HCBS Providers who opt in and supply a quarterly schedule demonstrating costs exceed Medicaid payments will be issued a 12% supplemental payment calculated from specific Medicaid services for dates of service between 01/01/2022 and 03/31/2022. Online at healthcare.gov Call 1-800-318-2596 Find in-person help by visiting covermt.org Do I Qualify? There are two ways to submit claims to the Montana Healthcare Programs: Electronic and paper. Montana abortion clinics sue over new restrictions on Medicaid coverage CFSD Caseload, Public Assistance, Medicaid dashboards, Montana Department of Public Health and Human Services, Licensing and We ask that you edit only for style or to shorten, provide proper attribution and link to our web site. Click here to read bill. DPHHS issues rule change for Medicaid abortions effective May 1 This new rule comes as abortion legislation is flying through the legislature with a Republican supermajority. Report a change or renew benefits for your case. All Medicaid funded abortions will also need to be conducted by a physician, excluding nurse practitioners. It also prohibit Medicaid coverage for abortions performed by nurse practitioners or physician assistants. . They also argue the rule violates Montana Supreme Court precedents that protect access to abortion. 05/16/2022 Help Members Receive Important Information from Montana Medicaid and Stay Covered 03/29/2022 Nurse First Advice Line Services Ending 03/16/2022 Revalidation Extended to June 2022 02/23/2022 Revalidation Extended to June 2022 Rev . Montana Access to Health Web Portal provides the tools and resources to help healthcare providers conduct business electronically. Living Options, SHIP - State Health Insurance Assistance The Supplemental Payment Program will span 2 years and consist of two phases. A trio of abortion providers in Montana are asking the courts to block a new rule issued by the state health department to require preauthorization for abortions covered by Medicaid, change. The Passport programs support Medicaid and HMK Plus members, as well as providers, to establish a strong doctor/patient relationship and ensure the appropriate use of services. NOTICE OF USE OF PROTECTED HEALTH INFORMATION, ACCESSIBILITY, DISCLAIMER AND WEB STANDARDS. Medicaid covers abortion care under three specific conditions outlined in the Hyde Amendment: If abortion would be necessary to save the life of the mother, the pregnancy was the result of rape or incest or if the pregnancy was deemed medically necessary. We have worked with the DPHHS Medicaid program since 1974. The Montana Department of Public Health and Human Services (DPHHS) will submit the SDMI amendment for Centers for Medicare and Medicaid Services approval on or before July 1, 2023, for an effective date of October 1, 2023. Abortion providers in Montana will be required to submit additional paperwork to the state for Medicaid-funded abortions starting May 1. For more detailed information on this please review the April 2023 Montana Health Care Programs MESSENGER Newsletter. Remember, you will need a referral (approval) from your Passport provider before you can see most other healthcare providers. Montana Department of Public Health and Human Services (Photo by Matt Volz | Kaiser Health News). HCBS Providers will submit a Provider Agreement Form to DPHHS, which will allow providers to opt into the receipt of Phase 2 supplemental payments by agreeing to the conditions of Phase 2. Public Health and Human Services, Department of - Montana House Bill 544: Would implement in statute what much of the DPHHS rule is trying to do, creating extra requirements for Medicaid recipients for medically necessary abortions, was heard in Senate Finance and