HB953

Montana HB953 revises Medicaid laws to include direct primary care contracts and prohibits requiring enrollees to participate in primary care case.

Montana HB953 amends Medicaid laws to allow coverage of direct primary care contracts under the Montana Medicaid program. It prohibits the Department of Public Health and Human Services from requiring a Medicaid enrollee to participate in a primary care case management service if the enrollee enters into a direct primary care contract. The bill also defines "direct primary care contract" as an agreement with a provider for periodic payments for a defined set of primary care services. The changes are effective July 1, 2025.