Be at or below 138% of the Federal Poverty Level (FPL), which for a single individual in 2016 would be a yearly income of around $16,100 or less and for a family of four it would be roughly $32,900 a year or less; Be between the ages of 19 and 64 (kids are covered by HMK Plus or HMK/CHIP);
Out-of – State Services You may need to get medical services outside of Montana . The out of – state hospital must accept you as a Montana Medicaid Member prior to you receiving services and become a Montana Medicaid or HMK Plus provider if they are not already, in order to get paid by Montana Medicaid .
Covered services include, but are not limited to: audiology services, clinic services, community health center services, dental services, doctor visits, hospital services, immunizations, Indian Health Services, laboratory services, mental health services, nurse first services, nursing homes, occupational therapy,
Overview of Current Managed Care Programs In July 2011, more than three quarters of Medicaid beneficiaries in Montana were enrolled in a primary care case management (PCCM) program. Introduced in 1993, the state’s PCCM program is called Passport to Health .
2020 Federal Poverty Level Guidelines
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Members with Standard Medicaid benefits are eligible for almost all dental and denturist services when they are medically necessary. Adult members are responsible to pay for non- covered dental services and any dental treatment services received above the annual $1,125 limit.
States with the Best Medicaid Benefit Programs
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One thing you should know about Medicaid is that you can ‘t be covered by it in two different states at the same time. Therefore, to transfer your coverage – so to speak – you’ll need to first terminate your original Medicaid coverage and then apply in your new state once you’ve relocated.
Amerigroup Texas shared the top ranking in the state in the recently released NCQA Medicaid Health Insurance Plan Ratings 2018-2019.
Adults with Standard Medicaid Benefits One eye exam every 24 months for adults age 21 and over, unless vision changes significantly, or for treatment of eye disease.
Montana’s HELP Plan provides a variety of health care benefits including dental, vision, and prescription drugs, as well as other services. Medicaid also offers benefits not normally covered by Medicare, like nursing home care and personal care services Medicaid members will receive a Montana Access to Health card.
Currently in the state of Montana , Medicaid pays for abortion . If you have private insurance that does not cover abortion or have no insurance at all, you may qualify for Medicaid .
In 2016, Montana implemented its Medicaid expansion program under the Affordable Care Act, resulting in thousands of able-bodied adults joining the Medicaid program.
Medicaid grew from approximately 193,231 covered lives in early 2016 to approximately 246,039 in November 2017. The largest decrease in enrollment occurred in the off-exchange individual market, where there are no premium tax credits available. It decreased by 52.7 percent, from 28,261 in 2016 to 13,372 in 2018.
Passport to Health is the primary care case management (PCCM) program for Montana. Medicaid and Healthy Montana Kids (HMK) Plus members. The four Passport programs. provide support and encourage members and providers to establish a strong. relationship.