Claims on Wednesday. DEIJ Policy | Ethics Policy | Privacy Policy. The best way to find out what you qualify for is to apply. DPHHS Healthcare Facilities, Faith and Community Based Services, and Red Tape Initiative. For a full list of member rights and responsibilities, see the Member Rights and Responsibilities Section of the Member Guide. Services, Diseases and If you want to apply for food and cash assistance at the same time, apply at apply.mt.gov or call the Montana Public Assistance Helpline at 888-706-1535. Supplemental Nutrition Assistance Program (SNAP) - Formerly Food Stamps Chair on DPHHS: 'All of us are not happy with this budget, but all of COVID19 - Montana HCBS Providers who opt in and supply a quarterly schedule demonstrating costs exceed Medicaid payments will be issued an 8% supplemental payment calculated from specific Medicaid services for dates of service between 04/01/2022 and 09/30/2022. 03/10/2023 Provider Meetings for Medicaid Eligibility Redetermination and Unwinding PHE Flexibilities 03/03/2023 End of Public Health Emergency 2022. Montana currently administers one Medicaid Waiver program which is a 1915 (c) waiver: the Comprehensive Waiver (0208). Forcing someone to give birth against their will is unconscionable and Montanans will not stand for this government intrusion into our private lives and our personal decisions, Smith said. Medicaid providers cannot bill a member for no-show/missed appointments. Not only does the rule threaten the health and safety of the very Montanans DPHHS purports to protect, it also violates their rights under the state's own constitution. PDF Department of Public Health and Human Services Montana DPHHS - SNAP, TANF, and Health Coverage Assistance Application You may qualify for Montana Medicaid health coverage if you are a Montana resident and your income is below the amount listed below: You may still qualify for Medicaid if you make more. Montana's three abortion providers are suing the state over a new rule that restricts Medicaid coverage of abortion. Choose a Passport Provider. PDF May 2023 Claim Jumper Newsletter - medicaidprovider.mt.gov To participate in Phase 2, HCBS providers will be expected to sustain or increase service delivery and invest in workforce recruitment and retention, as well as demonstrate that the cost of delivering services during the applicable timeframe exceeds standard Medicaid payments. and Safety, Laboratory The Montana Medicaid program proposed to institute consistent documentation requirements. /. Medicaid covers abortion care under three specific conditions outlined in the federal Hyde Amendment: If abortion would be necessary to save the life of the mother, the pregnancy was the result of rape or incest or if the pregnancy was deemed medically necessary. Published April 30, 2023 at 11:26 AM MDT. Food/Public Accommodations, Karenna Doctor, Immunization Information System Training Manager, Vacant, Immunization Information System Interoperability Coordinator, Deb Belleau, Immunization Information System Training & Support, Sarah Lennon, Perinatal Hepatitis B Nurse Consultant, Cory Corwin, Vaccines for Children Quality Specialist, Katie Grady-Selby, Health Education Specialist, Courtney Blaskovich, Financial Specialist,Anthony Littlewhirlwind, STD/HIV Data Entry Specialist, Peggy Baker, Viral Hepatitis Program Manager, Shannon Koenig, HIV/Viral Hepatitis Program Analyst, Gina Tracy, Emergency Management Specialist, Colin Tobin, Health Alert Network Coordinator, Gerry Wheat, Strategic National Stockpile Coordinator, Taylor Curry, ORR Data Specialist/Volunteer Manager, Melissa Burch, Risk Communications Coordinator, Andrea Wingo, Environmental Health Epidemiologist, Abbie Phillip, Environmental