DPHHS Provider MT Medicaid Childcare Healthcare DPHHS Partner Tribal Tribal Websites Building Healthy Systems A Healthier Montana Local Local Health Departments Building Healthy Systems A Healthier Montana Person Interested In Child Support Services Wellness and Prevention Services Diseases and Conditions Emergency Preparedness and Response The provider must have the same policy for Medicaid members as non-Medicaid members, and must notify Medicaid members that the policy exists. Please share tips, questions and concerns at 406-539-1677 or, Become a sustaining member for as low as $5/month, Make an annual or one-time donation to support MTPR, Pay an existing pledge or update your payment information, Montana Public Radio | Supplemental Payments are payments above and beyond standard Medicaid Payments made to Home and Community Based Services (HCBS) providers that deliver physical and behavioral health services in the home or community. The Supplemental Payment program is funded from Section 9817 of the American Rescue Plan Act of 2021, which provides states with a one year 10-percentage point increase to the federal medical assistance percentage (FMAP) for certain Medicaid expenditures that meet the ARPA definition of HCBS. Choose a Passport Provider. NOTICE OF USE OF PROTECTED HEALTH INFORMATION, ACCESSIBILITY, DISCLAIMER AND WEB STANDARDS. Login to keep working on an application you have already started. Sign In/Create Account, Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance for Needy Families (TANF). These payments are intended to support providers with the increased costs of hazard/retention pay, higher staffing levels, and personal protective equipment and other supplies. MONTANA DPHHS Montana Medicaid Provider Supplemental Payments Supplemental Payments are payments above and beyond standard Medicaid Payments made to Home and Community Based Services (HCBS) providers that deliver physical and behavioral health services in the home or community. There are several different types of waivers in the Medicaid statute. Published April 30, 2023 at 11:26 AM MDT. Program, Home Members may get a 90-day supply of some drugs at the time for heart disease, high blood pressure, or birth control. The benefit year runs from July 1 through June 30. Forms - Montana Montanas three abortion providers are suing the state over a new rule that restricts Medicaid coverage of abortion. PDF Department of Public Health and Human Services Blue Mountain provided the notice to the Daily Montanan. The Department of Public Health and Human Services (DPHHS) rejects the suggestion in your letter that it is "hid[ing] the rule" or "keep[ing . Montana currently administers one Medicaid Waiver program which is a 1915(c) waiver: the Comprehensive Waiver (0208). The Daily Montanan is a nonprofit, nonpartisan source for trusted news, commentary and insight into statewide policy and politics beneath the Big Sky. You can apply for Medicaid and other reduced-cost health coverage through the federal Health Insurance Marketplace. Federal Medicaid dollars cover abortion in cases of rape, incest or life endangerment. Temporary Assistance for Needy Families (TANF) - Cash assistance . The department acknowledged the concern that health care provider records sufficiently document when and why abortions are medically necessary. We ask that you edit only for style or to shorten, provide proper attribution and link to our web site. Administrative Rules of the State of Montana Certification, Diseases and services, Licensing Report a change for your case or apply for healthcare coverage. Home and Community Services Spending Plan and Narrative, ARPA Provider and Service List - November 23, 2021, Supplemental Payment Provider Agreement - Phase 2, Supplemental Payment Phase 2 Quarterly Schedule Example, HCBS Supplemental Payment Project - November 19, 2021, HCBS Supplemental Payment Project - September 17, 2021, HCBS Supplemental Payment Project Phase 2 - April 22, 2022, Supplemental Project Updated - October 28, 2021, Supplemental Project Updated - October 4, 2021, Notice of Use of Protected Health