Do you need a license to run a home care agency in Montana?

No. Montana does not require a state license for non-medical home care agencies. Montana's health care facility licensing law defines a home health agency as one whose services must include a licensed registered nurse and at least one other therapeutic service. The law has no license category for agencies that provide only non-medical personal care or companion services in a client's home. Agencies that serve Medicaid members must be incorporated in Montana, be properly insured, and enroll as Montana Medicaid providers.

What are the key facts?

What should you confirm with the state?

Only home health agencies are licensed in Montana; non-medical home care has no state license. The training rules shown come from one Medicaid waiver program, and other Medicaid programs may set different rules, so confirm requirements for your program with the Montana Department of Public Health and Human Services.

What should you budget for?

The license fee is a small part of startup cost. Insurance, payroll for your first caregivers before clients pay, and office staff usually cost far more. Use the bill rate calculator to check your pricing covers it, and the intake form and care plan templates for the paperwork inspectors ask to see.