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  • Mt Dphhs Hps-401 2013

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DPHHS Form No. HPS401Designation of Authorized Personal Representative for Health Information Montana Department of Public Health and Human Services P.O. Box 202960, Helena, MT 596202690 The Health.

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At apply.mt.gov, individuals can also create an online account. An online account allows individuals to update their contact information, renew their coverage when it's time, and receive correspondence. Call the Public Assistance Helpline at 1-888-706-1535.

Toll free at 1-800-346-5437 The CSSD phone system allows individuals to receive general CSSD information, including payment and account balances, as well as the ability to speak to a case worker directly and an option to answer a short customer satisfaction survey.

Montana first enacted this policy for children covered under Medicaid/HMK. 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.

Please contact Provider Relations via email at MTPRhelpdesk@conduent.com or call Provider Relations at (800) 624-3958 if you have questions or concerns.

Under the expanded guidelines, Medicaid is available for all adults with incomes up to 138% of poverty; in 2023, that's $20,120 for a single adult. (Medicaid and CHIP eligibility limits for children and pregnant women are higher, and remained unchanged by the waiver approval.)

Need help finding your local Office of Public Assistance, Enrolled Medicaid Provider, or Passport Provider? Call Montana Healthcare Programs, Member Help Line 1-800-362-8312, M-F, 8am-5pm, for assistance. Find a Montana Medicaid Provider.

Public Health and Human Services General Information (406) 444-5622 111 North Sanders Helena, MT 59601-4520 PO Box 4210 Helena, MT 59604-4210 Department of Public Health and Human Services Organizational ChartFAX Number(406) 444-1970Websitedphhs.mt.govQuick Lookup:172 more rows

For electronic claims, the 160-M can either be faxed to 406.442. 4402 with the appropriate Paperwork Attachment Cover Sheet or mailed with the same cover sheet to Claims, P.O. Box 8000, Helena, MT 59604.

Montana's Medicaid program provides Montanans with low-incomes access to health care benefits and services based on their medical needs and life circumstances. Its Healthy Montana Kids program is the largest provider of health care for children in the state.

Who is eligible for Montana Medicaid? Household Size*Maximum Income Level (Per Year)2$19,7203$24,8604$30,0005$35,1404 more rows

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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:
1-877-389-0141
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