Information. Apply - Montana Supplemental payments will be issued for services that contains direct care activities which are those that include a direct care/personal assistance component. by Nicole Girten, Daily Montanan April 20, 2023. Abortion is protected in Montana under the state Supreme Court decision Armstrong v. State. Title XIX permits the Secretary of Health and Human Services to waive certain provisions required under the regular Medicaid State plan: Comparability (amount, duration, and scope); Statewideness; Income and resource requirements; and Freedom of Choice of all willing and qualified providers. 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. Health, Injury, Abortion providers sue state over Medicaid coverage restrictions "I'm bringing a couple (youth) home over the next couple months because of your work in subcommittee," said Keenan, reading the note. We have worked with the DPHHS Medicaid program since 1974. 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. Though Medicaid is a federal program, it is run at the state level. 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Act, DDP Sign Language Interpreters, Child Care Provider's Speech therapy, audiology, and hearing aids. At one time, only a small portion of Medicaid long-term care spending for disabled individuals was directed to home and community services. The PHE ends May 11, 2023. Be sure to check the announcements section above for information on changes to your benefits. Health coverage, food, housing, and energy assistance. Nicole Girten is a reporter for the Daily Montanan. The department responded to similar concerns saying prior authorization and prepayment review requirements were for providers and not Medicaid beneficiaries. Section 1915 (c) of the Act allows States to provide home and community based services to people who would otherwise require institutional care and is the major tool for meeting rising demand for long-term services and supports. Supplemental Payments Conditions, Emergency Preparedness and This is just another concerted effort to take away Montanans' fundamental rights and restrict access to essential health care. Resources for Members Information about benefits and services, and finding a provider. Need help finding your local Office of Public Assistance, Enrolled Medicaid Provider, or Passport Provider? Apply for food, medical, or cash assistance. Program, Child and Adult Care Food II, 18. The payment schedule in Phase 1 consists of two periods. News and events, public notices, reports, records requests, data dashboard, report fraud and abuse. Here is a copy of the Montana Healthcare Programs Member Guide. She previously worked at the Great Falls Tribune as a government watchdog reporter. Services, Information and It is very important to keep appointments and call the provider in advance if you cannot make it to a scheduled appointment. Montana Healthcare Programs Medicaid Expansion - HELP MEDICAID EXPANSION and HELP PLAN Apply You can apply easily online, by phone, in person, and by mail. The Gianforte Administrations attempt to restrict Montana Medicaids coverage of abortion care is unacceptable, said Executive Director of Blue Mountain Clinic Nicole Smith in a statement Wednesday. DPHHS administers the Montana Medicaid program, including prior authorization and coverage for medical care. The Centers for Medicare/Medicaid Services, a program of the US Department of Health and Human Services,allowsMontana and other statesto operate several HCBS waiver programs at once, each offering a distinct package of services and supports to a different group of individuals. Child Care, Child Support, Adult and Child Protective Services, and other family support services. providerenrollment - Montana Following recent Federal guidance, the pre-PHE eligibility requirements and processes resumed April 1, 2023. HCBS Providers will be issued a 15% supplemental payment calculated from specific Medicaid services for dates of service between 04/1/2021 and 09/30/2021 and billed by 10/31/2021. Montana 988 Provider Rate Study Medicaid Change Info, DPHHS