up for automatic deduction and would like to, you can do so online . If you have questions please call (866) 471-9621.

Availabilty of Test Results - Cures Act

A new federal rule requires most test results to be released to you immediately, even if your provider has not yet had a chance to review and interpret them for you.

Patient Forms

While we greatly encourage using our gPortal to electronically submit forms, we also offer patients several forms to download, print, fill out, and bring with you on your visit. This includes a welcome packet for new patients.

What is prior authorization?

Prior authorization refers to services that require Department authorization before they are performed. Prior authorization has specific requirements. Some services may require both Passport referral and prior authorization. If a service requires prior authorization, the requirement exists for all Medicaid members. Prior authorization is usually obtained through the Department or a prior authorization contractor.

How old do you have to be to get a cochlear implant?

Cochlear implants may be covered for: Adult Criteria. 18 years or older, with bilateral, severe to profound sensorineural hearing loss (i.e., 70dB or greater, pure-tone air (PTA) conduction average at 500, 1000, and 2000 Hz; Have tried but have limited benefit from adequately fitting binaural hearing aids; or.

Can prolactin cause breast enlargement?

Increased prolactin levels can cause breast enlargement (rare). Liver disease or adrenal or pituitary tumors may also cause breast enlargement and should also be considered prior to surgery if the drugs are continued. Increased prolactin levels can cause breast enlargement (rare).

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