To join the BCBSMT HELP Plan Network a provider must be credentialed by BCBSMT and meet screening and enrollment requirements outlined under 42 Code of Federal Regulations 455 Subpart E.
Providers that have completed the screening and enrollment requirements for Medicare, Montana Medicaid, or another State’s Medicaid or CHIP program, or are currently in one of these agency’s process, need not duplicate the screening and enrollment efforts.
HELP Plan network participation can be accomplished thru executing an amendment to BCBSMT’s current network participation agreement.
Below you will find the HELP Contract Amendment and a Provider List Form. Sign and date the agreement and complete the provider roster list, indicating each provider’s name in your organization, NPI and whether he/she is currently enrolled in Medicare, Montana Medicaid or another state’s Medicaid or CHIP Program. Complete and submit both of these forms as directed below.
For each provider not currently enrolled in Medicare, Montana Medicaid or another state’s Medicaid or CHIP Program, also complete and submit the “HELP Enrollment Application Form” .
Complete the following forms according to the above instructions:
For providers not currently particpating in the BCBSMT networks, in addition to completing the above forms, visit our General “How to Join” the BCBSMT network page.
Please complete and return all of the requested documents above via any of the following means:
- Fax 406-437-7879
- U.S Postal Service
BCBSMT Network Management - HELP Network
P.O. Box 4309,
Helena, MT 59604
If you have any questions, please do not hesitate to contact BCBSMT’s Provider Network Representatives at 800/447-7828, Extension 6100, or by email.