Health Care FacilitiesPublic Health Summer InstituteFind Cancer Treatment Services. Pharmacy Assist Program, Nursing Facilities and other Unauthorized use is a violation of 45-6-311, MCA. Paper claims submitted via mail are processed an average of 12 days faster than paper claims submitted by fax. Here you can apply for food, medical, or cash assistance. This decision was made following the in-depth review of abortion claims paid by Montana Medicaid, as directed by the 2021 Montana legislature. Application for 1915(c) HCBS Waiver: Draft MT.004.07.00 - Jul 01, 2023 (cms.gov), 1915(c) Home and Community Based Services Waiver Amendments pertaining to Medicaid Private Duty Nursing - effective 7/15/2018, Children's System of Care (SOC) Planning Committee, Aging and Disability Resource Center (ADRC), Nursing Facilities and other Living Options, SHIP - State Health Insurance Assistance Program, Home Energy, Water and Weatherization Assistance Programs, Aging & Disability Resource Center (ADRC), MTAP (Montana Telecommunications Access Program), Licensing healthcare and residential services, Mental Health Nursing Care Center - Lewistown, Montana Chemical Dependency Center - Butte, Eastern Montana Veterans Home - Glendive, Montana Veterans Home - Columbia Falls, Home and Community Based Services Settings Rule and Montana's Statewide Transition Plan Powerpoint, Home and Community Based Services Transition Plan, Home and Community Based Settings Remediation Plans Webex PowerPoints, Medicaid Eligibility Disability Services (MEDS) Guide-Process to Determine DDP Waiver Medicaid Eligibility for Children 0-17, Application for 1915(c) HCBS Waiver: Submitted MT.004.07.00 - July 1, 2023 (cms.gov), 0208 Waiver Renewal Comments and Responses 3/3/2023, DD Comprehensive Waiver Renewal Public Notice, DD Comprehensive Waiver Renewal Stakeholders Memo, DD Comprehensive Waiver Renewal Montana Health Coalition Memo, DD Comprehensive Waiver Renewal Tribal Consultation Letter, DD Comprehensive Waiver Amendment Stakeholders Memo, Big Sky and DD Comprehensive Waiver Amendments Montana Health Coalition Memo, Big Sky and DD Comprehensive Waiver Amendments Public Notices, Montana COVID 19 Appendix K Approval Letter, CMS Approved 0208 Comprehensive Waiver Amendment, 1915(c) Home and Community Based Services Waiver Amendments pertaining to Medicaid Private Duty Nursing, BHDD Medicaid Services Provider Manual Effective October 1, 2022, BHDD Non-Medicaid Services Provider Manual Effective October 1, 2022, AMDD Non-Medicaid Services Provider Manual for SUD and Adult Mental Health, Effective July 1, 2020, AMDD Medicaid Services Provider Manual for SUD and Adult Mental Health, Effective April 1, 2021, Map of Montana Substance Use Disorder Providers, State Approved Substance AbuseTreatment Providers, NOTICE OF USE OF PROTECTED HEALTH INFORMATION, ACCESSIBILITY, DISCLAIMER AND WEB STANDARDS, DD Submitted 0208 Waiver Renewal posted 3/28/2023, DD Draft Waiver Renewal posted 1/13/2023. In response to concerns about the exam requirement, the department said it recognizes that FDA standards changed to allow telehealth services for medication abortion, but says those guidelines are being litigated. Montana DPHHS - SNAP, TANF, and Health Coverage Assistance Application It also prohibit Medicaid coverage for abortions performed by nurse practitioners or physician assistants. Aging and Disability Resource Center (ADRC), Nursing Facilities and other Living Options, SHIP - State Health Insurance Assistance Program, Home Energy, Water and Weatherization Assistance Programs, Aging & Disability Resource Center (ADRC), MTAP (Montana Telecommunications Access Program), Licensing healthcare and residential services, Mental Health Nursing Care Center - Lewistown, Montana Chemical Dependency Center - Butte, Eastern Montana Veterans Home - Glendive, Montana Veterans Home - Columbia Falls, Paternity Packet for Hospitals and Midwives, Paternity Information for Parents booklet, NOTICE OF USE OF PROTECTED HEALTH INFORMATION, ACCESSIBILITY, DISCLAIMER AND WEB STANDARDS. Montana Medicaid and HMK Plus are healthcare