Conditions, Emergency Preparedness and She previously worked at the Great Falls Tribune as a government watchdog reporter. DPHHS responses to the comments do not allay our concerns about the impact of the rule change, nor do they reflect an understanding of the barriers patients with low incomes already face in receiving timely abortion care.. Contact Editor Darrell Ehrlick for questions: info@dailymontanan.com. Now, some services and benefits may be offered throughtheMontana Medicaid State Planor throughhome and community-based services (HCBS) waiver programs. 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. Early refills cannot be granted for lost or stolen medication, or for vacation or travel. In the notice of amendment, DPHHS responded to complaints about the rule change, which ranged from concerns about the department overstepping with the new records requirements, to the physical exam requirement going against FDA guidelines and best practices. 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. /. That's according to a new rule being instituted by the Montana Department of Public Health and Human Services that was put out for public comment in December. Program, Home 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 Medicaid is run by the Montana Department of Public Health and Human Services (DPPHS) Mountain-Pacific Quality Health supports the Montana DPHHS by handling a number of reviews related to Medicaid services. Prescription drugs are only covered if you go to a Medicaid-enrolled pharmacy. Mental health and substance abuse treatment. Federal Medicaid dollars cover abortion in cases of rape, incest or life endangerment. Then click the NEXT button at the bottom of the page. On May 12, 2023, many of the temporary service changes will also return to the pre-PHE programstructure. Begin the Enrollment Process If you have further questions about the completing enrollment application, please contact: Montana Provider Relations Provider Enrollment MTEnrollment@conduent.com (800) 624-3958 (406) 442-1837 (Helena/Local) Enrollment Mailing address: PO Box 89 Great Falls, MT 59403 Health, Injury, Report a change for your case or apply for healthcare coverage. Services, Information and 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 | Montana 988 Provider Rate Study Medicaid Change Info, DPHHS Health Care FacilitiesPublic Health Summer InstituteFind Cancer Treatment Services. They also argue the rule violates Montana Supreme Court precedents that protect access to abortion. Following recent Federal guidance, the pre-PHE eligibility requirements and processes resumed April 1, 2023. 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. Lewistown, Montana Chemical Dependency Center - CFSD Caseload, Public Assistance, Medicaid dashboards, Montana Department of Public Health and Human Services, Licensing and Abortion providers will have to submit a request for prior authorization along with a signed physician certification form requiring a physical exam. However, a provider may discharge a member from their practice after so many no-show/missed appointments. The payment schedule for Phase 2 consists of three periods. 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. Report a change for your case or apply for healthcare coverage. The Montana Department of Public Health and Human Services (DPHHS) is pleased to invite comment from all Tribal Governments, Urban Indian Organizations, and Indian Health Service (IHS) regarding the upcoming Montana Medicaid Home and Community Based 1915(c) Severe Disabling and Mental Illness (SDMI) amendment effective October 1, 2023. Remember, you will need a referral (approval) from your Passport provider before you can see most other healthcare providers. We ask that you edit only for style or to shorten, provide proper attribution and link to our web site. Montana is implementing the Supplemental Payment program to support maintaining a stable workforce and preserve significantly impacted home and community-based service behavioral health provider networks. 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. Abortion is protected in Montana under the state Supreme Court decision Armstrong v. State. House Bill 862: Would prohibit public funds for abortions passed second reading in the Senate and had a hearing in Finance and Claims on Wednesday. Assistance/Referral, Long Term Care by Nicole Girten, Daily Montanan April 20, 2023. Follow Daily Montanan on Facebook and Twitter. The state health department rule is set to take effect Monday and providers are asking . II, 18. Butte, Eastern Montana Veterans Home - (ADRC), Estate Planning / Legal 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. DPHHS Directory; General Information (406) 444-5622. 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. The benefit year runs from July 1 through June 30. Here is a copy of the Montana Healthcare Programs Member Guide. Montana Public Radio. Daily Montanan maintains editorial independence. Your session is about to expire. 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. For more detailed information on this please review the April 2023 Montana Health Care Programs MESSENGER Newsletter. 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. 12/07/2020 Medicaid Expansion Extended Through December 31, 2021. . Please see our republishing guidelines for use of photos and graphics. Behavioral and physical healthcare for individuals, children, seniors, and families. Find a Montana Medicaid or HMK Plus Dental Provider. 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. Program, MTAP (Montana Telecommunications Access HB 702 FAQ| HB 702 COVID-19 Guidance HB 702 Prohibits discrimination based on a persons vaccination status or possession of an immunity passport. 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. House Bill 937: Would add licensure requirements for abortion clinics and was passed on third reading Thursday in the Senate. 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 . If you do not choose a Passport provider, you will be assigned one. Please click one of the buttons to tell us what you would like to do. All Families Healthcare, Blue Mountain Clinic and Planned Parenthood of Montana say the rule will significantly restrict access to abortion for low-income Medicaid recipients. portal.dphhs.mt.gov User ID: Password: This computer is the property of the State of Montana and subject to the appropriate use policies located at: http://www.discoveringmontana.com/itsd/policy/enterprise.asp. The department responded to similar concerns saying prior authorization and prepayment review requirements were for providers and not Medicaid beneficiaries. Paper claims submitted via mail are processed an average of 12 days faster than paper claims submitted by fax. Members may get a 90-day supply of some drugs at the time for heart disease, high blood pressure, or birth control. Abortion is protected in Montana under the state Supreme Court decision Armstrong v. Montana Medicaid and HMK Plus are healthcare benefits for eligible low-income Montanans. 