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How to Become a Medicaid Provider for Home Care
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
What are the Medicaid income and asset limits for home care in Montana?
Last verified October 17, 2026 · All Montana resources
In Montana, the income limit is $525/month medically needy income level and the asset limit is $2,000 single. Montana is a medically needy state for aged, blind and disabled Medicaid: people whose income is above the $525-a-month medically needy income level can qualify by spending the excess on medical and care costs. The resource limit for aged, blind and disabled programs is $2,000 for an individual and $3,000 for a couple. Nursing home residents apply most of their income to the cost of care, and a spouse at home can keep a maintenance allowance of up to $4,067 a month. Transfers for less than fair market value in the 60 months before applying can cause a penalty.
| Program | Montana Medicaid long-term care: Big Sky Waiver (HCBS for elderly and physically disabled), Community First Choice/personal assistance, and nursing facility care |
|---|---|
| Income limit (single applicant) | $525/month medically needy income level for a single applicant; income above it can be spent down |
| How income is counted | medically needy spend-down |
| Medically needy spend-down | Yes |
| Asset limit (single) | $2,000 single |
| Asset limit (couple, both applying) | $3,000 couple |
| Look-back period | 60 months |
What if a married applicant's spouse stays at home?
Federal spousal impoverishment rules protect part of the couple's income and assets for the spouse who stays home. For 2026 the community spouse can keep between $32,532 and $162,660 in assets, depending on the state.
Which programs pay for care at home?
Once someone is financially eligible, home care is usually paid through a waiver or state plan program. See the Montana Medicaid waivers that pay for home care.
How to apply in Montana (Montana Department of Public Health and Human Services (DPHHS))
What should you confirm with the state?
Ask DPHHS or your Area Agency on Aging how the spend-down works for the Big Sky Waiver before applying.
More for Montana
Medicaid eligibility by state: other states
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