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Nursing Homes in Montana
Finding Care in Montana
Searching for nursing home care in Montana—whether in Billings, Missoula, Great Falls, Bozeman, or rural communities—is emotionally challenging and logistically complex. You might be feeling guilty, worried about limited options in rural areas, or concerned about costs. Please be compassionate with yourself. Choosing professional nursing care when your loved one needs round-the-clock medical support is responsible and loving.
Montana has approximately 90 skilled nursing facilities, regulated by the Quality Assurance Division. Many facilities specialize in memory care, post-acute rehabilitation, or complex medical needs. Montana nursing homes often serve close-knit communities with personalized care and strong local connections.
Costs in Montana are near the national average, with urban areas being somewhat more expensive than rural communities. Montana Medicaid covers nursing home care for eligible individuals, and most facilities accept Medicaid. Montana's ombudsman program provides advocacy for residents and families across the state's vast geography.
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Medicaid Coverage in Montana
Many families need help paying for nursing home care. Medicaid is a vital resource, but the rules vary by state. Here's what you need to know about Medicaid nursing home coverage in Montana.
Eligibility Requirements
Monthly Income Limit:
$2,982 (2026); Montana uses an income cap, but those exceeding it can establish a Qualified Income Trust (QIT)
$2,982 (2026); Montana uses an income cap, but those exceeding it can establish a Qualified Income Trust (QIT)
Asset Limit:
$4,000 for individuals—higher than most states. Spousal protections available.
$4,000 for individuals—higher than most states. Spousal protections available.
Processing Time:
30-45 days for initial determination
30-45 days for initial determination
How to Apply
Apply through the Montana Department of Public Health and Human Services at dphhs.mt.gov or at your local office. You'll need financial documents, medical assessments, and citizenship proof.
Important Tips for Montana Families
- •Montana's asset limit ($4,000) is higher than most states, making it easier to qualify for Medicaid.
- •Many Montana facilities require 30-60 days of private pay before accepting Medicaid. Confirm policies during tours.
- •Montana has Medicaid estate recovery, but exemptions exist for surviving spouses and disabled children.
- •Work with a Montana elder law attorney to understand spousal asset protections.
- •Veterans in Montana should apply for VA Aid & Attendance benefits, providing up to $2,424/month.
Nursing Home Costs in Montana
$260-$380/day average
Monthly Range: $7,800-$11,400
Montana nursing home costs are near the national average. Billings, Missoula, and Bozeman are more expensive than rural areas. Medicare covers skilled nursing for up to 100 days post-hospitalization. Montana Medicaid covers long-term care for eligible residents.
Medicare Coverage: Medicare Part A covers skilled nursing facility care for up to 100 days following a qualifying hospital stay (3+ days). Days 1-20 are fully covered; days 21-100 require a copay ($217/day in 2026).
Montana Resources & Advocacy
Oversight & Complaints
Montana Long-Term Care Ombudsman Program
1-800-332-2272Visit website →
The ombudsman helps resolve complaints and advocates for nursing home residents' rights.
Montana Quality Assurance Division
View inspection reports →Support & Guidance
Montana Senior and Long-Term Care Division
1-406-444-4077Visit website →
Area agencies on aging provide care planning, caregiver support, and benefit counseling.
Medicare Nursing Home Compare
medicare.gov/care-compare →Planning Your Next Steps
Ready to Find the Right Facility?
Use our personalized navigator to find facilities that match your loved one's needs, insurance, and location in Montana.
Start Navigator Tool →Disclaimer: This guide is educational only. SunsetWell scores are based on CMS data and peer-group analysis. Medicaid eligibility rules change frequently—always verify current requirements with your state Medicaid office. Always tour facilities personally, speak with staff, review current state inspection reports, and consult healthcare professionals before making placement decisions.
Last updated: June 2026 | Data source: CMS Nursing Home Compare, Montana Quality Assurance Division, SunsetWell Analysis