UPDATE: In 2020, the rules and steps related to applying for Medicaid will remain the same.
Medicaid in Montana supplies basic health initiatives, including personal care services and nursing home care. The vast majority of recipients who successfully completed the Medicaid application steps do not require a co-payment for treatment.
An application for Medicaid does not cover the cost of cosmetic surgery meant to improve or alter one’s looks, private duty nursing, medical services or supplies provided by a member of the member’s household, nor does an eligible Medicaid application grant the member medical disposables, like adult diapers and medical experimental items.
Medicaid application forms must be filled out with accurate information pertaining to assets and resources. These are not the only things that must be considered applying for Medicaid. Learn where to apply for Medicaid and more using the following sections:
- How to Apply for Medicaid Online in Montana
- How to Submit Medicaid Applications by Mail in Montana
- Can I Apply for Medicaid by Phone in Montana?
- How to Submit a Medicaid Application in Person in Montana
- What are the Financial Guidelines for Medicaid in Montana?
- What Are the Non-Financial Medicaid Requirements in Montana?
- Where do You Sign up for Medicaid with Personal Documents in Montana?
How to Apply for Medicaid Online in Montana
Applicants can apply for Medicaid online through Montana’s Department of Public Health and Human Services (DPHHS) website, or through the Federal government’s health insurance exchange website. The form can be completed at any time of the year and has on-screen instructions for ease of use. Submitting Medicaid Applications by Mail in Montana
How to Submit Medicaid Applications by Mail in Montana
Petitioners can apply for MT Medicaid by mail if they so choose. First, print a paper Montana Medicaid application form from the internet. Once printed, fill out the application to the best of your ability and mail it to your local Office of Public Assistance.
Can I Apply for Medicaid by Phone in Montana?
Potential beneficiaries can apply for Medicaid over the phone by calling a toll-free number. Calling the consumer hotline to get help with the Medicaid filing process is worthwhile if applicants feel perplexed regarding how to fill out Medicaid application forms in Montana.
The person on the other end of the phone will guide the candidate through the process and will provide 24-hour medical advice relating to where can you sign up for Medicaid and what is included in the Medicaid application.
How to Submit a Medicaid Application in Person in Montana
Montana Medicaid applications may be submitted at a local Office of Public Assistance in person. Once an office has been located, an appointment can be made and the Medicaid caseworkers will oversee the process of completing an application for Medicaid. If the applicant is unsure about which forms are necessary for the process, the in-person approach is recommended.
What are the Financial Guidelines for Medicaid in Montana?
Low-income elderly residents of Montana and the disabled can be covered when they apply for Medicaid. In terms of family size and income limits for Medicaid applications, the figures change each year. Children are eligible to apply for Medicaid in MT if they live in a household with an income of up to 143 percent of the federal poverty level (FPL).
Children can sign up for Medicaid under the Children’s Health Insurance Program (CHIP) if they reside in a household with an income of up to 261 percent of the FPL. Pregnant women can obtain Medicaid coverage if their household income level is up to 157 percent of the FPL.
Adults who are not pregnant are eligible for an online Medicaid application in Montana if their household income is up to 138 percent of the FPL. Cancer screening services are provided to Montana Medicaid application recipients who have a cumulative household income up to 200 percent of the FPL.
Co-payments are required for certain Montana Medicaid application services. The state’s Medicaid co-payments are capped at 5 percent of a family’s quarterly household income. Members who apply for Medicaid and are successful must pay a co-payment of $4 for outpatient services.
A co-payment of $75 is required for inpatient services. A co-payment of $4 is required for preferred brand drugs after a successful attempt to sign up for Medicaid. The co-payment jumps to $8 for non-preferred brand drugs when petitioners apply for Medicaid online, by phone or in person.
However, Alaska Natives and American Indians who have received or accepted Medicaid cannot hold Indian Health or Tribal Health services responsible for co-payment. Montana Medicaid recipients who are under the age of 21 do not have to pay a co-payment.
Pregnant women, members who are terminally ill and members receiving cervical/breast cancer care do not have to pay co-payments. Discover all of the steps you must take when applying for Medicaid by downloading our detailed guide.
What Are the Non-Financial Medicaid Requirements in Montana?
“Where do you sign up for Medicaid in MT according to the financial rules?” The petitioner who submits a Montana Medicaid application form must be a citizen of the United States or a legal immigrant. He or she must also be a resident of the state of Montana. The length of his or her Montana residency does not matter, so long as residency status can be proven with a document, such as a utility bill.
Where do You Sign up for Medicaid with Personal Documents in Montana?
A caseworker must examine original documents to understand whether or not an applicant can sign up for Medicaid hospital services, dental care, emergency room treatment and more, based on the candidate’s living situation, finances, resources and residency when he or she applies. Examples of documentation that will be accepted with Medicaid applications include:
- Financial statements going back at least five years
- Valid social security number (SSN)
- Application for other benefits
- Driver’s license
- Birth certificate
- Cooperation with Child Support Service (CSS)
Typically, the time it takes for a Medicaid application to be processed from start to finish can last anywhere between 45 and 90 days. However, this timeframe may be extended if an applicant is unable to provide personal documentation with his or her Medicaid application. To learn more about the application process for Medicaid, download our comprehensive guide.