The Village Health & Rehabilitation

Eligibility

General

Must be financially eligible for Medicaid and meet the minimum level-of-care requirements for nursing-facility placement; Big Sky Waiver provides a community alternative to institutional care.

MT specifics

Big Sky Waiver is administered by DPHHS Senior and Long-Term Care; the linked waiver took effect July 1, 2024. Individual services and enrollment require program assessment.

What it provides

• Assessed home and community-based support may include personal assistance; homemaker services; respite; adult day health; environmental adaptations and case management.

Eligibility

General

Medicaid-eligible people whose health condition limits daily activities and who meet the required screening. Community First Choice Services also requires nursing-facility level of care.

MT specifics

Services follow an assessed person-centered plan and may be agency-based or self-directed.

What it provides

• Assessed help with daily activities and health-maintenance tasks; additional covered supports can include personal emergency response systems and community integration.

Eligibility

General

Family and informal caregivers seeking support through the state aging network; individual services are assessed through local providers.

What it provides

• Title III-E supports caregiver information and assistance; counseling and training; support groups; respite and supplemental services through the state aging network.

Eligibility

General

Montana must be the primary residence; applicant must receive Medicare and meet Big Sky Rx income criteria.

MT specifics

Applications are accepted throughout the year. Current premium assistance amount should be confirmed against plan enrollment and Big Sky Rx guidance.

What it provides

• Assistance paying Medicare-approved prescription-drug-plan premiums; the DPHHS prescription-assistance overview lists up to $50.60/month; not a guaranteed annual cash benefit.

Eligibility

General

Medicare beneficiary; the state determines the applicable Medicare Savings Program. QMB helps with premiums and Medicare cost sharing; SLMB and QI generally help with Part B premiums.

MT specifics

QI requires annual application and is funded first-come, first-served with priority for prior recipients. QMB, SLMB and QI confer Part D Extra Help.

What it provides

• QMB pays eligible Part A/Part B premiums and Medicare deductibles and cost sharing; SLMB and QI pay Part B premiums. The exact benefit depends on the approved program.

Eligibility

General

Montana homeowners or renters responsible for home heating costs who meet household income and resource rules. Heating assistance applications are accepted October 1 through April 30.

What it provides

• Pays part of winter heating costs; assistance with eligible furnace emergencies may also be available.

Eligibility

General

Income- and resource-eligible Montana households, including homeowners and renters. Older adults and people with disabilities receive priority; approval does not guarantee immediate work.

What it provides

• An energy audit identifies eligible energy-saving improvements and related safety work; subject to program limits.