---
title: "Montana Home Care Medicaid | Funding LTC Marketplace"
url: https://fundingltcmarketplace.com/states/montana/home-care-medicaid/
description: "Montana's Big Sky Waiver supports nursing-facility-level care in the community but currently has a waiting list."
last_updated: 2026-10-20
author: George A. Mellendorf, CLTC, LTCP (Central States Insurance Services, Inc.)
publisher: Funding LTC Marketplace
note: Educational content; not legal, tax or financial advice. Markdown copy of the HTML page at the URL above.
---
Montana · Home & Community Care

# Montana Home Care Medicaid

Last updated 2026-10-20

For families hoping to avoid a nursing facility altogether, Montana's Big Sky Waiver is the main path to community-based, nursing-facility-level care. Administered through the Senior and Long Term Care Division, it's a Medicaid 1915(c) Home and Community-Based Services waiver — meaning it lets people who'd otherwise need institutional care instead receive services at home or in the community.

Eligibility isn't just about income and resources. DPHHS requires a Big Sky Waiver recipient to be financially eligible for Medicaid, to meet the same minimum level-of-care standard used for nursing-facility placement, and to have an unmet need that only waiver services can address.

One important caveat: DPHHS currently reports a waiting list for the Big Sky Waiver, so families should factor timing into their planning rather than assume services can start immediately.

## Sources and official resources

- [Montana DPHHS: How Can Medicaid Help with Nursing Home Bills?](https://dphhs.mt.gov/assets/sltc/ADRC/MedicaidHelpBrochure.pdf)
- [CMS: 2026 SSI and Spousal Impoverishment Standards](https://www.medicaid.gov/federal-policy-guidance/downloads/cib04272026.pdf)

Rules and figures change. Confirm current details with the agency before you act.

[← Back to the full Montana guide](https://fundingltcmarketplace.com/states/montana/)