To find out if a drug you need is covered or to find out if a drug needs prior authorization, talk to your pharmacist or the person who prescribed the drug. The bill goes next to Gov. Assistance/Referral, Long Term Care Montana DPHHS - SNAP, TANF, and Health Coverage Assistance Application DO YOU RECEIVE MEDICAID? Living Options, SHIP - State Health Insurance Assistance This does not mean you the dentist can ask your buddy the social worker if you can borrow their NPI to get the claim paid. The Centers for Medicare/Medicaid Services, a program of the US Department of Health and Human Services,allowsMontana and other statesto operate several HCBS waiver programs at once, each offering a distinct package of services and supports to a different group of individuals. 01/05/2021. Federal Medicaid dollars cover abortion in cases of rape, incest or life endangerment. Conditions, Emergency Preparedness and Providers who have opted into Phase 2 will be required to submit a quarterly attestation and quarterly schedule demonstrating that costs exceed Medicaid payments will be issued supplemental payments. There are two ways to submit claims to the Montana Healthcare Programs: Electronic and paper. House Bill 862: Would prohibit public funds for abortions passed second reading in the Senate and had a hearing in Finance and Claims on Wednesday. /. Apply for food, medical, or cash assistance. You can apply online, by phone, or in person. Montana's three abortion providers are suing the state over a new rule that restricts Medicaid coverage of abortion. and Safety, Laboratory The payment schedule for Phase 2 consists of three periods. Blue Mountain provided the notice to the Daily Montanan. 111 North Sanders Helena, MT 59601-4520 PO Box 4210 Helena, MT 59604-4210. . Daily Montanan maintains editorial independence. Protective and Legal Services, Aging & Disability Resource Center Supplemental Payments are payments above and beyond standard Medicaid Payments made to Home and Community Based Services (HCBS) providers that deliver physical and behavioral health services in the home or community. Health Coverage Assistance - Medicaid, Healthy Montana Kids, health insurance assistance and tax credits through the federal Health Insurance Marketplace, Apply Now Now, some services and benefits may be offered throughtheMontana Medicaid State Planor throughhome and community-based services (HCBS) waiver programs. I lost my Medicaid/HMK Plus Card, call 1-888-706-1535 for a replacement. Resources for Members Information about benefits and services, and finding a provider. Here is a copy of the Montana Healthcare Programs Member Guide. Services, Diseases and However, none of that documentation is currently submitted to the Medicaid program, so that the program may ensure that it only pays for medically necessary abortion services, the department said. Apply Now Medicaid and HMK Plus Members HMK Members Policy Makers/News Media FAQ, Virtual HELP/Medicaid Expansion Public Input Forum November 29, 2022, This Medicaid Expansion Section 1115 Demonstration Waiver expires 12/31/2022. Public Assistance Help Line Eligibility and reporting changes to your case 1-888-706-1535, Medicaid/HMK Plus, Member Help Line Medical Benefits, copayments, and Passport to Health questions 1-800-362-8312, Medicaid Transportation Services Contact the Medicaid Transportation Center 1-800-292-7114, Aging and Disability Resource Center (ADRC), Nursing Facilities and other Living Options, SHIP - State Health Insurance Assistance Program, Home Energy, Water and Weatherization Assistance Programs, Aging & Disability Resource Center (ADRC), MTAP (Montana Telecommunications Access Program), Licensing healthcare and residential services, Mental Health Nursing Care Center - Lewistown, Montana Chemical Dependency Center - Butte, Eastern Montana Veterans Home - Glendive, Montana Veterans Home - Columbia Falls, April 2023 Montana Health Care Programs MESSENGER Newsletter, Member Education (Newsletters, Presentations and Changes to Benefits), choose your Passport provider anytime online, Member Rights and