Medicaid Providers Urged To Update Information
Montana Medicaid providers are being urged by the Department of Public Health and Human Services to update their enrollment information by Dec. 31 to ensure uninterrupted payment reimbursement.
DPHHS officials state this is a federally required step, known as the provider revalidation process, in order for providers to continue participating in Montana Medicaid.
This deadline affects over 1,400 Medicaid providers across the state who have yet to update their information. To date, over 8,400 providers have successfully completed the process.
“It’s crucial that all Montana Medicaid providers prioritize this step to ensure timely reimbursement and continued participation in the program,” director Brereton stated.
DPHHS resumed the provider revalidation process in August 2023 after it was suspended during the COVID-19 Public Health Emergency. DPHHS sent notification letters beginning in August 2023 to the address on file 90 days before the revalidation due date.
In October 2024, DPHHS began calling providers and sent over 2,400 final reminder letters to providers with overdue revalidations, in addition to posting banners on the Medicaid Provider Website, Provider Services Portal, and on provider remittance advices.
Providers who fail to complete the necessary updates by the Dec. 31 deadline risk having their payments suspended Brereton emphasized the importance of providers visiting the Medicaid provider website (medicaidprovider. mt.gov) within the next two weeks to avoid payment delays for services rendered.
Providers can review their current revalidation status on the Medicaid provider website and the Provider Services Portal. The revalidation process takes approximately 50 minutes to complete.
Montana Medicaid providers are required to verify and update their enrollment information every five years to remain eligible for participation in Montana Medicaid.
Providers can check their revalidation status by reviewing the current provider revalidation list on the Medicaid provider website or by logging into the services portal.
The revalidation menu option will be active. Providers should ensure all necessary steps are completed and the revalidation is in a submitted status.
