Montana 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.

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)

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

Available Services Include:

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