Responsibilities Section of the Member Guide, Report Suspected Medicaid Fraud, Abuse and Waste, NOTICE OF USE OF PROTECTED HEALTH INFORMATION, ACCESSIBILITY, DISCLAIMER AND WEB STANDARDS, Montana Medicaid and Healthy Montana Kids (HMK) Plus. But a legal precedent in Montana requires the state to cover Medicaid patients abortions more broadly when medically necessary.. Rule Reviewer Department of Public Health and Human Services . DPHHS American Rescue Plan Act information. Find a Montana Medicaid Provider. HCBS Providers will submit a Provider Agreement Form to DPHHS, which will allow providers to opt into the receipt of Phase 2 supplemental payments by agreeing to the conditions of Phase 2. Reports, Aging and Disability Resource Center Abortion providers in Montana will be required to submit additional paperwork to the state for Medicaid-funded abortions starting May 1. Paper claims submitted via mail are processed an average of 12 days faster than paper claims submitted by fax. (ADRC), Estate Planning / Legal Montanas three abortion providers are suing the state over a new rule that restricts Medicaid coverage of abortion. 04/26/2021 Billing for COVID-19 Vaccine. Abortion providers will have to submit a request for prior authorization along with a signed physician certification form requiring a physical exam. Daily Montanan is part of States Newsroom, a network of news bureaus supported by grants and a coalition of donors as a 501c(3) public charity. HCBS Providers who opt in and supply a quarterly schedule demonstrating costs exceed Medicaid payments will be issued an 8% supplemental payment calculated from specific Medicaid services for dates of service between 04/01/2022 and 09/30/2022. Though Medicaid is a federal program, it is run at the state level. Health coverage, food, housing, and energy assistance. 01/05/2021 Civil Money Penalty Reinvestment (CMP) Application Template COVID-19 for In-Person Visitation Aids Request rev. Eyeglasses/eyewear every two years (depending on change in the prescription). These choices combine to give states considerable latitude in deciding which services and supports will be offered and in customizing benefit packages to meet the needs of particular groups. Apply For Assistance. The Gianforte Administrations attempt to restrict Montana Medicaids coverage of abortion care is unacceptable, said Executive Director of Blue Mountain Clinic Nicole Smith in a statement Wednesday. Montana Medicaid is run by the Montana Department of Public Health and Human Services (DPPHS) Mountain-Pacific Quality Health supports the Montana DPHHS by handling a number of reviews related to Medicaid services. Providers do not need to take action to participate in Phase 1 of the Supplemental Payment program. For more detailed information on this please review the April 2023 Montana Health Care Programs MESSENGER Newsletter. Home and Community Services Spending Plan and Narrative, ARPA Provider and Service List - November 23, 2021, Supplemental Payment Provider Agreement - Phase 2, Supplemental Payment Phase 2 Quarterly Schedule Example, HCBS Supplemental Payment Project - November 19, 2021, HCBS Supplemental Payment Project - September 17, 2021, HCBS Supplemental Payment Project Phase 2 - April 22, 2022, Supplemental Project Updated - October 28, 2021, Supplemental Project Updated - October 4, 2021, Notice of Use of Protected Health Information. House Bill 575: 24-week abortion ban passed the House on third reading on Thursday after returning with amendments from the Senate. For questions on specific claims, or eligibility call Montana Medicaid Provider Relation Unit at 800.624.3958 (in-state) or 406.442.1837 (Helena or out-of-state). Access the new MPATH Provider Services Portal to use the Find a Provider feature at https://mtdphhs-provider.optum.com Select Continue to remain logged in. Child Care, Child Support, Adult and Child Protective Services, and other family support services. Because of the way Medicaid was originally designed and has been amended over time, distinct programs were developed to provide services to