benefits for eligible low-income Montanans. Click here to read bill. House Bill 937: Would add licensure requirements for abortion clinics and was passed on third reading Thursday in the Senate. In the long-term care context, covered categories include the aged, blind, and disabled. These three populations account for the majority of Medicaid long-term care spending on home and community services, primarily through the personal care option, the HCBS waiver program, and the home health benefit. Medicaid provider rates see boost during budget amendments The state health department rule is set to take effect Monday and providers are asking Lewis and Clark District Court to temporarily block the rule before access to abortion is restricted. Apply Now Medicaid and HMK Plus Members HMK Members Policy Makers/News Media FAQ, Virtual HELP/Medicaid Expansion Public Input Forum November 29, 2022, This Medicaid Expansion Section 1115 Demonstration Waiver expires 12/31/2022. Our stories may be republished online or in print under Creative Commons license CC BY-NC-ND 4.0. You will be redirected to the home page in 15 seconds. If you are enrolled in Montana Medicaid as a dentist and submit a claim to Medicaid for psychotherapy services, your claim will deny for services not allowed for your provider type. DPHHS Provider MT Medicaid Childcare Healthcare DPHHS Partner Tribal Tribal Websites Building Healthy Systems A Healthier Montana Local Local Health Departments Building Healthy Systems A Healthier Montana Person Interested In Child Support Services Wellness and Prevention Services Diseases and Conditions Emergency Preparedness and Response Welcome to Montana Access to Health Web Portal! OMMS Portal - Optum Published in Newspapers for public comment on April 30, 2023 Montana Medicaid Home and Community Based 1915 (c) Severe Disabling and Mental Illness (SDMI) Amendment effective October 1, 2023 On. Information for Stakeholders Information about the program, waiver, legislation, and program oversight For a complete list of Provider Types and services that qualify for supplemental payments, please see ARPA Provider and Service List. Abortion providers will have to submit a request for prior authorization along with a signed physician certification form requiring a physical exam. 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. Welcome to the Department of Public Health and Human Services online application. Conditions, Emergency Preparedness and portal.dphhs.mt.gov - Montana Daily Montanan is part of States Newsroom, a network of news bureaus supported by grants and a coalition of donors as a 501c(3) public charity. MT Web Portal -Provider Locator Search - Conduent For a full list of member rights and responsibilities, see the Member Rights and Responsibilities Section of the Member Guide. 111 North Sanders Helena, MT 59601-4520 PO Box 4210 Helena, MT 59604-4210. . HB 702 FAQ| HB 702 COVID-19 Guidance HB 702 Prohibits discrimination based on a persons vaccination status or possession of an immunity passport. Because of the way Medicaid was originally designed and has been amended over time, distinct programs were developed to provide services to certain categorical populations, most notably women with dependent children. 1400 Broadway, Room A104 Helena, MT 59601-5231. 111 North Sanders Helena, MT 59601-4520 PO Box 4210 Helena, MT 59604-4210, Chief Human Resources Officer, Karol Anne Davis, Deputy Human Resources Officer, Ciarra Krantz, Civil Rights and EEO Officer, Lloyd Sparks, Risk Management and Safety Manager, Joe McAnally, 1400 Broadway, Rm C314, Helena, MT 59601-5231, Asthma and Diabetes Prevention and Control Programs, Nutritional and Physical Activity Program, 1400 Broadway, Room C202 Helena, MT 59601-5231 TOP, 1400 Broadway, Room B102 Helena, MT 59620, 1400 Broadway, Room C216 Helena, MT 69601-5231, 1400 Broadway, Room C216 Helena, MT 59601, Program Planning Unit 111 N Last Chance Gulch, Helena, MT 59601-6282 PO Box 8005, Helena, MT 59604-8005 TOP, Centralized Intake Unit 111 N Last Chance Gulch, Helena, MT 59601-6282 PO Box 8005, Helena, MT 59604-8005, SEARCHS