Montana Medicaid
Montana Medicaid is administered by the Department of Public Health and Human Services. A managed-care member is billed to that plan. Fee-for-service Medicaid stays with the state. Wyoming Medicaid will not pay a Montana member.
Medical Billing Services in Montana
Montana Medicaid is not Wyoming Medicaid, even though the Medicare contractor matches. Montana Medicaid is administered by the Department of Public Health and Human Services. A managed-care member is billed to that plan. Fee-for-service Medicaid stays with the state. Wyoming Medicaid will not pay a Montana member.
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What a claim follows in Montana
Montana Medicaid is not Wyoming Medicaid, even though the Medicare contractor matches.
Noridian, Jurisdiction F
Medicare Part A and Part B for a Montana practice go to Noridian Healthcare Solutions, Jurisdiction F, with Wyoming, Idaho, North Dakota, and South Dakota. This is one of the few state clusters where the Medicare contractor does not change at the border.
Workers' compensation
Montana is not a no-fault state. A work injury is billed to the employer's carrier under the Montana Department of Labor and Industry. It is not a Montana Medicaid claim.
Matching Medicare contractors across the northern Rockies does not match the Medicaid programs. Each state still has its own enrollment. The claim uses the program on the card.
Nearby states
Montana billing questions
Where does a Montana Medicare claim go?
Noridian Healthcare Solutions, Jurisdiction F, the same contractor as Wyoming and North Dakota.
Is Montana Medicaid the same as Wyoming Medicaid?
No. Each state has its own enrollment and its own payer.
Does a Montana practice change the fee?
The fee is a percentage of net collections. The written rate follows volume, specialty, and how much of the cycle you hand over. There is no setup fee, and the agreement is month to month. The state is not a surcharge. How pricing is set.