Healthy Montana Kids (HMK)

Healthy Montana Kids (HMK), Montana's Children's Health Insurance Program (CHIP), offers a free or low-cost health insurance plan  providing coverage to eligible Montana children up to age 19. Covered services include medical, dental, eyeglasses, and other related services.  Medical benefits are administered through the   Blue Cross Blue Shield (BCBS) of Montana Provider Network, except for applied behavioral analysis, ambulance, dental, pharmacy, eyeglasses, durable medical equipment, prosthetics, orthotics, and medical supplies (DMEPOS) or claims billed by Federally Qualified Health Centers or Rural Health Clinics which are administered by Montana Healthcare Programs. Treatments and services must be medically necessary and the member must be enrolled at the time the service is delivered.

 

The Montana Department of Health of Human Services (DPHHS) has extended coverage to postpartum women. This change will now allow postpartum women enrolled in Montana’s Medicaid and Healthy Montana Kids Programs to be eligible for 12-month continuous coverage. If you are a member and become pregnant or have any changes to your pregnancy, notify the Office of Public Assistance (OPA). Providing the most updated information on your pregnancy or postpartum status will ensure you are covered under this extension. If OPA is not notified, they will be unable to change or extend your coverage. Women that have become pregnant or had changes to a pregnancy since July 1, 2023, must report these changes to OPA via:

  • Self-service portal located at https://apply.mt.gov/ 
  • Providing a written statement of the pregnancy or changes to the local OPA office
  • Calling the Public Assistance Help Line at 1-888-706-1535 and speaking to a case worker

Member Guide  - July 2024

Evidence of Coverage - Effective January 1, 2024

Current HMK Covered Dental Codes  - Effective July 1, 2024 

Eligibility
Public Assistance Helpline
Office of Public Assistance contact information
(888) 706-1535

Medical Benefits
Blue Cross Blue Shield of Montana
(855) 258-3489

Applied Behavioral Analysis, Ambulance, Dental, Eyeglasses, DMEPOS, and Pharmacy benefits or claims billed by Federally Qualified Health Centers or Rural Health Clinics
Montana Healthcare Programs, Member Helpline
(800) 362-8312