PROVIDER NETWORK RULES for MONTANA

Provider Selection
An employee chooses the treating physician, but if subject to a certified managed care plan, the MCO designates the treating physician.

Managed Care Options
Montana insurers may contract with certified MCOs. Insurers may contract with multiple MCO’s and allow the employees to choose an MCO.

Provider Lists
Provider lists and directories may be utilized. There is no state-mandated posting unless there is a certified plan.

A minimum of five treating physicians with at least three of the following specialties is required: Orthopedics, Surgery, Neurology or Neurosurgery, Osteopathy, Family Practice or Internal Medicine, and Occupational or Physical Medicine.