Medicaid

How to Get Credentialed with Montana Medicaid in Montana

Network: Open
30-60 Days

Quick Overview

Timeline

30 - 60 days

CAQH

Not Required

Re-credentialing

Every 5 year(s)

Delegated

No

Montana-Specific Requirements

Montana Medicaid enrollment steps: (1) Obtain NPI via NPPES. (2) Register through the Montana DPHHS (Department of Public Health and Human Services) Medicaid provider enrollment portal. (3) Submit application with MT state license, proof of malpractice insurance, and required documentation. (4) Background check including state and federal criminal history is required for all providers. Montana operates primarily fee-for-service with no managed care organizations. Behavioral health providers accepted include LCPC and LCSW with active Montana licensure. Revalidation is required every 5 years.

Medicaid Information — Montana

Agency: Montana DPHHS

Program: Montana Medicaid / HELP Act

Portal: https://dphhs.mt.gov/medicaidprovider

Phone: 1-800-624-3958

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Montana.

2

Prepare Your Application

Complete Montana Medicaid's provider enrollment application with all required information and supporting documentation.

3

Submit Your Application

Submit your completed enrollment package to Montana Medicaid.

4

Track & Follow Up

Credentialing typically takes 30-60 days. Monitor your application status and respond promptly to requests for additional information.

Required Documents Checklist

Background Check

Federal/state background check required for Medicaid enrollment

CV/Resume

Work history required

Malpractice Insurance

Conditional

Required in most states; some state programs waive for government employees

Medical License

NPI Certificate

Enrollment Forms

Montana Medicaid Provider Enrollment

Required
Online Open →

Contact Information

Provider Enrollment

National

1-800-624-3958

General Provider Inquiries

National

1-800-624-3958

Quick Links

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