Excluded or Terminated Montana Medicaid Enrollment
When it is determined, by the appropriate authority, that a Montana Medicaid provider's enrollment needs to be terminated or excluded under 42 CFR 1002.210, the state agency must provide notification.
In accordance with Administrative Rule of Montana (ARM) 37.85.507, 42 CFR 1001.2005 and 42 CFR 1001.2006 this is to Notice the state licensing agencies and others regarding these exclusions/enrollment terminations.
|Provider Name||Provider Type||Date of Exclusion/ Enrollment Termination|
|Renee V. Morton
a.k.a Renee V. Williams
a.k.a Renee Morton-Smith
|Nurse||February 28, 2007|
|Gordon B. Jones||Physical Therapist||September 10, 2013|