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1 2 3 4 5 6 7 BEFORE THE BOARD OF PUBLIC ASSISTANCE OF THE STATE OF MONTANA In the Matter of the Fai

1 2 3 4 5 6 7 BEFORE THE BOARD OF PUBLIC ASSISTANCE OF THE STATE OF MONTANA In the Matter of the Fai 2026

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The document is a Fair Hearing Decision by the Montana Board of Public Assistance regarding a claimant's appeal against the denial of Medicaid coverage for the weight loss drug Phentermine. The Department of Public Health and Human Services maintains that Phentermine is excluded from Medicaid coverage under state and federal law, despite the claimant's argument that this exclusion discriminates against her due to her morbid obesity. The decision upholds the Department's denial, stating it acted within its legal authority and that the issue of medical necessity is irrelevant since Phentermine is not covered.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the Claimant's identifying information in the designated fields, ensuring accuracy for proper processing.
In the 'Representation' section, list all representatives and their roles clearly, as this will be crucial for any hearings.
Proceed to the 'Findings of Fact' section. Here, summarize key points regarding the Claimant’s medical history and treatment needs succinctly.
In 'Conclusions of Law', ensure that you reference relevant statutes and rules that support your case, providing a solid legal foundation.
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What is the Montana telephone assistance program?

MTAP is a program authorized by Montana law that complements the Federal Lifeline Program. MTAP provides eligible households with a monthly benefit of $3.50 for telephone service, if purchased from participating providers. Qualifications. To qualify for MTAP, the telephone subscriber must participate in Medicaid.

What is the Montana help line?

Visit Montana 211 or dial 2-1-1 for resources in your area. Montana 2-1-1 helps connect Montanans with resources and assistance from state and local health and human service programs.

What does Montana Medicaid cover for adults?

The MT Medicaid program includes comprehensive benefits like doctor and hospital visits, family planning, emergency services, mental health, prescription drugs, rehabilitation, transportation to medical appointments, dental, and vision. Some MT Medicaid members will be responsible for copayments for certain services.

What is the help line for Medicaid in Montana?

Need help finding your local Office of Public Assistance, Enrolled Medicaid Provider, or Passport Provider? Call Montana Healthcare Programs, Member Help Line 1-800-362-8312, M-F, 8am-5pm, for assistance.

What assistance can I get with Medicaid?

Mandatory benefits include services including inpatient and outpatient hospital services, physician services, laboratory and x-ray services, and home health services, among others. Optional benefits include services including prescription drugs, case management, physical therapy, and occupational therapy.