Montana Medicaid
Updated April 8, 2021 Medicaid
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 Name | Montana Medicaid |
| Expanded Medicaid | Yes |
| Website | dphhs.mt.gov |
| Phone | 800-362-8312 |
| Apply Online | https://apply.mt.gov/ |
| Appeal a Denial | Office of Administrative Hearings |
| Find a Local Office | Field 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) |
| 1 | $12,880 |
| 2 | $17,420 |
| 3 | $21,960 |
| 4 | $26,500 |
| 5 | $31,040 |
| 6 | $35,580 |
| 7 | $40,120 |
| 8 | $44,660 |
*For households with more than eight people, add $4,540 per additional person.
Available Services Include:
| Dental care | Mental health |
| Eyeglasses/eyewear every two years | Physician services |
| Family planning | Prescription drugs |
| Home health services | Rehabilitative services and supplies |
| Hospital services | Speech therapy, audiology, and hearing aids |
| Laboratory and X-ray services | Transportation to appointments |
| Maternity and newborn care | Vision |
Copayments
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
