CHIP Provider Resources
- Dental and Eyeglasses
- Medical
- CHIP Extended Plan for Children with Serious Emotional Disturbance (SED)
Dental and Eyeglasses
How do I become a CHIP Provider?
For information on how to become a CHIP 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
Is my client enrolled?
To see if your client is currently enrolled in CHIP, the following options are available:
- Automated Voice Response (AVR): (800) 714-0060
- FAXBACK: (800) 714-0075
Note: AVR and FAXBACK do not check the CHIP 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.
Dental Care and Eyeglasses Booklet
Families receive this booklet to help them utilize their dental and vision benefits.
CHIP Basic Dental Plan
Click here to see a fact sheet describing the CHIP Basic Dental Plan.
CHIP Extended Dental Plan (EDP)
Effective July 1, 2008, CHIP offers an Extended Dental Plan (EDP) providing coverage for dental services beyond the CHIP 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 CHIP before a child is determined eligible for EDP benefits. The dental services must be provided after July 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 CHIP. However, EDP funding is limited. When all funds are allocated, new funding is available again the following July 1. If a child previously received EDP services, please contact CHIP to find out if he/she is again eligible.
- CHIP "Request for Extended Dental Benefits" form - MS Word format
- CHIP "Request for Extended Dental Benefits" form - PDF format
Medical
How do I become a CHIP provider?
For information on how to become a CHIP participating provider or the status of your application, contact Blue Cross Blue Shield of Montana at (800) 447-7828 ext. 8647.
How do I get a Provider Manual?
Please contact Blue Cross Blue Shield of Montana at
(800) 447-7828 ext. 8647 or visit their web site at www.bcbsmt.com/index.htm. Click on "Provider Services" and select "Provider Manuals" on the menu bar on the left side of the page.
How do I find out if my patient is covered by CHIP?
To see if your client is currently enrolled in CHIP, please contact Blue Cross Blue Shield of Montana at (800) 447-7828 ext. 8647.
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. 8647
How many health care professionals are currently working with CHIP?
To view a listing of heath care professionals currently participating with CHIP, visit the Blue Cross Blue Shield of Montana web site at www.bcbsmt.com/index.htm Click on "Find a Doctor" and select "BlueCHIP" as the plan name.
A map is also available that shows by county how many providers are currently participating with CHIP. Viewing this map requires Adobe Acrobat Reader.
CHIP Extended Mental Health Plan
for Children
with Serious Emotional Disturbance (SED)
Effective October 1, 2008, CHIP Extended Mental Health benefits, except Community Based Psychiatric Rehabilitation and Support (H2019), are processed through Blue Cross and Blue Shield of Montana.
Click here to download the 2-page fact sheet. Click here to download the full manual. Click here to download the Guidelines for Clinical Assessment. Call 1-877-KidsNow (1-877-543-7669) if you need more information.
Page last updated: 10/08/2008
