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Montana Services Request Cover Sheet
Category:
State:
Multi-State
Control #:
US-143-AZ
Format:
Word;
PDF;
Rich Text
Instant download
Description
How to fill out Services Request Cover Sheet?
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FAQ
Visit the Montana Healthcare Programs Provider Information website to access your provider type page. Choose Resources by Provider Type in the left-hand menu.
Montana Medicaid and HMK Plus are healthcare benefits for eligible low-income Montanans. Montana Medicaid and Healthy Montana Kids (HMK) Plus - dphhs mt.gov ? memberservices mt.gov ? memberservices
If you have questions on which enrollment type is appropriate for you, contact Provider Relations at (800) 624-3958 or email MTEnrollment@conduent.com.
Approximate Monthly Income to Qualify for Montana Medicaid, 2023 Family SizeAdults 19-64Pregnant Women1$1,616$1,9082$2,186$2,5803$2,749$3,2454$3,325$3,9252 more rows Apply for Health Coverage - dphhs mt.gov ? healthcare ? apply mt.gov ? healthcare ? apply
Overview: 'PASSPORT to Health' is a managed care program designed to provide quality medical care to Montana Medicaid clients. CMA 306-1 Managed Care Program - dphhs mt.gov ? assets ? hcsd ? mamanual mt.gov ? assets ? hcsd ? mamanual
(800) 624-3958 If you have questions on which enrollment type is appropriate for you, contact Provider Relations at (800) 624-3958 or email MTEnrollment@conduent.com. Montana Healthcare Programs Provider Enrollment mt.gov ? providerenrollment mt.gov ? providerenrollment
