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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. claims - Medicaid Provider - Montana.gov mt.gov ? claims mt.gov ? claims
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.
If you are dissatisfied with an agency decision you may appeal the decision in writing to: The Department of Public Health and Human Services (DPHHS) Hearing Officer, PO Box 202953, Helena, Montana 59620, or telephone, 406-444-2470 (Voice/TDD) within 45-days of the date you are notified of the decision.
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
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
For answers to all claims questions, call Provider Relations at (406) 442-1837 or 1 (800) 624-3958. Contact Us - Medicaid Provider - Montana.gov mt.gov ? contactus mt.gov ? contactus
Visit the Montana Healthcare Programs Provider Information website to access your provider type page. Choose Resources by Provider Type in the left-hand menu.