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Department of Public Health and Human Services  
Montana Access to Health Web Portal
 
 
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Provider Enrollment
Provider Information Website
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Provider Locator

Provider Enrollment

 

This is the menu page for Provider enrollment and Re-Enrollment in Montana Healthcare Programs. Links to forms, enrollment, status of enrollment and web portal registration are provided below.

Rendering Enrollment Online

Enroll Rendering Provider via Web

 
Full Enrollment Online

Enroll as a Full Provider via Web

 
Abbreviated Enrollment Online

Enroll Ordering, Referring, Prescribing Provider via Web

 
Download Enrollment Forms

Link to a page which displays all enrollment forms

 
Check Status of your Enrollment

Check Status of your Enrollment

 
Web Portal Registration

Link to a page through which a new Web user can register for Web Portal Access

Click here to check your browser compatibility.

 
 
 

For assistance, contact the Montana Access to Health Web Portal Help Center at 1-800-624-3958

 
Site last modified: 2018.11.26
Build Version: prod-815 2018.11.26 - 119
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