Montana MedicaidUpdated 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|
|Appeal a Denial||Office of Administrative Hearings|
|Find a Local Office||Field Offices of Public Assistance|
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:*
- Be responsible for a child 18 years of age or younger
- 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 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|
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