Interface Specialist, Stacy Reedy, Policy & Procedure Specialist, Jana Maier, Federal Tax Offset Specialist, Nicole Lay, Employer Relations Specialist, Shawn Rafferty, New Hire Directory Specialist, Gary Dahlquist, 1625 11th Ave, Helena MT 59601 PO Box 4210, Helena MT 59620, 1625 11th Ave, Helena MT 59601 PO Box 4210, Helena MT 59620 TOP, Food Distribution/Commodity Warehouse Program 1400 Carter Drive, Helena, MT 59601-6400 PO Box 202956, Helena MT 59620-2956 TOP, Energy & Community Services Program (LIEAP & Weatherization) 1400 Carter Drive, Helena, MT 59601-6400 PO Box 202956, Helena, MT 59620-2956 TOP, 111 North Sanders, Room 305 Helena, MT 59601-4520 TOP, Medicaid & Healthy Montana Kids Drug Rebate Program, 1400 Broadway, Room A104 Helena, MT 59601-5231, Audit Bureau 2401 Colonial Dr, 3rd Floor Helena, MT 59601-4909, Administrative Support Supervisor,Afrah Al Asadi, Administrative Assistant,Andrew Erickson, 1100 N. Last Chance Gulch, 2 nd Floor, Helena, MT 59601 TOP, State Information Technology Services Division PO Box 200113 Helena, MT 59620-0113 CONTACT US, STD DIS Program Specialist, Miranda Reddig, U.S. BUREAU OF LABOR STATISTICS FOR MONTANA, MONTANA OFFICE OF TOURISM AND BUSINESS DEVELOPMENT, MONTANA HISTORICAL SOCIETY RESEARCH CENTER, Behavioral Health and Developmental Disabilities, Office of Inspector General (formerly Quality Assurance), State Information Technology Services Division, Economic Security Services Executive Director, Erica Johnston, Medicaid and Health ServicesExecutive Director, Mike Randol, Medicaid and CHIP State Plan Amendment and Waiver Coor., Mary Eve Kulawik, Strategic Planning, Research andAnalysis, Eric Higginbotham, Operations Revenue Forecasting Specialist, Jamie Bartole, Office of Inspector General, Michelle Truax (Interim), Operations Revenue Forecasting Specialist, Betty Morrison-Franklin, State Medical Officer, Dr. Maggie Cook-Shimanek, Office of Health and Human Services Innovation, CIO, Marie Matthews, Legislative and Regulatory Affairs, vacant, Communications Specialist, Herbert Council, Faith and Community Based Services, Rob Lawler, American Indian Health Director, Stephanie Iron Shooter, Deputy Chief Legal Counsel, Chad G. Parker, Attorney, HIPAA Program Officer, Theran Fries, Office Manager / Administrative Rule Specialist, Valerie St. Clair, Administrative Rule Specialist, Kassie Thompson, Administrative Legal Assistant, Bailey Yuhas, Medicaid Systems Operations Manager, Shellie McCann, Bedbugs, Hotels & Campground licensing, Pools, Food/Sanitarians - Grocery, Restaurants & Retail Food, Tattoos & Body Art & Piercing, Chronic Disease - Arthritis, Asthma, Diabetes, Vital Records, birth, death, marriage, divorce, State Refugee Coordinator, Kathe Quittenton, State MedicalDirector, Dr. Maggie Cook-Shimanek, MD, System Improvement Office Supervisor, Terry Ray, Local & Tribal Support Program Supervisor, Kerry Pride, DVM, Local & Tribal Support Specialist, Vacant, Public Health Accreditation Specialist, Vacant, Workforce Support Specialist, Allison Scheeler, Instructional Designer & Training Coordinator, Neva Loney, Performance Management & Quality Improvement Specialist, Marilyn Trevino, Epidemiology Program Manager, Heather Zimmerman, Office Manager/Financial Specialist, Jodee Prevel, Disability Health Education Specialist, Mackenzie Jones, Office Manager/Financial Specialist, Susan Day, Administrative Specialist, Carolyn Linden, Determinates of Health Program Manager, Margaret Mullins, Secondary Prevention Specialist, Mike McNamara, Quality Improvement Coordinator, Callan Brick, Asthma Control Program Manager, BJ Biskupiak, EMS Licensing and PI Specialist, Francine Janik, Cardiac Ready Program Manager, Janet Trethewey, Community Integrated Health Program Specialist, Kelly Little, Trauma System Manager, Alyssa Johnson, RN, BSN, Violent Death Registry Program Manager, Annie Kurtz, Injury Prevention Coordinator, Maureen Ward, Health Education Specialist, Alivia Winters, Administrative Support/Licensing, Sandra Tirrell, Body Art/Trailer Court Camp Grounds/ Cottage Food/ Farmers Markets, Mark Hall, Wholesale Mfg.