certain categorical populations, most notably women with dependent children. Program, Child and Adult Care Food It is expected to be posted on the DPHHS website April 28. You can apply for Medicaid and other reduced-cost health coverage through the federal Health Insurance Marketplace. However, a provider may discharge a member from their practice after so many no-show/missed appointments. You can apply online, by phone, or in person. The amendment to the Medicaid rules would exacerbate economic distress and harm Montana families by forcing Medicaid recipients to delay care, or carry pregnancies to term against their will, Fuller said in a statement Wednesday. Some prescription drugs may need prior authorization. Dashboard, Licensing healthcare and residential Montana Healthcare Programs Medicaid Expansion - HELP MEDICAID EXPANSION and HELP PLAN Apply You can apply easily online, by phone, in person, and by mail. NOTICE OF USE OF PROTECTED HEALTH INFORMATION, ACCESSIBILITY, DISCLAIMER AND WEB STANDARDS. Call Montana Healthcare Programs, Member Help Line 1-800-362-8312, M-F, 8am-5pm, for assistance. The department acknowledged the concern that health care provider records sufficiently document when and why abortions are medically necessary. DPHHS. Services, Health Data and Statistical View details about your case. Please share tips, questions and concerns at 406-539-1677 or, Become a sustaining member for as low as $5/month, Make an annual or one-time donation to support MTPR, Pay an existing pledge or update your payment information, Montana Public Radio | Your session is about to expire. The 34-page complaint, filed on behalf of Planned Parenthood of Montana, All Families Healthcare . Temporary Assistance for Needy Families (TANF) - Cash assistance This is just another concerted effort to take away Montanans' fundamental rights and restrict access to essential health care. Information for Stakeholders Information about the program, waiver, legislation, and program oversight, Apply Now Medicaid and HMK Plus Members HMK Members Policy Makers/News Media FAQ, Virtual HELP/Medicaid Expansion Public Input Forum November 29, 2022, This Medicaid Expansion Section 1115 Demonstration Waiver expires 12/31/2022. In response to concerns about the exam requirement, the department said it recognizes that FDA standards changed to allow telehealth services for medication abortion, but says those guidelines are being litigated. Mental health and substance abuse treatment. Electronic claims are processed an average of 14 days faster than paper claims. Certified to the Secretary of State April 18 . Medicaid providers cannot bill a member for no-show/missed appointments. By, Child care spending bill passes Montana Legislature, Bill would enforce constitutional mandate to teach students about Native American cultures, Capitol briefs: Gender-affirming care, charter schools and foster care, Record-breaking warm, spring weather could hit Montana this weekend, News briefs: Blackfeet Business Council seat filled; land donation to MSU. We have worked with the DPHHS Medicaid program since 1974. For a full list of member rights and responsibilities, see the Member Rights and Responsibilities Section of the Member Guide. The payment schedule in Phase 1 consists of two periods. Energy, Water and Weatherization Assistance Programs, Adult Departments, Wellness and Prevention Response, Injury, Violence Falls, Southwest Montana Veteran's Home Lewistown, Montana Chemical Dependency Center - Call Montana Healthcare Programs, Member Help Line 1-800-362-8312, M-F, 8am-5pm,for assistance. You will be redirected to the home page in 15 seconds. Abortion providers in Montana will be required to submit additional paperwork to the state for Medicaid-funded abortions starting May 1. Login to keep working on an application you have already started. Act, DDP Here you can apply for food, medical, or cash assistance. 