Document Library
Provider Portal Registration Form
Qualitrac, the Mountain Pacific Medicaid provider portal, is a web-based application that allows health care providers to submit requests for reviews. The registration form provides information about how to become a portal user and complete the necessary forms.
Provider portal registration and formBehavioral Health Provider User Guide for Montana Medicaid Behavioral Health Services Transitioning to Qualitrac
This user guide demonstrates the fields providers will encounter in the Qualitrac portal and provides a quick reference to important information about each level of care and the associated timelines for each.
Behavioral health provider user guideProvider User Guide for Montana Medicaid Services Processed through Qualitrac

This user guide demonstrates the fields providers will encounter in the Qualitrac portal and provides a quick reference to important information about each level of care and the associated timelines for each.
Provider user guideEarly periodic screening, diagnosis and treatment Form
Early Periodic Screening, Diagnosis and Treatment (EPSDT) Prior Authorization and Certification of Medical Necessity
EPSDT FormBehavioral Health Forms
Provider forms for Children’s Mental Health services
DPHHS websiteThis project is funded in whole or in part under a Contract with the Montana Department of Public Health and Human Services. The statements herein do not necessarily reflect the opinion of the Department.
