Montana Medicaid — managed by Montana Department of Public Health and Human Services (DPHHS)
Program Name
Montana Medicaid
Managing Agency
Montana Department of Public Health and Human Services (DPHHS)
Reimbursement Rates
$17–$24/hour for personal care; $45–$80/visit for skilled nursing
Application Timeline
45–90 days
Apply through Montana Medicaid Provider Enrollment
Complete DPHHS Provider Application
Submit NPI, EIN, and Montana business license
Complete DOJ background checks
Obtain DPHHS Personal Care certification
Submit liability insurance proof
Complete readiness review
These Medicaid waiver programs fund home and community-based services in Montana:
Big Sky Waiver (Elderly & Physically Disabled)
HCBS Waiver for Persons with Developmental Disabilities
Montana MATH Portal — electronic claims (transitioning to Gainwell Technologies MTHCS)
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To enroll as a Medicaid home care provider in Montana, you must apply through Montana Department of Public Health and Human Services (DPHHS). The process includes: Apply through Montana Medicaid Provider Enrollment. Timeline: 45–90 days.
$17–$24/hour for personal care; $45–$80/visit for skilled nursing
Required certifications include: DPHHS Certification, NPI Number, DOJ Background Check.
Big Sky Waiver (Elderly & Physically Disabled); HCBS Waiver for Persons with Developmental Disabilities
Missing DPHHS certification; Background check delays; Rural staffing concerns