MT MEDICAID MARKET
Montana
monitoring
No current verified market signal.
Last verified: unavailable
Last verified: unavailable · no state-specific item
No current verified signal
Precapture is monitoring this market. No state-specific public intelligence item is currently published.
Plans in this market
Parent, plan, and program come from the plan graph. Enrollment and share use the latest CMS reported count. Operations counts are CMS MCPAR. A dollar amount is not on this page.
Plans in this market 17
| Parent | Plan | Programs | Latest CMS enrollment | Share | MCPAR operations |
|---|---|---|---|---|---|
| not reported | Multiple Primary Care Providers | not reported | 74,966 (2021) | 100.0% calculated | not reported |
| not reported | Multiple primary care providers | not reported | 68,680 (2020) | 100.0% calculated | not reported |
| not reported | Multiple Primary Care Providers | not reported | 48,062 (2024) | 100.0% calculated | not reported |
| not reported | PCMH | not reported | 34,105 (2019) | 100.0% calculated | not reported |
| not reported | Track 1 | not reported | 22,319 (2019) | 37.6% calculated | not reported |
show all 17
| Parent | Plan | Programs | Latest CMS enrollment | Share | MCPAR operations |
|---|---|---|---|---|---|
| not reported | Track 2 | not reported | 37,044 (2019) | 62.4% calculated | not reported |
| not reported | Multiple Primary Care Providers | not reported | 32,208 (2024) | 100.0% calculated | not reported |
| not reported | Team Care | not reported | 50 (2024) | 0.1% calculated | not reported |
| not reported | Multiple Primary Care Providers | not reported | 215,475 (2018) | 100.0% calculated | not reported |
| not reported | Passport to Health | not reported | 94,644 (2024) | 99.9% calculated | not reported |
| not reported | Team Care | not reported | 106 (2023) | 0.1% calculated | not reported |
| not reported | Multiple Primary Care Providers | not reported | 43,745 (2021) | 100.0% calculated | not reported |
| not reported | Multiple primary care providers | not reported | 41,396 (2020) | 100.0% calculated | not reported |
| not reported | Tribal Health Improvement Program | not reported | 19,382 (2024) | 100.0% calculated | not reported |
| not reported | Multiple Primary Care Providers | not reported | 71,848 (2022) | 100.0% calculated | not reported |
| not reported | Multiple Primary Care Providers | not reported | 175,012 (2017) | 100.0% calculated | not reported |
| not reported | Team Care | not reported | 145 (2022) | 0.1% calculated | not reported |
CMS reported enrollment
CMS reporting years in this file run from 2016 through 2024. Retrieved 2026-11-01. The latest reporting year is 2024, which is behind the retrieval date. Enrollment figures are the CMS cell for that reporting year. Share is calculated from CMS reported total enrollment for that state, program, and year. Precapture does not combine rows. A year missing from a trend was not reported. A plan and region with more than one CMS row in a year has no trend and no year-over-year change. The dataset says a reported 0 may not truly represent 0 when a state suppressed a small count. CMS reported.
CPC+ (Primary Care Case Management (PCCM))
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Track 1 | Montana Medicaid fee-for-service | Montana Medicaid fee-for-service | Statewide | not reported | not reported | not reported | not reported | 2019: 22,319 |
| Track 2 | Montana Medicaid fee-for-service | Montana Medicaid fee-for-service | Statewide | not reported | not reported | not reported | not reported | 2019: 37,044 |
Comprehensive Primary Care Plus (CPC)+ (Primary Care Case Management (PCCM))
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Multiple Primary Care Providers | Comprehensive Primary Care Plus | Comprehensive Primary Care Plus | Statewide | not reported | not reported | not reported | not reported | 2021: 74,966 |
Comprehensive Primary Care Plus (CPC+) (PCCM)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Multiple Primary Care Providers | not reported | unmatched | Statewide | not reported | not reported | not reported | not reported | 2022: 71,848 |
Comprehensive Primary Care Plus (PCCM)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Multiple Primary Care Providers | Comprehensive Primary Care Plus (CPC+) | Comprehensive Primary Care Plus (CPC+) | Statewide | CMS reported 48,062 (2024) | 100.0% | -19,535 (-28.9%) | 0.0 pts | 2023: 67,597; 2024: 48,062 |
Comprehensive Primary Care Plus (Primary Care Case Management (PCCM))
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Multiple primary care providers | Comprehensive Primary Care Plus | Comprehensive Primary Care Plus | Statewide | not reported | not reported | not reported | not reported | 2020: 68,680 |
PCMH (Primary Care Case Management (PCCM))
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| PCMH | Montana Medicaid fee-for-service | Montana Medicaid fee-for-service | Statewide | not reported | not reported | not reported | not reported | 2019: 34,105 |
Passport (PCCM)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Passport to Health | Passport to Health | Passport to Health | Statewide | CMS reported 94,644 (2024) | 99.9% | -22,459 (-19.2%) | +0.0 pts | 2022: 131,972; 2023: 117,103; 2024: 94,644 |
