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HMK (CHIP) Provider Resources

Healthy Montana Kids Plan Overview:

Click here to download the Healthy Montana Kids Plan Overview in pdf format.

Dental and Eyeglasses:

How do I become a HMK Provider?

For information on how to become a HMK participating provider or the status of your application, contact ACS Provider Relations at (800) 624-3958 or download application forms at: http://www.dphhs.mt.gov/medicaid/providerpages/enrollment.shtml

How do I get a Provider Manual?

Please contact ACS at (800) 624-3958 or download the appropriate manual from the following links:

Is my client enrolled?

To see if your client is currently enrolled in HMK, the following options are available:

  • Automated Voice Response (AVR): (800) 714-0060
  • FAXBACK: (800) 714-0075

Note:  AVR and FAXBACK do not check the HMK benefit limits. Information on benefit limits can only be obtained by contacting ACS Provider Relations at (800) 624-3958.

What is the status of my claim?

To determine the status of a claim for services that you have submitted, please contact ACS Provider Relations at (800) 624-3958.

HMK Extended Dental Plan

HMK offers an Extended Dental Plan (EDP) providing coverage for dental services beyond the HMK Basic Dental Plan. Dental providers must submit a "Request for Extended Dental Benefits" form including a proposed treatment plan. The treatment plan must be approved by HMK before a child is determined eligible for EDP benefits. The dental services must be provided after October 1 and within 90 days of the approval determination. Click here for more information about EDP.

The Extended Dental Plan is an ongoing benefit of HMK. However, EDP funding is limited. When all funds are allocated, new funding is available again the following October 1. If a child previously received EDP services, please contact HMK to find out if he/she is again eligible.

HMK "Request for Extended Dental Benefits" form - MS Word format

HMK "Request for Extended Dental Benefits" form - PDF format

Medical:

How do I become a HMK provider?

For information on how to become a HMK participating provider or the status of your application, contact Blue Cross Blue Shield of Montana at (800) 447-7828 ext. 6100.

How do I get a Provider Manual?

Please contact Blue Cross Blue Shield of Montana at (800) 447-7828 ext. 6100 or visit their web site at https://www.bcbsmt.com/Pages/provmanuals.aspx.

How do I find out if my patient is covered by HMK?

To see if your client is currently enrolled in HMK, please contact Blue Cross Blue Shield of Montana at (800) 447-7828 ext. 6100.

What is the status of my claim?

To determine the status of a claim for services that you have submitted, please contact Blue Cross Blue Shield of Montana at (800) 447-7828 ext. 6100.

HMK Extended Mental Health Plan for Children with
Serious Emotional Disturbance (SED)

Effective October 1, 2008, HMK Extended Mental Health benefits, except Community Based Psychiatric Rehabilitation and Support (H2019), are processed through Blue Cross Blue Shield of Montana.

Click here to download the two-page fact sheet.

Click here to download the Guidelines for Clinical Assessment.

The full Extended Mental Health Plan Manual is currently being revised and will be posted here when it is completed.

Call 1-877-KidsNow (1-877-543-7669) if you need more information.