Montana Medicaid Tribal Consultation
The Montana Department of Public Health and Human Services recognizes the importance of the unique government to government relationship between the State and Tribes, as well as the unique needs of the American Indians receiving services from the Department. As part of fulfilling its responsibility to serving Tribes and their members, the Department consults with Tribes to solicit their feedback regarding aspects of the Medicaid program. Formal in-person tribal consultations are face-to-face meetings between Tribal Council leaders, Tribal Health directors, Urban Indian Health Center directors, Indian Health Service and the Department. The Department also consults with Tribes throughout the year via written correspondence in addition to the in-person meetings.
For more information about the purpose, process and requirements for tribal consultation, see the Medicaid Tribal Consultation State Plan.
Montana Medicaid Tribal Consultation Meetings
November 6-7, 2024
- November 6-7, 2024 Final Agenda
- November 6-7, 2024 Formal Invitation
- Tribal Health Improvement Program (T-HIP) Step 2 Updates Power Point
- Draft T-HIP Readiness Review
- American Society of Addiction Medicine (ASAM) Criteria
- Tribal Residential Treatment Facility Power Point
- Primary Care Case Management (PCCM) Programs Power Point
- PCCM Redesign Questionnaire
- Prevention Bureau Overview Power Point
- Developmental Disabilities Program Overview Power Point
- October 25-26, 2023 Meeting Notes
- October 25-26, 2023 Final Agenda
- October 25-26, 2023 Formal Invitation
- Medicaid Managed Care Authorities
- Primary Care Case Management Entity
- Tribal Health Improvement Program (T-HIP) Tier 1 Monthly Example Reporting
- T-HIP 6-Month Survey Example Reporting
- Medicaid Primary Care Redesign Power Point
- Patient Centered Medical Home (PCMH) Fact Sheet
- Comprehensive Primary Care Plus (CPC+)
- Passport to Health Fact Sheet
- Team Care Fact Sheet
- IHS/Tribal 638/Urban Indian Organizations Funding in Managed Care Programs
- Medicaid Redetermination Process Updates
- Centers for Medicare and Medicaid Services (CMS) “Four Walls” Informational Bulletin
- December 5-6, 2022 Agenda
- December 5-6, 2022 Formal Invitation
- Tribal Residential Treatment Facilities Presentation
- Cost Examples for Tribal Residential Treatment Facilities
- Administrative Rules of Montana Pertaining to American Society for Addiction Medicine (ASAM) Levels of Care:
- 37.106.1471 : ASAM 3.1 Clinically Managed Low Intensity Residential (Adult Or Adolescent) Substance Use Disorder Facility - Administrative Rules of the State of Montana (mt.gov)
- 37.106.1472 : ASAM 3.3 Clinically Managed Population-Specific High Intensity Residential (Adult Only) Substance Use Disorder Facility - Administrative Rules of the State of Montana (mt.gov)
- 37.106.1473 : ASAM 3.5 Clinically Managed High Intensity Residential (Adult)/Medium Intensity Residential (Adolescent) Substance Use Disorder Facility Requirements - Administrative Rules of the State of Montana (mt.gov)
- 37.106.1475 :ASAM 3.7 Medically Monitored Intensive Inpatient Requirements - Administrative Rules of the State of Montana (mt.gov)
- 37.106.1480 : Withdrawal Management Program Requirements - Administrative Rules of the State of Montana (mt.gov)
- 37.106.1485 : Single Sex Parent And Children Requirements - Administrative Rules of the State of Montana (mt.gov)
- Substance Misuse Prevention Presentation
- Montana Prevention Specialist Certification
- Non-Emergency Medical Transportation Presentation
- Status of Montana Medicaid Primary Care Case Management Programs Presentation
- Passport to Health Fact Sheet
- Team Care Fact Sheet
- Patient Centered Medical Home (PCMH)
- Comprehensive Primary Care Plus (CPC+)
- Changes Coming to Montana Medicaid