| Team Care | Passport | Passport | Statewide | CMS reported 50 (2024) | 0.1% | -56 (-52.8%) | -0.0 pts | 2022: 145; 2023: 106; 2024: 50 |
Passport to Health (Primary Care Case Management (PCCM))
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Multiple Primary Care Providers | Passport to Health | Passport to Health | Statewide | not reported | not reported | not reported | not reported | 2016: 121,277; 2017: 175,012; 2018: 215,475 |
| Passport to Health | Passport to Health | Passport to Health | Statewide | not reported | not reported | not reported | not reported | 2019: 113,848; 2020: 124,611; 2021: 126,559 |
| Team Care | Passport to Health | Passport to Health | Statewide | not reported | not reported | not reported | not reported | 2020: 365; 2021: 120 |
Patient Centered Medical Home (PCCM)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Multiple Primary Care Providers | PCMH | PCMH | Statewide | CMS reported 32,208 (2024) | 100.0% | -9,427 (-22.6%) | 0.0 pts | 2023: 41,635; 2024: 32,208 |
Patient Centered Medical Home (PCMH) (PCCM)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Multiple Primary Care Providers | PCMH | PCMH | Statewide | not reported | not reported | not reported | not reported | 2022: 43,754 |
Patient Centered Medical Home (Primary Care Case Management (PCCM))
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Multiple Primary Care Providers | Patient Centered Medical Home | Patient Centered Medical Home | Statewide | not reported | not reported | not reported | not reported | 2021: 43,745 |
| Multiple primary care providers | Patient Centered Medical Home | Patient Centered Medical Home | Statewide | not reported | not reported | not reported | not reported | 2020: 41,396 |
Tribal Health Improvement Program (PCCM Entity)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Tribal Health Improvement Program | Tribal Health Improvement Program | Tribal Health Improvement Program | State defined Tribal Reservations areas; within the exterior tribal Reservation boundaries | CMS reported 19,382 (2024) | 100.0% | not reported | not reported | 2024: 19,382 |
Plan operations (CMS MCPAR)
Counts, rates, dates, and status are the CMS MCPAR cells for that plan, program, and reporting year. The appeal rate is calculated from CMS reported appeals resolved in favor of the enrollee divided by CMS reported appeals resolved. It is not a CMS-published rate. A plan links when the name matches one enrollment plan in that same state and program. Unmatched is shown and is not guessed. A sanction amount is not on this page. Retrieved 2026-11-02. CMS MCPAR.
National plan operations · Federal compliance deadlines
Appeals, grievances, and enrollment share (2024)
| Plan | Parent | Program | Appeals resolved | In favor of enrollee | Appeal rate | Grievances resolved | Medicaid enrollment share | Managed care enrollment share |
|---|---|---|---|---|---|---|---|---|
| CPC+ Primary Care Case Management | unmatched | Comprehensive Primary Care Plus | not reported | not reported | not reported | not reported | 22% | 27.7% |
| Passport to Health Primary Care Case Management | Passport to Health | Passport to Health | not reported | not reported | not reported | not reported | 42.8% | 53.9% |
| PCMH Primary Care Case Management | unmatched | Patient Centered Medical Home (PCMH) | not reported | not reported | not reported | not reported | 14.6% | 18.4% |
| Team Care Primary Care Case Management | unmatched | Team Care | not reported | not reported | not reported | not reported | 0% | 0% |
| Tribal Health Improvement Program | Tribal Health Improvement Program | Tribal Health Improvement Program | not reported | not reported | not reported | not reported | 8.5% | 10.6% |
Sanctions (2024)
not reported.
Award history
not published by state. No official award, score, or protest was retrieved for this state on 2026-11-03. Award history
Early procurement signals
No official early-procurement document has been retrieved for this state. This is not a finding that no signal exists. Early signals
Contract amendments
No official Medicaid managed-care contract amendment has been retrieved for this state. This is not a finding that no amendment exists. Contract amendments
Medicaid policy
Indiana rows are official policy instruments. Other states show only Federal Register notices of hearings on SPA disapprovals, which are a narrow slice and not waiver or SPA coverage.
Federal Register notices of hearings on SPA disapprovals are read from the Federal Register JSON API. That covers no approved SPAs, waivers, or section 1115 demonstrations.
Coverage not_collected.
No official Medicaid managed-care policy instrument has been retrieved for this state. This is not a finding that no waiver, state plan amendment, or rule exists. Medicaid policy
Federal Register SPA disapproval hearing notices (2015 or later): 0
Plan financials
No official Medicaid plan financial filing has been retrieved for this state. This is not a finding that no filing exists, and it is not a zero. Plan financials. Coverage: not_collected.
Federal compliance deadlines
Cited federal Medicaid managed care deadlines, with the Federal Register citation, the effective date, the compliance date, and the plan obligation.