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Plan Providers

Montana Healthcare

Montana Healthcare Providers

Montana Healthcare Programs now includes the Montana HELP Plan.  Depending on eligibility requirements, claims can be processed by Blue Cross Blue Shield of Montana (BCBSMT) or the Department of Public Health and Human Services (via Xerox).

BCBSMT Provider Information

  • Provider Enrollment
  • Eligibility verification of Participants
  • Claims/Billing
  • Prior authorizations
  • Provider portal login
  • Policy bulletins
  • Contact Information

If a participant presents a Blue Cross and Blue Shield of Montana (BCBSMT) HELP Plan card as shown below, some of the services for HELP Plan participants are processed by both BCBSMT and Xerox, as indicated below.

HELP Plan ID Card - Blue Cross Blue Shield

Services for the HELP Plan Processed by BCBSMT

  • Physician
  • Mid-Level
  • Preventive
  • Medical Vision and Exams
  • Hospital
  • Lab and X-Ray
  • Emergency
  • Surgical
  • Rehabilitative & Habilitative
  • Behavioral Health (Mental Health & Substance Use Disorder)
  • Convalescent Home (excludes Custodial Care)
  • Durable Medical Equipment/Supplies
  • Early and Periodic Screening, Diagnostic, and Treatment (EPSDT)

To check eligibility for participants who present a BCBSMT HELP PLAN card:

BCBSMT Provider Portal tool

BCBSMT Provider Services or call (877) 296-8206

Montana Healthcare Programs Provider information

  • Provider Enrollment
  • Eligibility verification of members
  • Provider fee schedules
  • Claims/Billing
  • MATH portal login
  • Provider manuals & notices

DPHHS (Xerox) processes claims for Medicaid, Mental Health Services Plan (MHSP), and Healthy Montana Kids (HMK) pharmacy, dental and eyeglass services in addition to the HELP Plan services. If a member presents a Standard Medicaid card as shown below, all services are processed by Xerox.

Montana Access to Health ID Card

Services for the HELP Plan Processed by Xerox

  • Audiology
  • Dental
  • Diabetes Prevention Program
  • Eyeglasses
  • Federally Qualified Health Center
  • Hearing Aids
  • Indian Health Services/Tribal Health
  • Home Infusion
  • Rural Health Clinic
  • Pharmacy
  • Transportation (Including Ambulance)

Providers can check eligibility for participants who present a MATH card using the following self-service tools.  

Montana Access to Health Web Portal

Integrated Voice Response (IVR) (800) 714-0060

FaxBack (800) 714-0075

Montana Healthcare Programs Provider relations or call (800) 624-3958 or (406) 442-1837