Montana Medicaid seeks to facilitate access to a set of basic health care benefits for all Montana citizens with a priority for those most in need and create an environment where all recipients take an active role in their health care.

Program NameMontana Medicaid
Expanded MedicaidYes
Apply Online
Appeal a DenialOffice of Administrative Hearings
Find a Local OfficeField Offices of Public Assistance

Eligibility Requirements

To be eligible for Montana Medicaid, you must be a resident of the state of Montana, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.

You must also be one of the following:*

  • Pregnant
  • Be responsible for a child 18 years of age or younger
  • Blind
  • Have a disability or a family member in your household with a disability
  • Be 65 years of age or older

* ACA Medicaid expansion covers eligible low-income adults.

Annual Household Income Limits (before taxes)

Household Size*Maximum Income Level (Per Year)

*For households with more than eight people, add $4,540 per additional person.

Available Services Include:

Dental careMental health
Eyeglasses/eyewear every two yearsPhysician services
Family planningPrescription drugs
Home health servicesRehabilitative services and supplies
Hospital servicesSpeech therapy, audiology, and hearing aids
Laboratory and X-ray servicesTransportation to appointments
Maternity and newborn careVision


Instead of copayments, Montana Medicaid recipients pay a monthly premium which is due on the first of each month.

You are excluded from paying the monthly premium if one of the following applies:

  • Your income is under 100% of the FPL, which is approximately $1,005 a month for an individual, or $2,050 a month for a family of four
  • You have been discharged from the United States military service within the previous 12 months
  • You are enrolled for credit in any Montana University System unit, a tribal college, or any other accredited college within Montana offering at least an associate degree
  • You see a primary care provider who is part of primary care case management program
  • You are in a substance use treatment program
  • You are in a DPHHS approved Community Based Wellness Program administered by Chronic Disease Prevention and Health Promotion