STATE PROFILE • Last updated: April 23, 2026
Montana Elder Care & Medicaid
Montana's senior Medicaid landscape offers the Big Sky Waiver for home and community-based care, alongside entitlement programs like Community First Choice, supporting independent living for those meeting nursing home level of care.
leaderboard
RANKED #20
GRADE C
FEATURED
Medicaid Coverage Guide for Montana
Full breakdown of Big Sky Waiver for seniors: waiver programs, nursing home eligibility, income and asset limits, spend-down rules, and how to apply.
View Medicaid Guide arrow_forward
Program
Big Sky Waiver
Income cap
$994/mo
Medically-needy
Yes
Elder Care Index Report Card
5-pillar composite scoring vs other states
C
Grade
AFFORDABILITY
STRONG
QUALITY
MODERATE
STAFFING
CRITICAL
ACCESS
CRITICAL
MEDICAID SUPPORT
STRONG
Composite score: 50.8 / 100
Methodology arrow_forward
Montana At a Glance
Nursing Home Facilities
61
Senior Medicaid Waivers
2
National Rank
#20 / 51
Senior Care Costs in Montana
holiday_village
Assisted Living
$4,450/mo
-3.1% vs national avg
View Assisted Living Guide arrow_forward
local_hospital
Nursing Home
$9,336/mo
-15.4% vs national avg
View Nursing Home Guide arrow_forward
psychology
Memory Care
$5,563/mo
-3.1% vs national avg
View Memory Care Guide arrow_forward
home_health
Home Health Aide
$28/hr
+3.7% vs national avg
View Home Health Aide Guide arrow_forward