Health Resources Division
The Health Resources Division (HRD) administers Medicaid Physician, Acute and Hospital/Clinic health care services for low-income and disabled Montanans and oversees the benefits of the Healthy Montana Kids plan. The division provides administration, policy development, and reimbursement for primary and acute portions of the Medicaid program.
The Allied Health Services Bureau manages the Medicaid programs for home infusion therapy, dental services, durable medical equipment, school-based services, eyeglasses, audiology, therapies, prescription drugs, and transportation.
The Healthy Montana Kids (HMK) Plan provides free or low-cost health coverage for children up to age 19 in families who cannot afford other health insurance.
The Hospital and Physician Services Bureau manages the Medicaid inpatient and outpatient hospital services, Indian health services, end-stage renal disease services, ambulatory surgical centers, freestanding dialysis clinics, federally qualified health centers, rural health clinics, and critical access hospitals. The Bureau also manages physicians, mid-level practitioners, podiatrists, laboratories, imaging facilities, independent diagnostic testing facilities, public health clinics, family planning clinics, EPSDT, and well-child services.
The Member Health Management Bureau manages the Medicaid programs for physician-related services, including claims management and resolution, provided by physicians, mid-level practitioners, podiatrists, laboratories, chiropractors, respiratory therapists, and nutritionists. The Montana Medicaid managed-care program is known as PASSPORT to Health .
In 2004, the bureau implemented a new program known as Nurse First. It provides assistance to Medicaid recipients with chronic conditions, such as diabetes, asthma, and heart conditions. Through a telephone hotline, it also helps all Medicaid clients make appropriate decisions about the level of medical care they need in any given situation.