Health Assessor, Shuangying Yu, Environment Health Program Specialist, Emma Whitehead, Healthcare Systems Epidemiologist, Vanessa Whattam, Infection Prevention Specialist, Samantha Carle, Infection Prevention Specialist, Elizabeth Adams, Infection Prevention Specialist, Dianna Bowling, Communicable Disease Nurse Consultant, Jessica Lopeman, Data Acquisition Specialist, Sharon Breidenbach, Adoption/Correction Lead Worker, Mary Suptic, Medical Marijuana Lab Sys Improvement Specialist, Kathy Wiegand-Palmer, Medical Marijuana Lab Sys Improvement Specialist, Ian Jacobson, Purchasing/Accounting Tech, Lois Sundblad, Deputy Laboratory Direction/Section Supervisor, Dani Lindeman, Laboratory QA Safety Specialist, Donna Jo Hosmer, Laboratory Data Specialist, Christopher Manning, Micro/Molecular Supervisor, Michelle Mozer, Clinical Laboratory Specialist Lead, Jaqueline Dixon, Clinical Laboratory Specialist Lead, Katie Sides, Clinical Laboratory Specialist, Carla VanderGiessen, Clinical Laboratory Specialist, Kelly Barr, Clinical Laboratory Specialist, Janel Mason, Clinical Laboratory Specialist, Dorothy Henning, Developmental Laboratory Scientist, Joy Ritter, NBS Short-term Follow-up Coordinator, Crystal Fortune, Clinical Lab Specialist, Elizabeth Reynolds, Clinical Lab Technologist, Lorna McIntyre, Deputy Division Administration, Brandi Loch, Child Abuse Hotline (24 hrs/7 days) Toll Free (In State Only), National Domestic Violence Hotline Toll Free, Grants and Contracts Program Manager, Autumn Beattie, Residential Services Program Officer, Vacant, Chafee Foster Care Independence Program Manager, Elizabeth Bruchez (Lewistown), Centralized Intake Bureau Chief, Laura McCullough, Centralized Intake Specialist Supervisor, Vacant, Centralized Intake Specialist Supervisor, Rachel Rolston, Centralized Intake Specialist Supervisor, Jamie Fortune-Blair, Centralized Intake Specialist Supervisor, Katie Morgan, Centralized Intake Specialist Supervisor, Amanda Morrison, Eastern Region, Miles City, Eric Barnosky, North Central Region, Great Falls, Sahrita Jones-Jessee, North Western Region, Kalispell, Jennifer Blodgett, South Western Region, Butte, Jennifer Hoerauf, Western Region, Missoula, Courtney Callaghan, Administrative Support Supervisor, Angie Smith, Contract Manager, Jo-Anne Rude (Kalispell), Title IV-E Compliance Officer, Lisa Spencer, Title IV-E Compliance Officer, Robet Durrant, Title IV-E Compliance Officer, Cheryl Gran, Title IV-E Compliance Officer, Megan Osborne, Title IV-E Compliance Officer, Cathie Lang, CQI Development Specialist, Sarah Liggett, CQI Development Specialist, Caitlin Stewart-Nurse, Foster Care, Licensing and FRS Bureau Chief, Theresa Becker (Polson), Foster Care & Guardianship Program Manager, Mark Girdler, Permanency Planning Unit Supervisor, Kyla Rock, Adoption Negotiations Manager, Jeanie Weasel Tail, ICPC Deputy Compact Administrator, Lori Hedges, ICPC Deputy Compact Administrator, Kelley Tippett, Post-Adoptions Services Program Manager, Afton Russell, Legal Administrative Support, Janine Whitley, Administrative Support, Gena Geiss-Marton, Main Number - In Helena area or out of state, EFT & Direct Deposit Specialist, Terrie McNac, Early Childhood and Family Support Main Number, Early Childhood and Family Support Toll Free Number, Bureau Chief, Early Childhood Services, Jill Christensen, Bureau Chief, Family and Community Health, Jacqueline Isaly, Bureau Chief, Buisiness Systems and Operations, Chris Delvaux, Executive Administrative Assistant, Amy McDonald, Child and Adult Care Food Program Supervisor, Brooke Pickett, Child and Adult Care Food Program Toll Free Number, Early Learning Family Services Supervisor, Sally Tilleman, Head Start State Collaboration Director, Kathy