This form is a sample letter in Word format covering the subject matter of the title of the form.
Montana Facsimile Cover Sheet
Category:
State:
Multi-State
Control #:
US-0021LTR
Format:
Word;
Rich Text
Instant download
Description
How to fill out Facsimile Cover Sheet?
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FAQ
Refer to the NPI claims instructions on the Provider Information website to determine the reason your claims are denying, then correct and resubmit them within the 365-day timely filing limit.
The 2021 Montana Legislature passed a budget that removed funding for 12-month continuous eligibility for most adults on Medicaid and directed DPHHS to end the policy.
Who is eligible for Montana Medicaid? Household Size*Maximum Income Level (Per Year)1$14,5802$19,7203$24,8604$30,0004 more rows
Montana Medicaid and HMK Plus are healthcare benefits for eligible low-income Montanans.
There are two ways to submit claims to the Montana Healthcare Programs: Electronic and paper. Electronic claims are processed an average of 14 days faster than paper claims. Paper claims submitted via mail are processed an average of 12 days faster than paper claims submitted by fax.
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.
