Medicaid for Home Care in Montana

Medicaid Certified Home Care Agency in Montana

Agencies that are looking for Medicaid reimbursement in Montana should consider getting a certification as HHA (Home Health Agency). There are certain regulations that must be fulfilled by the caregiver agency to claim Medicaid. These agencies must have an adequate license along with some certifications, which makes them eligible for claims.

Governing Body: Department of Public Health and Human Services (DPHHS)

Overview:

Medicaid in Montana is jointly funded by the state and federal governments to provide health coverage to residents including seniors, pregnant women, parents, children, blind, disabled people, and caregivers making up to 138% of the FPL.

Medicaid Programs:

  • HCBS Waiver
  • Montana Community First Choice (CFC)

Income Requirements:

  • For individuals, income up to 138% of the FPL or no more than $1,350 a month
  • For children, income up to 143% of the FPL ($1,909 per month) for a family of two
  • For women diagnosed with breast or cervical cancer, income up to 250% of the FPL
  • For pregnant women, income up to 157% of the FPL ($2,096 per month) for a family of two
  • For blind and disabled people, assets worth up to $2,000 for an individual or $3,000 for a couple and income up to $733 a month for an individual and $1,100 for a couple

Application Process:

The application process for accessing Medicaid for Montana residents is easy, and anyone can apply online for the available Medicaid programs by visiting apply.mt.gov.

Medicaid with CareSmartz360

Home care businesses require advanced solutions to integrate Medicaid into their services, and Caresmartz has been doing that across the states for home care agencies, private-duty care providers, and home care franchisors for several years. CareSmartz360 is a complete software solution to manage a home care business, and it supports all Medicaid payers, allowing businesses to focus on other operations and processes.

  • Effective and comprehensive management of the revenue cycle.
  • Allows agencies to fulfill billing requirements for Medicaid, Medicare, Insurance, and Private Pay.
  • Built-In feature to submit claims electronically.
  • Quickly create, review, approve and submit claims in paper invoice or 837P, 837I format.
  • Helps in generating error-free claims to save time and efforts.
  • Identify and manage accounts and claims that are overdue.
  • Robust reporting to evaluate financial performance.
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50-State Medicaid Guide

Be Medicaid Ready with CareSmartz360
  • Create, Review & Approve Claims
  • Automatic Claim Submission
  • Supports All Medicaid Payers
  • Error-free Claims to Avoid Denials
  • Claims submission in 837P, 837I format

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