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. "I'm bringing a couple (youth) home over the next couple months because of your work in subcommittee," said Keenan, reading the note. 04/26/2021 Billing for COVID-19 Vaccine. Services, Diseases and She holds a degree from Florida State University and a Master of Science from the Medill School of Journalism at Northwestern University. 2023. The aged and disabled categories taken together include people of all ages who have physical or mental disabilities, including serious mental illness, mental retardation, and other developmental disabilities. Greg Gianfortes desk. 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. DPHHS. DPHHS American Rescue Plan Act information. PLEASE ENSURE DPHHS HAS YOUR CURRENT ADDRESS SO YOU RECEIVE IMPORTANT INFORMATION ABOUT YOUR BENEFITS. Unauthorized use is a violation of 45-6-311, MCA. When members do not show up for a scheduled appointment, it creates an unused appointment slot that could have been used for another member. Call Montana Healthcare Programs, Member Help Line 1-800-362-8312, M-F, 8am-5pm, for assistance. The department acknowledged the concern that health care provider records sufficiently document when and why abortions are medically necessary. Response, Environmental Education, prevention, data, family, laboratory services, environmental health, and services by county. 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. You will have to pay for services that are not covered and for those services that go over the $1,125 dental treatment limit for the following list of treatments: Many prescription drugs are covered. Pharmacy Assist Program, Nursing Facilities and other This is just another concerted effort to take away Montanans' fundamental rights and restrict access to essential health care. 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. At one time, only a small portion of Medicaid long-term care spending for disabled individuals was directed to home and community services. DPHHS Director Charles Brereton and Rule Reviewer Paula M. Stannard signed off on the rule, which was certified to the Secretary of State on April 18. Find a Montana Medicaid or HMK Plus Dental Provider. However, service limits may apply. The Montana Medicaid Provider Relation Unit is available from Monday through Friday from 8 a.m. to 5 p.m. MST. Montana Access to Health Web Portal provides the tools and resources to help healthcare providers conduct business electronically. The Montana Medicaid program proposed to institute consistent documentation requirements. The bill, which is also being sent to Gianfortes desk, added language to say parents or guardians can turn down medical treatment under certain circumstances when a baby is not expected to survive, a major critique from the movement against LR-131 last fall. 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. We ask that you edit only for style or to shorten, provide proper attribution and link to our web site. This does not mean you the dentist can ask your buddy the social worker if you can borrow their NPI to get the claim paid. There are two ways to submit claims to the Montana Healthcare Programs: Electronic and paper. Public Assistance Help Line Eligibility and reporting changes to your case 1-888-706-1535, Medicaid/HMK Plus, Member Help Line Medical Benefits, copayments, and Passport to Health questions 1-800-362-8312, Medicaid Transportation Services Contact the Medicaid Transportation Center 1-800-292-7114, 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, April 2023 Montana Health Care Programs MESSENGER Newsletter, Member Education (Newsletters, Presentations and Changes to Benefits), choose your Passport provider anytime online, Member Rights and Responsibilities Section of the Member Guide, Report Suspected Medicaid Fraud, Abuse and Waste, NOTICE OF USE OF PROTECTED HEALTH INFORMATION, ACCESSIBILITY, DISCLAIMER AND WEB STANDARDS, Montana Medicaid and Healthy Montana Kids (HMK) Plus. For a complete list of Provider Types and services that qualify for supplemental payments, please see ARPA Provider and Service List. Our stories may be republished online or in print under Creative Commons licence CC BY-NC-ND 4.0. (ADRC), Americans with Disabilities Montana's three abortion providers are suing the state over a new rule that restricts Medicaid coverage of abortion. Online at healthcare.gov Call 1-800-318-2596 Find in-person help by visiting covermt.org Do I Qualify? It is expected to be posted on the DPHHS website April 28. 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. 01/05/2021 Civil Money Penalty Reinvestment (CMP) Application Template COVID-19 for In-Person Visitation Aids Request rev. Access the new MPATH Provider Services Portal to use the Find a Provider feature at https://mtdphhs-provider.optum.com Sign Language Interpreters, Child Care Provider's The provider must have the same policy for Medicaid members as non-Medicaid members, and must notify Medicaid members that the policy exists. By, Child care spending bill passes Montana Legislature, Bill would enforce constitutional mandate to teach students about Native American cultures, Capitol briefs: Gender-affirming care, charter schools and foster care, Record-breaking warm, spring weather could hit Montana this weekend, News briefs: Blackfeet Business Council seat filled; land donation to MSU. House Bill 625: Places in statute the language that was included in LR-131 ballot initiative that failed last fall, which would have required doctors to save any infant born alive after an abortion later in pregnancy. 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 Montana currently administers one Medicaid Waiver program which is a 1915 (c) waiver: the Comprehensive Waiver (0208). 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. MT Web Portal -Provider Locator Search Provider Locator Search The Montana Access to Health Web Portal online provider locator search is no longer available as of February 1, 2022. Be sure to check the announcements section above for information on changes to your benefits. 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. You can use the Healthcare.gov Income Levels and Savings toolto find out what you might qualify for.