- Montana Medicaid Expansion/Health and Economic Livelihood Partnership (HELP) Program Fact Sheet
- May 17-18, 2022 Agenda
- May 17-18, 2022 Formal Invitation
- DPHHS Organizational Chart
- State Health Improvement Plan
- Disaster Relief State Plan and Waiver Flexibilities Approved or Pending Approval after May 2021 Medicaid Tribal Consultation
- Routine Medicaid CHIP State Plan and Waiver Approved or Pending Approval after August 2020 Medicaid Tribal Consultation
- Changes Coming to Montana Medicaid
- Behavioral Health and Disabilities Division State Approval Presentation
- Office of Inspector General Substance Use Disorder Level of Care Presentation
- Crisis Update Presentation
- Jail-Based Request for Proposal Prevention Initiatives Updates
- Montana Suicide Prevention Program
- Community First Choice Big Sky Waiver
- State Plan On Aging
- May 18-19 2021 Agenda
- May 18-19 2021 Formal Invitation
- DPHHS Organizational Chart
- Federal Legislation Update
- Medicaid State Budget Update
- House Bill 2
- House Bill 632
- Senate Bill 191
- House Bill 275
- House Bill 341
- Implementation of American Rescue Plan Act: Additional Support for Medicaid Home and Community-Based Services during the COVID-19 Emergency
- Passport to Health 1915(b) Waiver Status and Upcoming Renewal
- Disaster Relief State Plan and Waiver Flexibilities Approved after August 2020 Tribal Consultation
- Proposed Changes to Autism State Plan
- HEART Fund and 1115 Waiver
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Primary Materials
- Where We Have Been - Disaster and Emergency Authorities Eligibility and Enrollment
- Where We Have Been - Disaster and Emergency Authorities Benefits
- Where We Have Been - Disaster and Emergency Authorities Coverage
- Where We Have Been - Disaster and Emergency Authorities Cost Sharing
- Where We Have Been - Disaster and Emergency Authorities Provider Payment
- Where We Have Been - Disaster and Emergency Authorities Provider Flexibilities
- Where We Are - Indian Country Medicaid Revenues Tribal Health Improvement Program
- Where We Are - Indian Country Medicaid Revenues Tribal Health Improvement Program reference document
- Where We Are - Tribal Letter Medicaid Revenue Report - State Fiscal Years 2019 partial 2020 reference document
- Where We Are - Tribal Letter Waiver Extension of T-HIP Reporting Requirements during COVID-19 Pandemic reference document
- Where We Are - Tribal Letter Waiver of T-HIP Reporting Requirements during COVID-19 Pandemic reference document
- Where We Are - Medicaid Reimbursement for Pharmacy 90-days and Early Fills Billing for COVID Testing
- Where We Are - Medicaid Reimbursement for Pharmacy 90-days and Early Fills Billing for COVID Testing reference document
- Where We Are - Tribal Letter Medicaid Reimbursement for Pharmacy 90 day and Early Fills reference document
- Where We Are - Tribal Letter Medicaid Reimbursement for COVID-19 Testing reference document
- Where We Are - Targeted Case Management for Youth with Severe Emotional Disturbance
- Where We Are - Targeted Case Management for Youth and Adults with Substance Use Disorder
- Where We Are - Targeted Case Management for Adults with Severe and Disabling Mental Illness
- Where We Are - Peer Support Services Year 1
- Where We Are - Certified Behavioral Health Peer Support Flyer
- Where We Are Going - Proposed Changes to Assisted Living Rates
- Where We Are Going - Proposed Changes to Autism State Plan
- Where We are Going - Telehealth Services Considerations
- Where We Are Going - Provider Manual Face to Face Requirement Changes reference document
- Where We Are Going - Telehealth Provider Notice reference document
- Where We Are Going - Telehealth Provider Notice
- Where We Are Going - Telehealth FAQ reference document
Secondary Materials
