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. 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. Here you can apply for food, medical, or cash assistance. Supplemental Payments Report a change for your case or apply for healthcare coverage. Health coverage, food, housing, and energy assistance. I lost my Medicaid/HMK Plus Card, call 1-888-706-1535 for a replacement. 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. 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. For more detailed information on this please review the April 2023 Montana Health Care Programs MESSENGER Newsletter. Please click one of the buttons to tell us what you would like to do. Montana Healthcare Programs Apply Apply for Health Coverage You can apply for Medicaid and other reduced-cost health coverage through the federal Health Insurance Marketplace. 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. 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. Public Health and Human Services, Department of - Montana HCBS Providers who opt in and supply a quarterly schedule demonstrating costs exceed Medicaid payments will be issued a 4% supplemental payment calculated from specific Medicaid services for dates of service between 10/01/2022 and 03/31/2023. Montana Medicaid Home and Community Based 1915(c) Severe Disabling and House Bill 937: Would add licensure requirements for abortion clinics and was passed on third reading Thursday in the Senate. Montana's three abortion providers are suing the state over a new rule that restricts Medicaid coverage of abortion. Some of the additional federal funding that is provided through the FMAP increase will then be used to distribute Supplemental Payments to Home and Community Based providers. 01/05/2021. 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Child Care, Child Support, Adult and Child Protective Services, and other family support services. Montanas three abortion providers are suing the state over a new rule that restricts Medicaid coverage of abortion. Please see our republishing guidelines for use of photos and graphics. The department acknowledged the concern that health care provider records sufficiently document when and why abortions are medically necessary. All Medicaid funded abortions will also need to be conducted by a physician, excluding nurse practitioners. Electronic claims are processed an average of 14 days faster than paper claims. Abortion providers in Montana will be required to submit additional paperwork to the state for Medicaid-funded abortions starting May 1. This rule change goes against the values of Montanans, it ignores decades of research about the harms of denying access to essential healthcare, and it undermines Montanans constitutionally protected right to make personal healthcare decisions.. Montana 988 Provider Rate Study Medicaid Change Info, DPHHS Health Care FacilitiesPublic Health Summer InstituteFind Cancer Treatment Services. Then click the NEXT button at the bottom of the page. NOTICE OF USE OF PROTECTED HEALTH INFORMATION, ACCESSIBILITY, DISCLAIMER AND WEB STANDARDS. The best way to find out what you qualify for is to apply. Behavioral and physical healthcare for individuals, children, seniors, and families. Montana Medicaid and HMK Plus pays for services that are: Passport is the primary care case management (PCCM) program for Montana Medicaid and HMK Plus members. Find out more about the programs by clicking the links below. 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. Protective and Legal Services, Aging & Disability Resource Center Medicaid providers cannot bill a member for no-show/missed appointments. . 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. For a full list of member rights and responsibilities, see the Member Rights and Responsibilities Section of the Member Guide. 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. Apply For Assistance. Montana Medicaid - Conduent 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. DPHHS administers the Montana Medicaid program, including prior authorization and coverage for medical care. 01/05/2021 Civil Money Penalty Reinvestment (CMP) Application Template COVID-19 for In-Person Visitation Aids Request rev. Montana currently administers one Medicaid Waiver program which is a 1915 (c) waiver: the Comprehensive Waiver (0208). Medicaid & Healthy Montana Kids Drug Rebate Program. Forms - Montana 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. 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. Report a change or renew benefits for your case. Published April 30, 2023 at 11:26 AM MDT. Energy, Water and Weatherization Assistance Programs, Adult Program, Home Montana Department of Public Health and Human Services (Photo by Matt Volz | Kaiser Health News). Home [dphhs.mt.gov] Lawsuit Filed to Stop New Medicaid Rule Restricting Abortion in Montana The payment schedule for Phase 2 consists of three periods. Medicaid Waivers - dphhs.mt.gov Call Montana Healthcare Programs, Member Help Line 1-800-362-8312, M-F, 8am-5pm, for assistance. 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 . Response, Environmental 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 DPHHS - SNAP, TANF, and Health Coverage Assistance Application DO YOU RECEIVE MEDICAID? DEIJ Policy | Ethics Policy | Privacy Policy. It also prohibit Medicaid coverage for abortions performed by nurse practitioners or physician assistants. Montana abortion providers on Friday sued the state health department in an attempt to block a new rule adopted by the Gianforte administration's health department that restricts how the state will pay for abortions through its Medicaid program. 