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Department of Public Health and Human Services  
Montana Access to Health Web Portal
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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: 2021.12.02
Build Version: prod-922 2021.12.02 - 115
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