Montana Network Management Systems Agreement
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If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.
We protect your documents and personal data by following strict security and privacy standards.
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FAQ
You can also check the status of an application through the virtual chat on the state's application website: .apply.mt.gov. Your healthcare provider or pharmacy may also be able to look you up to see if you are approved for Medicaid.
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.
If you have questions on which enrollment type is appropriate for you, contact Provider Relations at (800) 624-3958 or email MTEnrollment@conduent.com.
For claims questions or additional information, contact Montana Provider Relations at (800) 624-3958 or (406) 442-1837 or email Montana Provider Relations Helpdesk.
If you are a healthcare provider and do not have an NPI, you must obtain one from .nppes.cms.hhs.gov before you complete your enrollment. If you are an atypical provider, you might not have an NPI. If not, check below and we will assign you a new provider number.