Rich, Prevention and Early Intervention Manager, Sandy Cade, Children's Trust Fund Grant Manager, Joshua Kendrick, Prevention/Early Intervention Program Support, Shari Northcott, Child Care Licensing Supervisor, Penny Job, Child Care Licensor Anaconda, Michelle Harrington, Child Care Licensor Billings, Ryane Holzwarth, Child Care Licensor Kalispell, Diana Lamers, Child Care Licensor Great Falls, Jodi Linne, Child Carae Licensor Billings, Anna Mason, Child Care Licensor Missoula, Edie McLean, Child Care Licensor Helena, Natalie Mikota, Child Care Licensor Kalispell, Fern Sutherland, Child Care Licensor Bozeman, Teri Whitesitt, Quality Assurance Reviewer, Allison Drake, Child Care Policy and Eligibility Specialist, Chauntel Lucier, Family and Community Health Bureau Administrative Assistant, Kristen Higgins, SRAE and PREP Program Specialist, Jonelle LaPiere, Sexual Assault Prevention & Victim Services, Patrick Paradis, Maternal and Child Health Supervisor, Ann Buss, MT Obstetrics Maternal Support Program, Amanda Eby, Title V Maternal, Child Health Block Grant, Blair Lund, Fetal, Infant, Child & Maternal Mortality Review, Kari Tutwiler, Primary Care Office Program Specialist, Annalee Venneri, Women, Infant, and Children (WIC) Supervisor, Jenna Kietzke, Outreach & QI Coordinator Program Specialist, Alex Bostrom, Breastfeeding Coordinator Program Specialist, Aimee Duncan, Nutrition Coordinator Program Specialist Lead, Lacy Little, Healthy Montana Families Supervisor, Leslie Lee, Children Special Health Services Supervisor, Amber Bell, MAPP-NET Program Specialist, Catherine LeMay, Bureau Chief, Business Systems and Operations, Chris Delvaux, Epidemiology Supervisor, Miriam Naiman-Sessions, Child Care Under the Big Sky, Melody Olson, School Breakfast Coordinator, Linda Cleatus, Communication and Marketing Director, KayAnn Miller, Administrative Support Supervisor, Vena Dagnall, Support Staff Supervisor/MRPO, Kate Miller, Program Manager, Deaf Services, Shawn Tulloch, Transportation Coordinator, Butte, Patrick Sanders, Equipment Distribution Specialist, Missoula, Richard Ballou, Equipment Distribution Specialist, Billings, Mike Bouchard, Assistive Technology Specialist, Paul Suptic, Community Services Program Specialist, Julianna Campbell, CHIMES Security/System Support, Heather Monday, Public Assistance Service Desk / Centralized Scanning Unit Supervisor, Doug O'Dell, Temporary Assistance for Needy Families (TANF) Program Manager, Stephanie Wilkins, Western Region Field Manager, Teri McDonald, Eastern Region Field Manager, Kevin T Frank, Central Region Field Manager, Fred Sullivan, Program Compliance & Training Specialist, Carie Kelly, Commodity Program Specialist, Tina Wagner, Energy & Community Services Program Manager, Marcia Lemon, Energy & Community Services Specialist, Theresa Willard, Energy & Community Services Specialist, Cary Grubb, Energy & Community Services Specialist, Michael Horner, Energy & Community Services Specialist, White Sulphur Springs, Dayna Shepherd, Program Officer, Missoula, Julianna Crowley, Suicide Prevention Coordinator, Karl Rosston, Suicide Prevention Program Specialist, John Tabb, Zero Suicide Grant Manager, Browning, Terrance "TJ" Lafromboise, Prevention Section Supervisor, Kimberly Koch, Block Grant Section Supervisor, Gina Tracy, Mental Health Block Grant Program Manager, Dan Laughlin, Evidence Based Prevention Program Specialist, Lonni Starcevich, Behavioral Health Supervisor, Ashley Bair, Mental Health Behavioral Analyst, Deborah Rumberger, Special Populations Supervisor, Violet Bolstridge, Behavioral Health Program Officer, Jordan Doersam, Behavioral Health Program Officer, Missoula, Vacant, Clinical Program Manager, Tracey Palmerton, Medicaid