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Federal letter expresses concerns about Montana’s Medicaid redetermination process

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Federal letter expresses concerns about Montana’s Medicaid redetermination process


HELENA — As Montana continues determining whether people can remain on the state’s Medicaid program, federal authorities have expressed some concerns about how the process has gone so far for those getting their coverage reviewed.

Last week, the Centers for Medicare and Medicaid Services sent letters to state Medicaid administrators across the country. That included a letter to the Montana Department of Public Health and Human Services, in which they cited concerns about the number of Medicaid recipients removed from the program for technical reasons, as well as the wait time to get help through a call center.

During the COVID emergency, the federal government directed that everyone on a state Medicaid program could remain enrolled without having their eligibility reconfirmed. That requirement ended on April 1, so state regulators must recheck most recipients’ eligibility annually and when they report changes like getting married or divorced or having a child.

There are a number of reasons why someone might no longer be eligible for Medicaid, but leaders say one of the most common is that their income rises out of the qualifying range.

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When the redetermination process began in Montana, about 324,000 residents were enrolled in the Medicaid and Healthy Montana Kids programs. As of July 13, data from DPHHS showed 71,930 individuals went through the process in April and May. 34,204 of them – 47.6% – didn’t have their coverage renewed. Of those, 8,433 – about a quarter – were determined to be ineligible, while the rest were removed because they failed to provide requested information, the department couldn’t reach them or for another reason.

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Overall, about 36% of all individuals whose coverage was reviewed in those two months lost coverage for what CMS described as procedural reasons. In their letter to DPHHS, CMS leaders said that high percentage “raises concerns that eligible individuals, including children, may be losing coverage.”

DPHHS leaders say they’re going to launch a public service announcement campaign in the coming weeks to highlight the importance of returning the redetermination paperwork. That campaign will run through the rest of the redetermination process – expected to last a total of ten months.

Montana is also one of 22 states that has prioritized redetermination for people who they believe are more likely to be ineligible to remain on Medicaid. Leaders say, because of that, they expect the rate of removals to go down over time.

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The CMS letter also pointed to data showing a Montanan’s average wait to connect to a call center to get help with Medicaid renewals was 42 minutes, and that an average of 40% of calls were abandoned.

CMS said the data suggested that call center issues might be “impeding equitable access to assistance and the ability for people to apply for or renew Medicaid and CHIP coverage by phone.”

DPHHS leaders told MTN the demand for the helpline has fluctuated over time, but they are evaluating staffing, scheduling and other options to address the current wait times. In addition, they said some less complex cases are being transferred to a contracted call center whose wait times are not reflected in the data from the CMS letter. They said that contracted center has average wait times of around four minutes.

“CMS sent helpful feedback to states last week,” said DPHHS communications director Jon Ebelt in a statement. “We continue to closely monitor, evaluate, and strengthen our Medicaid redetermination process with a laser focus on ensuring coverage for eligible Montanans.”

In addition, DPHHS said Montanans do not need an in-person or phone interview to apply for Medicaid or complete their redetermination packet. They encouraged them to open online accounts at apply.mt.gov.

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DPHHS says anyone who has lost Medicaid coverage can reapply at any time, and they can appeal the decision if they believe the department made an error. They are also working to connect people removed from the Medicaid program with other health insurance options, including through HealthCare.gov, the federal insurance marketplace.





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Montana Lottery Powerball, Lucky For Life results for Dec. 25, 2024

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The Montana Lottery offers multiple draw games for those aiming to win big. Here’s a look at Dec. 25, 2024, results for each game:

Winning Powerball numbers from Dec. 25 drawing

15-26-27-30-35, Powerball: 03, Power Play: 3

Check Powerball payouts and previous drawings here.

Winning Lucky For Life numbers from Dec. 25 drawing

04-10-35-42-45, Lucky Ball: 02

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Check Lucky For Life payouts and previous drawings here.

Winning Lotto America numbers from Dec. 25 drawing

04-05-40-42-52, Star Ball: 10, ASB: 03

Check Lotto America payouts and previous drawings here.

Winning Big Sky Bonus numbers from Dec. 25 drawing

09-18-19-25, Bonus: 15

Check Big Sky Bonus payouts and previous drawings here.