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. Response, Injury, Violence . Supplemental payments will be issued for services that contains direct care activities which are those that include a direct care/personal assistance component. Pharmacy Assist Program, Nursing Facilities and other 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. /. Living Options, SHIP - State Health Insurance Assistance 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.. Members excluded from this annual cap are: age 20 and under and members categorically aged, blind, or disabled. Medicaid home and community services are available to beneficiaries of all ages with many different types of physical and mental disabilities and chronic illnesses. On May 12, 2023, many of the temporary service changes will also return to the pre-PHE programstructure. However, a provider may discharge a member from their practice after so many no-show/missed appointments. 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. This decision was made following the in-depth review of abortion claims paid by Montana Medicaid, as directed by the 2021 Montana legislature. Though Medicaid is a federal program, it is run at the state level. Greg Gianfortes desk. Daily Montanan maintains editorial independence. DPHHS American Rescue Plan Act information. Login to keep working on an application you have already started. 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. 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. services, Licensing Choose a Passport Provider. Paper claims submitted via mail are processed an average of 12 days faster than paper claims submitted by fax. 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. 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. Shaylee covers state government and politics for Montana Public Radio. 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. Departments, Wellness and Prevention This is just another concerted effort to take away Montanans' fundamental rights and restrict access to essential health care. MT Web Portal -Provider Locator Search - Conduent 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. Education, prevention, data, family, laboratory services, environmental health, and services by county. Administrative Rules of the State of Montana Reports, Aging and Disability Resource Center Most income levels above Medicaid eligibility qualify for financial assistance for other health coverage through the Marketplace. You can apply for Medicaid and other reduced-cost health coverage through the federal Health Insurance Marketplace. 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. Income & Asset Limits for Eligibility Each of the three Medicaid long-term care programs have varying financial and medical eligibility criteria. Program, Child and Adult Care Food Apply - Montana 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. 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. 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. DPHHS staff will perform necessary data extractions to issue Phase 1 Supplemental Payments. Program), Public Transportation It is very important to keep appointments and call the provider in advance if you cannot make it to a scheduled appointment. Resources for Members Information about benefits and services, and finding a provider. The Montana Medicaid Provider Relation Unit is available from Monday through Friday from 8 a.m. to 5 p.m. MST. 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. Speech therapy, audiology, and hearing aids. Services, Diseases and Information for Stakeholders Information about the program, waiver, legislation, and program oversight, 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. Rule Reviewer Department of Public Health and Human Services . Some prescription drugs may need prior authorization. Falls, Southwest Montana Veteran's Home She holds a degree from Florida State University and a Master of Science from the Medill School of Journalism at Northwestern University. HB 702 Prohibits discrimination based on a persons vaccination status or possession of an immunity passport. This new rule comes as abortion legislation is flying through the legislature with a Republican supermajority. 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. 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. Sign In/Create Account, Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance for Needy Families (TANF). childcare, Mental Health Nursing Care Center - It is expected to be posted on the DPHHS website April 28. PDF Department of Public Health and Human Services Members may get a 90-day supply of some drugs at the time for heart disease, high blood pressure, or birth control. 03/10/2023 Provider Meetings for Medicaid Eligibility Redetermination and Unwinding PHE Flexibilities 03/03/2023 End of Public Health Emergency 2022. (From Understanding Medicaid Home and Community Services: A Primer by Gary Smith). Medical community praises Brereton in confirmation hearing,, Montana politics, politicians may have been able to save, New U.S. House Natural Resources chairman opposes limits on. The PHE ends May 11, 2023. Answer a few questions to see if you may qualify for food, medical, or cash assistance. 04/26/2021 Billing for COVID-19 Vaccine. Be sure to check the announcements section above for information on changes to your benefits. portal.dphhs.mt.gov - Montana There are several different types of waivers in the Medicaid statute. Welcome to the Department of Public Health and Human Services online application. DPHHS promulgated and would enforce the Rule unless restrained by this Court. 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. When members do not show up for a scheduled appointment, it creates an unused appointment slot that could have been used for another member. HB 702 FAQ| HB 702 COVID-19 Guidance HB 702 Prohibits discrimination based on a persons vaccination status or possession of an immunity passport. Apply for food, medical, or cash assistance. Following recent Federal guidance, the pre-PHE eligibility requirements and processes resumed April 1, 2023. The investment will draw about $29.5 million in federal funding, effectively injecting $44.5 million more into Montana Medicaid for providers in behavioral health, aging services and substance. The Montana Medicaid program proposed to institute consistent documentation requirements. 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. Assistance/Referral, Long Term Care Click here to read bill. 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.