Healthy Montana Kids (HMK), Children's Health Insurance Plan offers a free or low-cost health insurance plan providing coverage to eligible Montana children up to age 19. Covered services include medical, dental, eyeglasses, and other related services. Medical benefits are administered through the Blue Cross Blue Shield (BCBS) of Montana Provider Network, except for Federally Qualified Health Centers, Rural Health Clinics, dental, pharmacy, eyeglasses, ambulance, durable medical equipment, prosthetics, orthotics, and medical supplies (DMEPOS) and Community Based Psychiatric Rehabilitation and Support Services which are administered by Montana Healthcare Programs. Treatments and services must be medically necessary and the member must be enrolled at the time the service is delivered.
The Montana Department of Health of Human Services (DPHHS) has extended coverage to postpartum women. This change will now allow postpartum women enrolled in Montana’s Medicaid and Healthy Montana Kids Programs to be eligible for 12-month continuous coverage. If you are a member and become pregnant or have any changes to your pregnancy, notify the Office of Public Assistance (OPA). Providing the most updated information on your pregnancy or postpartum status will ensure you are covered under this extension. If OPA is not notified, they will be unable to change or extend your coverage. Women that have become pregnant or had changes to a pregnancy since July 1, 2023, must report these changes to OPA via:
Evidence of Coverage- Effective January 1, 2023