111 North Sanders Helena, MT 59601-4520 PO Box 4210 Helena, MT 59604-4210, Chief Human Resources Officer, Karol Anne Davis, Deputy Human Resources Officer, Ciarra Krantz, Civil Rights and EEO Officer, Lloyd Sparks, Risk Management and Safety Manager, Joe McAnally, 1400 Broadway, Rm C314, Helena, MT 59601-5231, Asthma and Diabetes Prevention and Control Programs, Nutritional and Physical Activity Program, 1400 Broadway, Room C202 Helena, MT 59601-5231 TOP, 1400 Broadway, Room B102 Helena, MT 59620, 1400 Broadway, Room C216 Helena, MT 69601-5231, 1400 Broadway, Room C216 Helena, MT 59601, Program Planning Unit 111 N Last Chance Gulch, Helena, MT 59601-6282 PO Box 8005, Helena, MT 59604-8005 TOP, Centralized Intake Unit 111 N Last Chance Gulch, Helena, MT 59601-6282 PO Box 8005, Helena, MT 59604-8005, SEARCHS Interface Specialist, Stacy Reedy, Policy & Procedure Specialist, Jana Maier, Federal Tax Offset Specialist, Nicole Lay, Employer Relations Specialist, Shawn Rafferty, New Hire Directory Specialist, Gary Dahlquist, 1625 11th Ave, Helena MT 59601 PO Box 4210, Helena MT 59620, 1625 11th Ave, Helena MT 59601 PO Box 4210, Helena MT 59620 TOP, Food Distribution/Commodity Warehouse Program 1400 Carter Drive, Helena, MT 59601-6400 PO Box 202956, Helena MT 59620-2956 TOP, Energy & Community Services Program (LIEAP & Weatherization) 1400 Carter Drive, Helena, MT 59601-6400 PO Box 202956, Helena, MT 59620-2956 TOP, 111 North Sanders, Room 305 Helena, MT 59601-4520 TOP, Medicaid & Healthy Montana Kids Drug Rebate Program, 1400 Broadway, Room A104 Helena, MT 59601-5231, Audit Bureau 2401 Colonial Dr, 3rd Floor Helena, MT 59601-4909, Administrative Support Supervisor,Afrah Al Asadi, Administrative Assistant,Andrew Erickson, 1100 N. Last Chance Gulch, 2 nd Floor, Helena, MT 59601 TOP, State Information Technology Services Division PO Box 200113 Helena, MT 59620-0113 CONTACT US, STD DIS Program Specialist, Miranda Reddig, U.S. BUREAU OF LABOR STATISTICS FOR MONTANA, MONTANA OFFICE OF TOURISM AND BUSINESS DEVELOPMENT, MONTANA HISTORICAL SOCIETY RESEARCH CENTER, Behavioral Health and Developmental Disabilities, Office of Inspector General (formerly Quality Assurance), State Information Technology Services Division, Economic Security Services Executive Director, Erica Johnston, Medicaid and Health ServicesExecutive Director, Mike Randol, Medicaid and CHIP State Plan Amendment and Waiver Coor., Mary Eve Kulawik, Strategic Planning, Research andAnalysis, Eric Higginbotham, Operations Revenue Forecasting Specialist, Jamie Bartole, Office of Inspector General, Michelle Truax (Interim), Operations Revenue Forecasting Specialist, Betty Morrison-Franklin, State Medical Officer, Dr. Maggie Cook-Shimanek, Office of Health and Human Services Innovation, CIO, Marie Matthews, Legislative and Regulatory Affairs, vacant, Communications Specialist, Herbert Council, Faith and Community Based Services, Rob Lawler, American Indian Health Director, Stephanie Iron Shooter, Deputy Chief Legal Counsel, Chad G. Parker, Attorney, HIPAA Program Officer, Theran Fries, Office Manager / Administrative Rule Specialist, Valerie St. Clair, Administrative Rule Specialist, Kassie Thompson, Administrative Legal Assistant, Bailey Yuhas, Medicaid Systems Operations Manager, Shellie McCann, Bedbugs, Hotels & Campground licensing, Pools, Food/Sanitarians - Grocery, Restaurants & Retail Food, Tattoos & Body Art & Piercing, Chronic Disease - Arthritis, Asthma, Diabetes, Vital Records, birth, death, marriage, divorce, State Refugee Coordinator, Kathe Quittenton, State MedicalDirector, Dr. Maggie Cook-Shimanek, MD, System Improvement Office Supervisor, Terry Ray, Local & Tribal Support Program Supervisor, Kerry Pride, DVM, Local & Tribal Support Specialist, Vacant, Public Health Accreditation Specialist, Vacant, Workforce Support Specialist, Allison Scheeler, Instructional Designer & Training Coordinator, Neva Loney, Performance Management & Quality Improvement Specialist, Marilyn Trevino, Epidemiology Program Manager, Heather Zimmerman, Office Manager/Financial Specialist, Jodee Prevel, Disability Health Education Specialist, Mackenzie Jones, Office Manager/Financial Specialist, Susan Day, Administrative Specialist, Carolyn Linden, Determinates of Health Program