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  • Montana Health Care Programs Enrollment Form

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Provider. All applicable sections of the provider enrollment form must be completed in order for us to process your application. The 4-digit ZIP code extension is .

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How can I enroll in Plan First? Call to schedule an enrollment appointment or visit your local Planned Parenthood Health Center for a walk-in enrollment appointment. Be sure to bring with you: income verification (pay stubs)

HELP Medicaid Plan, also known as Medicaid Expansion 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.

Benefits.gov. View coronavirus (COVID-19) resources on Benefits.gov....Montana Medicaid? Household Size*Maximum Income Level (Per Year)2$19,7203$24,8604$30,0005$35,1404 more rows

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.

Approximate Monthly Income to Qualify for Montana Medicaid, 2023 Family SizeAdults 19-64Children 0-181$1,616$3,1712$2,186$4,2893$2,749$5,3944$3,325$6,5252 more rows

You can apply at HealthCare.gov at any time – Medicaid enrollment is available year-round. You can also apply online at apply.mt.gov anytime during the year. You can also apply over the phone with HealthCare.gov by calling 1-800-318-2596. You can apply in-person at any of Montana's Offices of Public Assistance.

Since the start of Medicaid expansion in 2016, Montana's Medicaid program has had a policy of 12-month continuous eligibility for most adults receiving healthcare coverage.

To obtain your National Provider Identifier, go to http://nppes.cms.hhs.gov/ or call customer service at 800.465. 3203. Questions about the status of an NPI application may be emailed to customerservice@NPIEnumerator.com.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232