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Montana Healthcare Providers Urged to Update Information for Medicaid Reimbursement

Missoula, MT – Montana’s Department of Public Health and Human Services (DPHHS) is reminding healthcare providers across the state to update their information in order to continue receiving Medicaid payments. The department has emphasized the importance of completing a federally required revalidation process, which must be done every five years for providers to remain active in the state’s Medicaid program.

The deadline for completing the revalidation is December 31, 2024. Providers who fail to submit their updates by this date risk having their Medicaid payments suspended, which could disrupt the services they provide to Medicaid recipients.

According to DPHHS, over 8,400 healthcare providers have already completed the revalidation process, but an additional 1,400 providers still need to fulfill the requirement. DPHHS Director Charlie Brereton stressed the urgency of the situation, stating, “It’s crucial that all Montana Medicaid providers prioritize this step to ensure timely reimbursement and continued participation in the program.”

This revalidation process is unrelated to the Medicaid redetermination for recipients, which was also paused during the COVID-19 public health emergency. Both processes resumed last year as part of the effort to return to pre-pandemic operations.

DPHHS began notifying providers of the revalidation requirement in August 2023, sending out reminder letters. In October, the department sent final letters and began reaching out by phone to those providers who were still overdue.

The department is urging healthcare providers to act swiftly to avoid any disruptions in Medicaid payments, which play a crucial role in supporting healthcare services for low-income residents in the state.

Written by Denise Malone

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