What Is Passport?
Useful information for providers on the Passport to Health Program and how to obtain Passport approval. (02/2012)

Passport Q&A
Get answers to the most commonly asked Passport questions. (Reviewed 02/2008)

• Passport Member Handbook (10/05/2012)
• Passport to Health Provider Handbook
  Everything providers need to know to become a successful Passport provider. (05/28/2009)
• Passport to Health Brochure (Reviewed 02/2008)
  Passport to Health Program description.

• Administrative Rules of Montana (ARM)
• Passport to Health Waiver (Reviewed 07/2012)

• 06/10/2004 Team Care Program Announcement
• 07/31/2003 Passport and Emergency Services

• Medicaid Covered Services Chart (Reviewed 02/2008)
  An overview of Medicaid covered services with Passport to Health indicators.

• Health Improvement Program Provider Referral Form (Reviewed 04/2013)
• Passport Change Form (Reviewed 07/2009)
  Medicaid clients can use this form to change Passport providers. Provider changes will not take effect until the month following the request.
• Passport Referral Form (Reviewed 05/2009)
  Providers may use this form when providing a referral for their clients to another provider.
• Passport to Health Provider Agreement (03/2012)
  Providers who wish to become a Passport provider should be an active Medicaid provider and have primary care within his or her professional scope of practice.
• Passport to Health Provider Agreement Attachment C (Updated 10/2008)
  Amendment to the Passport provider agreement for private group practices.
• Passport to Health Provider Agreement Attachment D (Updated 10/2008)
  Amendment to the Passport provider agreement to adjust managed care enrollment caseload limit.
• W-9 Form (05/2012)
  Providers must submit a W-9 form when changing their physical address.

• Passport to Health Newsletters
• Passport Required for FQHCs, RHCs and Home Health (02/24/2006)
• EMTALA Policy Change (11/10/2003)
• Nutrition Services Require Passport Approval (03/01/2003)
• New Provider Notification Procedure and Medicaid Changes (01/10/2003)
• Passport Provider Approval Update (07/01/2002)
• Passport to Health 24-Hour Availability (06/20/2002)
• 2004 Passport Survey Results (11/2005)
  Read comments from Passport clients and view the results of the 2004 survey.