Program Compliance Bureau
The Program Compliance Bureau is part of the Quality Assurance Division of the Montana Department of Public Health and Human Services. It encompasses three programs:
- Surveillance and Utilization Review . This unit is responsible for protecting the integrity of the Montana Medicaid Program from fraud and abuse.
Third Party Liability. This unit identifies Medicaid recipients who have other medical insurance or payment sources with which to pay their health-care costs before they rely on Medicaid. - Program Integrity. This unit 1) investigates intentional fraud of recipient eligibility in the Food Stamp, Temporary Assistance for Needy Families (TANF), and Medicaid programs; 2) helps establish, monitor, reconcile and negotiate repayments of recipient claims for Food Stamps, TANF, and Medicaid; and 3) performs federally mandated quality-control reviews for the Food Stamp and Medicaid programs.
To contact the Program Compliance Bureau
Recipient Eligibility Fraud Hotline: 800-201-6308
Recipient Abuse (Team Care) Fraud Hotline: 800-362-8312
Provider Fraud Hotline: 800-376-1115
Program Compliance Bureau Chief
Michelle Truax
(406) 444-4120
mtruax@mt.gov
Surveillance and Utilization Review Supervisor
Jennifer Irish BA CPC
(406) 444-4586
Jirish@mt.gov
Program Integrity Supervisor
Steve Kranich
(406) 444-9356
skranich@mt.gov
Third Party Liability Supervisor
David Schiefen
(406) 444-6004
DSchiefen@mt.gov
HIPAA Program Officer
Vacant