Waiver & State Plan Program Officer, Chelsey Hallsten, Community Program Officer, Missoula, Jessica Effenberger, Community Program Officer, Miles City, Antonia Klein, HEART Waiver Program Specialist, Meaghan Kolar, School Based Services Program Officer, Christine White, Licensed Clinician, Billings, Anthony Killebrew, Utilization Review Technician, Alana Wilson, Regional Resource Specialist, Helena, Theresa Holm, Regional Resource Specialist, Missoula, Trish Christensen, Medicaid Program Supervisor, Renae Huffman, Grants Contracts Supervisor, Christine Johnson, Grant Contracts Coordinator, Tabitha Stephenson, Operations and Medicaid Section Supervisor, Ryan Jose, Information System Specialist, Chet Williams, AWACS Specialist/ DD Waiver Analyst, Jody Furrer, Behavioral Health Data Analyst, Dustin Hofer, Psychiatric Consultant, Dr Michelle McCall, Behavior Consultation Team Supervisor, Connie Orr, Behavior Consultation Specialist, Billings, Cheryl Nystrom, Community Service Supervisor, Shannon Cole-Merchen, Medicaid Program Officer/Transition Specialist, Suzanne Rowe, Medicaid Program Officer/Waiver Specialist, Barbara Doggett, Medicaid Program Officer/Waiver Specialist, Carla Rime, Medicaid Prior Authorization Toll Free Number, Medicaid Transportation Services Toll Free Number, Montana Healthcare Programs Member Helpline, Montana Healthcare Programs Provider Relations Helpline, To Report Medicaid Provider Fraud Toll Free Number, To Report Suspected Medicaid Member Fraud Toll Free Number, Conduent (Montana only) Medicaid Claims Payment Contractor Toll Free Number, IHS/Tribal 638 Program Officer, Jacqui Roberts, Medicaid Operations Research Section Supervisor, Renee Quintana, Medicaid Operations Research Analyst, Vacant, Medicaid Operations Research Analyst, Emily Hollow, Medicaid Operations Research Analyst, Julie Bullman, Medicaid Operations Research Analyst, Trisha Goettle, Allied Health Claims Resolution/DME/Dental, Vacant, Dental & Transportation Program Officer, Lynea Linz, Durable Medical Equipment, Hearing Aid & Audiology Program Officer, Maggie Irby, School Based Services, Optometric, Eyeglasses, Occupational Therapy, Speech Therapy, and Physical Therapy Program Officer, Laurie Nelson, Pharmacy Assistance Supervisor, Christina David, Drug Rebate Program Coordinator, Amber Pierce, Drug Rebate Program Specialist, Shirley 'Michaelanne' Fagnan, Drug Rebate Program Specialist, Ariel Scotton, Hospital Program Officer, Amanda Brensdal, Physician Program Officer, Stephanie King, Meadowlark Initiative and PRISM for MOMS Program Officer, vacant, State Plan & Medicaid Waiver, Plan First, WASP, HELP Program Officer, Linda Skiles-Hadduck, Primary Care and Population Health, Passport, CPC+ and PCMH Program Officer, Liz Lelacheur, Healthy Montana Kids Program Officer, Michael Mahoney, Healthy Montana Kids Program Officer, Krista Pratt, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Program Specialist; Targeted Case Management (TCM Non-Mental Health); Team Care Program, Miranda Prevel, Medicaid Reform Initiative Specialist, Traci Clark, BSW, Adult Protective Services Toll Free Intake Number, Adult Protective Services Region 1 Supervisor, Jody McCampbell, Adult Protective Services Region 2 Supervisor, Sabrina McQuinn, Adult Protective Services Region 3 Supervisor, Janice Hinze, Adult Protective Services Region 4 Supervisor, Glenda Oestreicher, Director, State Unit on Aging, Kerrie Reidelbach, State Long term Care Ombudsman Program Manager, Carmen Sciabica, State Health Insurance and Assistance Program Director, Janet Stellmon, Program Manager, Michael Woods (Great Falls), Program Manager, Michaelene 'Micky' Brown, Facility Based Section Supervisor, Derik Sapp (Great Falls), Financial