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Winning Powerball Double Play numbers from Dec. 25 drawing

08-29-30-47-57, Powerball: 01

Check Powerball Double Play payouts and previous drawings here.

Winning Montana Cash numbers from Dec. 25 drawing

01-05-10-39-41

Check Montana Cash payouts and previous drawings here.

Feeling lucky? Explore the latest lottery news & results

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When are the Montana Lottery drawings held?

  • Powerball: 8:59 p.m. MT on Monday, Wednesday, and Saturday.
  • Mega Millions: 9:00 p.m. MT on Tuesday and Friday.
  • Lucky For Life: 8:38 p.m. MT daily.
  • Lotto America: 9:00 p.m. MT on Monday, Wednesday and Saturday.
  • Big Sky Bonus: 7:30 p.m. MT daily.
  • Powerball Double Play: 8:59 p.m. MT on Monday, Wednesday, and Saturday.
  • Montana Cash: 8:00 p.m. MT on Wednesday and Saturday.

Missed a draw? Peek at the past week’s winning numbers.

Winning lottery numbers are sponsored by Jackpocket, the official digital lottery courier of the USA TODAY Network.

Where can you buy lottery tickets?

Tickets can be purchased in person at gas stations, convenience stores and grocery stores. Some airport terminals may also sell lottery tickets.

You can also order tickets online through Jackpocket, the official digital lottery courier of the USA TODAY Network, in these U.S. states and territories: Arizona, Arkansas, Colorado, Idaho, Maine, Massachusetts, Minnesota, Montana, Nebraska, New Hampshire, New Jersey, New Mexico, New York, Ohio, Oregon, Puerto Rico, Texas, Washington, D.C., and West Virginia. The Jackpocket app allows you to pick your lottery game and numbers, place your order, see your ticket and collect your winnings all using your phone or home computer.

Jackpocket is the official digital lottery courier of the USA TODAY Network. Gannett may earn revenue for audience referrals to Jackpocket services. GAMBLING PROBLEM? CALL 1-800-GAMBLER, Call 877-8-HOPENY/text HOPENY (467369) (NY). 18+ (19+ in NE, 21+ in AZ). Physically present where Jackpocket operates. Jackpocket is not affiliated with any State Lottery. Eligibility Restrictions apply. Void where prohibited. Terms: jackpocket.com/tos.

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This results page was generated automatically using information from TinBu and a template written and reviewed by a Great Falls Tribune editor. You can send feedback using this form.



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Montana authors talk about state's 'political hell-raiser,' archaeology • Daily Montanan

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Montana authors talk about state's 'political hell-raiser,' archaeology • Daily Montanan


Historian and author Marc Johnson gives a book talk next month about Burton K. Wheeler, “one of the most powerful politicians Montana ever produced,” as part of the Montana Historical Society’s lecture series.

Johnson will speak from 1 p.m. to 2 p.m. Wednesday, Jan. 8, at Touchmark, 915 Saddle Dr. in Helena. He will talk about his book, “Political Hell-Raiser: The Life and Times of Senator Burton K. Wheeler of Montana.”

“(Wheeler) came of political age amid antiwar and labor unrest in Butte, Montana, during World War I, battling Montana’s powerful economic interests and championing farmers and miners as a crusading United States attorney,” said the announcement from the Montana Historical Society. “Wheeler went on to become one of the most influential, and controversial, members of the United States Senate during three of the most eventful decades in American history.”

Also in January, author and University of Montana archaeology professor Douglas MacDonald will discuss his “Land of Beginnings: The Archaeology of Montana’s First Peoples.”

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The book talk takes place from 6:30 p.m. to 7:30 p.m. on Thursday, Jan. 16, at the Lewis & Clark Library, 120 S. Last Chance Gulch in Helena.

“While researchers have learned a great deal about the origins of the first people to call this region home, questions remain about which route or routes they took and when they made this journey,” said the Montana Historical Society about the book talk.

The organization also said the Original Governor’s Mansion will be open for free guided tours at noon, 1 p.m., 2 p.m. and 3 p.m. on Thursday, Dec. 26, and on Saturday, Dec. 28.

“The Queen Anne-Style mansion will be decorated for the holiday season through the weekend with surprises for visitors of all ages,” said the announcement.

For more information, contact Darby Bramble at [email protected].