Manager, Margaret Mullins, Secondary Prevention Specialist, Mike McNamara, Quality Improvement Coordinator, Callan Brick, Asthma Control Program Manager, BJ Biskupiak, EMS Licensing and PI Specialist, Francine Janik, Cardiac Ready Program Manager, Janet Trethewey, Community Integrated Health Program Specialist, Kelly Little, Trauma System Manager, Alyssa Johnson, RN, BSN, Violent Death Registry Program Manager, Annie Kurtz, Injury Prevention Coordinator, Maureen Ward, Health Education Specialist, Alivia Winters, Administrative Support/Licensing, Sandra Tirrell, Body Art/Trailer Court Camp Grounds/ Cottage Food/ Farmers Markets, Mark Hall, Wholesale Mfg. Published in Newspapers for public comment on April 30, 2023 Montana Medicaid Home and Community Based 1915 (c) Severe Disabling and Mental Illness (SDMI) Amendment effective October 1, 2023 On. The aged and disabled categories taken together include people of all ages who have physical or mental disabilities, including serious mental illness, mental retardation, and other developmental disabilities. Medicaid & Healthy Montana Kids Drug Rebate Program. Pharmacy Assist Program, Nursing Facilities and other Behavioral and physical healthcare for individuals, children, seniors, and families. Montana Public Radio. (From Understanding Medicaid Home and Community Services: A Primer by Gary Smith). In addition to the benefits above, the following treatment services will also be available, subject to an annual cap of $1,125. The department said the physical exam will ensure that the safety and well-being of the female patient as a Medicaid beneficiary has been considered., Smith said in her statement that this rule limits abortion access for low-income Montanans and called that response from DPHHS extremely malicious.. This rule change goes against the values of Montanans, it ignores decades of research about the harms of denying access to essential healthcare, and it undermines Montanans constitutionally protected right to make personal healthcare decisions.. Member benefits will not change but will be provided under a non-waiver program, with the same title, Medicaid Expansion also known as HELP., 1115 Waiver Expansion/HELP Phase Out Plan, Aging and Disability Resource Center (ADRC), Nursing Facilities and other Living Options, SHIP - State Health Insurance Assistance Program, Home Energy, Water and Weatherization Assistance Programs, Aging & Disability Resource Center (ADRC), MTAP (Montana Telecommunications Access Program), Licensing healthcare and residential services, Mental Health Nursing Care Center - Lewistown, Montana Chemical Dependency Center - Butte, Eastern Montana Veterans Home - Glendive, Montana Veterans Home - Columbia Falls, Public Input Forum Announcement November 29, 2022, Public Input Forum Agenda for November 29, 2022 meeting, Public Input Forum HELP/Medicaid Expansion handout for November 29, 2022 meeting, NOTICE OF USE OF PROTECTED HEALTH INFORMATION, ACCESSIBILITY, DISCLAIMER AND WEB STANDARDS. 12/07/2020 Medicaid Expansion Extended Through December 31, 2021. The Passport programs support Medicaid and HMK Plus members, as well as providers, to establish a strong doctor/patient relationship and ensure the appropriate use of services. Please click one of the buttons to tell us what you would like to do. DPHHS Provider MT Medicaid Childcare Healthcare DPHHS Partner Tribal Tribal Websites Building Healthy Systems A Healthier Montana Local Local Health Departments Building Healthy Systems A Healthier Montana Person Interested In Child Support Services Wellness and Prevention Services Diseases and Conditions Emergency Preparedness and Response Sign In/Create Account, Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance for Needy Families (TANF). "I'm bringing a couple (youth) home over the next couple months because of your work in subcommittee," said Keenan, reading the note. The investment will draw about $29.5 million in federal funding, effectively injecting $44.5 million more into Montana Medicaid for providers in behavioral health, aging services and substance.
