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Medicaid / Montana

Medicaid for Home Care in Montana

Medicaid Certified Home Care Agency in Montana

Agencies that are looking for Medicaid reimbursement in Montana should consider getting a certification as HHA (Home Health Agency). There are certain regulations that must be fulfilled by the caregiver agency to claim Medicaid. These agencies must have an adequate license along with some certifications, which makes them eligible for claims.

Governing Body: Department of Public Health and Human Services (DPHHS)


Medicaid in Montana is jointly funded by the state and federal governments to provide health coverage to residents including seniors, pregnant women, parents, children, blind, disabled people, and caregivers making up to 138% of the FPL.

Medicaid Programs:

  • HCBS Waiver
  • Montana Community First Choice (CFC)

Income Requirements:

  • For individuals, income up to 138% of the FPL or no more than $1,350 a month
  • For children, income up to 143% of the FPL ($1,909 per month) for a family of two
  • For women diagnosed with breast or cervical cancer, income up to 250% of the FPL
  • For pregnant women, income up to 157% of the FPL ($2,096 per month) for a family of two
  • For blind and disabled people, assets worth up to $2,000 for an individual or $3,000 for a couple and income up to $733 a month for an individual and $1,100 for a couple

Application Process:

The application process for accessing Medicaid for Montana residents is easy, and anyone can apply online for the available Medicaid programs by visiting apply.mt.gov.

Medicaid with CareSmartz360

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  • Built-In feature to submit claims electronically.
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