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Montana Ag Network: Sleigh ride season kicks off in Montana

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Montana Ag Network: Sleigh ride season kicks off in Montana


On a frosty morning in late December, Marce Hoffman backs two huge draft horses out of a barn at the historic 320 Ranch south of Big Sky.

“Step up, step up,” Hoffman instructs the horses as he maneuvers them toward a waiting sled. It’s time to take the animals out for a turn on a trail they’ll know well by the end of the winter season. They’ll tread the path up to seven days a week during the holidays and five days a week after that. The animals strain in their harnesses, eager to pull and run.

“They’re fresh. They won’t be fresh come New Year’s, though; they’ll be all muscled up, ready to go,” said Hoffman.

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The 320 has a long history. It was homesteaded as two separate ranches more than 125 years ago.

“1912 they combined them to form 320 acres That’s how the ranch became known as the 320,” explained Hoffman as he practiced the history lesson he gives while narrating the ride through the high, narrow valley the ranch is nestled in, just outside the boundary of Yellowstone National Park.

In 1936, Bozeman doctor Carolyn McGill purchased the ranch.

Hoffman said, “She fell in love with this area on different hunting trips, trips down into the Yellowstone Park.”

You might recognize McGill’s name from somewhere else.

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“Caroline started the Museum of the Rockies in Bozeman; was actually called the McGill Museum when it first opened up,” said Hoffman.

Current owner Dave Bass purchased the ranch in 1985.

Hoffman explained that’s when the ranch really began to grow into a tourist Mecca. He said, “He (Bass) bought it up from a 20 gust capacity over 200 that we have today.” He pointed to cabins that drifted by, framed by the mountains and the Gallatin River. It’s the view guests get as they take a one-hour trail ride in the sleighs. Hoffman ticked off the sights: “You get to see Cinnamon Mountain, Burnt Top Mountain. We’ll be able to see the Spanish Peaks when we go along the Gallatin here. Looking back you’ve got a view of Monument.”

marce hoffman.jpg

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Marce Hoffman

As he drives onto a flat, straight stretch of the trail, the horses get frisky. “These guys are gonna air out right here,” he cautioned, just as the horses break into a run. It demonstrated the challenge of managing big Percheron horses around guests.

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“Our number one priority is keeping everybody safe. So we always have to be constantly looking at the equipment. As far as the people, probably the hardest part is herding them up and getting them on the sleighs,” Hoffman laughed as he allowed that it is probably harder to manage the passengers than the animals.

Sitting next to him, Head Wrangler Logan McDaniel said she enjoyed working at the ranch.

Logan McDaniel.jpg

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Logan McDaniel

“I like, of course, to drive and work with the horses but also meeting people from all around the world. You get to meet people from all different parts of life, all kind of different places,” she said. “They’re here for vacation. You get to kind of realize a little bit of people’s life story. It’s pretty cool just to meet different people.”

And the horses?

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Hoffman said, “We’re looking for good disposition, you know. We’re not looking for heavy pullers we’re just looking for horses that are pretty docile and easy-going horses. They’re not gonna win any pulling competitions here.”

But these workhorses are no slouches.

“We’ll pull 18 people no problem and these guys are big horses,” said Hoffman.

He said that translates to about 18 hands and nearly 2,000 pounds each. As the horses cool down after their workout, Hoffman wiped them down and explained how these animals cope with the harsh winters at the ranch.

“You know those horses are on hay, you know free choice grass hay and water. They do pretty well. We’ve got a lean-to for them to get out of the wind. But for the most part, you know, they’re pretty hearty animals,” he said.

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320 coach horses.jpg

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By late afternoon, as dusk descends on the ranch, guests begin to wander toward a pair of the big sleighs. They board the blanket covered seats for a ride out to the other end of the valley where a wood-floored canvass tent awaits. It’s heated and features a bar serving snacks, hot cocoa, cider, and more. A fire crackles in a pit surrounded by seats outside. After a bit of rest, the passengers will climb back into the sleds for a ride back to the ranch restaurant.

Taking in the view around them, Hoffman and McDaniel reflected on their jobs. Hoffman said, “There’s a lot of people that never seen a horse or been around horses, so it’s a good opportunity to you know, to introduce them to the horses.”

McDaniel added, “It’s cool watching people fall in love with the horses. That’s why I kind of do this. It’s to see people fall in love with horses like I do.”





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