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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 the Medicaid, Children's Health Insurance Plan (CHIP)-Dental Services Only, and Mental Health Services Plan (MHSP). Links to forms, enrollment, status of enrollment, and web portal registration are provided below.

Enroll or Re-Enroll as a Provider Online

Enroll or Re-Enroll as a Provider via the Web

 
Abbreviated Enrollment Online

Enroll Prescribing, Ordering, and Referring 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: 2015.07.30
Build Version: prod-518 2015.07.30 - 85
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