- Montana COVID-19 CHIP Disaster Relief State Plan Amendment - Approved 07-08-2020
- Section 1135 #2 Approval Letter – Approved 06-23-2020
- Montana COVID-19 Appendix K #2 Approved 6-22-2020
- Montana Eligibility & Enrollment Flexibilities Concurrence Letter - submitted 06-19-2020
- Montana COVID-19 Medicaid Disaster Relief State Plan Amendment - Approved 05-08-2020
- Montana COVID-19 Appendix K #1 Approved 4-30-2020
- Section 1135 #1 Approval Letter – Approved 03-30-2020
- Section 1135 letter to CMS Director (March 26, 2020)
- December 4-5 2019 Formal Invitation
- December 4-5 2019 Agenda
- Department of Public Health and Human Services Organizational Chart
- Received Through Services-Draft Action Items Draft Care Coordination Agreement
- Understanding Cost Sharing Protections for AI AN-Medicaid CHIP Marketplace
- Medicaid Expansion Frequently Asked Questions
- American Indians Enrolled in HELP ACT (Medicaid Expansion)
- Hepatitis C Coverage Change
- Passport Managed Care Referrals IHS-Tribal 638-Urban Indian Health Centers
- Certified Peer Support Services
- Aged Blind and Disabled Supports available from Montana Medicaid
- July 16, 2019 Formal Invitation
- July 16, 2019 Agenda
- Department of Public Health and Human Services Organizational Chart
- House Bill 658
- Montana Section 1115 Demonstration Amendment and Extension Application
- Montana Health & Economic Livelihood Partnership (HELP) Medicaid Expansion Waiver Amendment & Extension slides
- Medicaid Eligibility slides
- American Indians Enrolled in HELP Act (Medicaid Expansion) for All Reservation Counties as of June 1, 2019
- American Indian Alaska Native Medicaid Enrollment for Major Urban Counties – as of June 1, 2019
- American Indian Alaska Native Medicaid Enrollment for Major Reservation Counties – as of June 1, 2019
- All Counties on each reservation as of June 1, 2019
- December 20, 2017 CMS MT HELP Amendment Approval Letter
- December 20, 2017 MT HELP Amendment Special Terms & Conditions
- Montana Medicaid & Health Montana Kids Plus Member Guide
- December 4-5, 2018 Formal Invitation
- December 4-5, 2018 Agenda
- DPHHS Contacts
- Chemical Dependency Reimbursement Types
- Medication Assisted Treatment Slides
- Medication Assisted Treatment Proposed Rule
- Medication Assisted Treatment around Montana presentation
- Opioid Crisis & Role of Corrections
- Prescription Opioid Limit Proposed Rule
- Substance Use Disorder Prevention
- Montana Focus on Opiate Crisis
- House Bill 328 Mental Health Crisis Intervention and Jail Diversion Grant
- Opioid Funding
- County and Tribal Matching Grant Program
- CMS Approval Letter-AI NA Cost Share Exemption
- DPHHS Developmental Disabilities Program Regional Offices and Contractors
- Information for American Indians-Alaska Natives Applying for Coverage
- Montana Medicaid Cost Sharing
- Part C Early Intervention
- Part C Family Education & Support
- State Unit on Aging Slides
- Understanding AI NA Cost Sharing Protections
- Formal Invitation
- Formal Invitation Follow Up
- Medicaid Tribal Consultation Meeting Agenda
- Medicaid State Plan and Waiver Updates
- Tribal Services Affected by Global Rate Reduction
- Tribal Home and Community Based Services Waiver Presentation
- Tribal Waiver Flow Chart
- Tribal Waiver Examples
- Federal Funding for Services Received through IHS or Tribal Facility CMS Guidance
- Federal Funding for Services Received through IHS or Tribal Facility FAQ
- Tribal Clinic and Federally Qualified Health Center Facts List
- Tribal Clinics vs Federally Qualified Health Center Medicaid Reimbursement Comparison
- Tribal Facility Designation for Medicaid
- Tribal Facility Clinic or Federally Qualified Health Center Enrollment Designation
For more information, contact the Medicaid and CHIP Coordinator, dphhhscomments@mt.gov.