Technical Analyst, Samantha Cooley, Financial Transparency Specialist, Monique England, Montana Mental Health Nursing Care Center and Intensive Behavior Center Financial Investigator, Daryl Hickey, Montana Chemical Dependency Center and Montana Veterans Home Financial Investigator, Peggy Bennetts, Montana State Hospital Financial Investigator, Calvin Trainor, Montana State Hospital Financial Investigator, Krista Henderson, Logistics Coordinator - Mail, Tim Isaacson, Logistics Coordinator - Mail, Chris Herman, Logistics Coordinator - Surplus, Don Bartsch, Logistics Coordinator - Surplus, Brian Johnson, Accounting Technician, Dustin Hendrickson, Records and Lease Specialist, Theresa Rush, AR & Internal Control Specialist, Beth Lewis, Accounting Technician (Med Needy), Emma Frydenlund, Life Safety Code, Emergency Preparedness, CLIA Supervisor Tony Sanfilippo, Health Facility Surveyor, Rachelle Jewison, Health Facility Surveyor, David J. Rankosky, Acute & Continuing Care /Complaint/Dispute Resolution Manager, Tyler Smith, Health Facility Surveyor, Jennifer Anderson, Nursing Facilities Abuse Hotline Toll Free Number, Healthcare Facility Program Manager, Tara Wooten, Residential Care Program Manager, Anaconda, Julie Fink, Residential Care Licensing Surveyor, Bryan Greer, Residential Care Licensing Surveyor, Stephanie Galle, Residential Care Licensing Surveyor, Christopher Sowell, Residential Care Licensing Surveyor, Sabrina Charlson, Residential Care Licensing Surveyor, Teresa Burtell, Residential Care Licensing Surveyor, Kara Seyer, Payment Error Rate Measurement (PERM), Shauna Longmire, Quality Control Team Lead, Heather Kerker, Quality Control Auditor, Kristyn Anderson, Quality Control Auditor, Ashley Alexander, IPV/ MEQC / PERM Supervisor, Heather Smith, Program Integrity Specialist, Christen LeBlanc-Birkholz, Program Integrity Investigator, Yvonne Perry, Program Integrity Investigator, Lana Madsen, Program Integrity Investigator, Nancy White, Program Integrity Investigator, Cassie Cable, Lead Program Integrity Compliance Specialist, Jennifer Bergmann, Program Integrity Compliance Specialist, Summer Roberts, Program Integrity Compliance Specialist, Heidi Kandilas, Program Integrity Compliance Specialist, Jaymie Larsen, Program Integrity Compliance Specialist, Alyssa Clark, Program Integrity Compliance Specialist, Ross Barnes, Program Integrity Compliance Specialist, Vacant, Program Integrity Compliance Specialist, Caitlyn King, Program Integrity Compliance Specialist, Rachel Savage, TPL Tort Recovery Officer, Shawn Ratchford, Security & Compliance Manager, Jackie Thiel, Information Security Analyst, Thomas Somerville (Shane), Information Security Analyst, Michael De La Torre, Lead Computer Application Engineer, Marty Wangen, Computer Application Engineer, Great Falls, Vacant, Computer Application Engineer, Shane Echo, Computer Application Engineer, Sasha Harlow, Computer Application Engineer, John Monday, Computer Application Engineer, Paul Nagel, Training Development Specialist, Erica Graham, Network Systems Analyst, Billings, Jesse Hartmann, Network Systems Analyst, Kathleen Kershaw, Network Systems Analyst, Scott Pomajevich, Computer Security Engineer, Sherry Mitschke, Computer Security Engineer, Jarrod Lindseth, Computer Security Engineer, Casey McMahon, Computer Security Specialist, Sheldon Kaldor, Computer Security Specialist, Joseph Hudson, Computer Support Specialist, Robert Markovich, Computer Support Specialist, Shawn Schreiber, STATE MOTTO: ORO Y PLATA (GOLD AND SILVER), Public Health and Human Services, Department of. Welcome to the Department of Public Health and Human Services online application.

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dphhs montana medicaid