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Montana has a 60-month (5 year) Medicaid Look-Back Period that immediately precedes one's application date for Nursing Home Medicaid or a Medicaid Waiver. During the ?look back?, Medicaid checks all past asset transfers to ensure none were sold or gifted for less than fair market value.
In Montana, the Medicaid spend-down does not cover Long Term Services and Supports (LTSS). Income eligibility: The income limit is $525 a month for both single and married applicants. Asset limits: The asset limit is $2,000 if single and $3,000 if married.
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.
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.
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.