Montana

Get Paid as a Family Caregiver in Montana

Montana has real Medicaid programs that pay family members to care for a loved one at home. Here's what they pay, who can be paid, and how to start.

What Montana pays family caregivers

Rates vary — check with the program.

Rates vary — check with the program.

Your exact pay is set by the program and your care plan. We'll tell you your real number before you enroll.

Source: Montana Medicaid program data · Updated September 2026

Waitlist in Montana

Some programs here have no waitlist. Others can have one.

BSW: yes, limited slots (~2,800/yr, waitlist forms when full); CFCS/PCS: entitlement, no waitlist

The two big questions

Can a spouse be paid?

Sometimes

Sometimes — it depends on the program and the care needed.

The fine print: limited — yes under Big Sky Waiver self-directed option; prohibited under CFCS/PCS (spouses and parents of minors excluded there)

Can a parent be paid for a child?

Not right now

Not for young children right now — but parents of adult children can often be paid.

The fine print: no under CFCS/PCS (explicitly prohibited); Big Sky Waiver serves adults — parent-of-minor not addressed

Montana's programs

Run by: Montana DPHHS, Senior & Long Term Care Division (406-444-4077)

Big Sky Waiver (self-directed)

A program that can pay a family member for care at home.

2-min check →

Community First Choice & PCS

A program that can pay a family member for care at home.

2-min check →

How to apply in Montana

  1. Check your match — 2 minutes, free.

    Our quick check tells you which programs fit your family before you talk to anyone.

  2. Start the state application.

    Apply for Montana Medicaid at apply.mt.gov or a local Office of Public Assistance (helpline 888-706-1535); Mountain Pacific Quality Health does the functional assessment (800-219-7035).

  3. We help at every step.

    Forms, phone calls, the enrollment visit — we walk you through it all, free.

See if you qualify →

Montana questions, answered honestly

Is this legit?

Yes. These are real Medicaid programs run by the state. In Montana, they are overseen by the Montana DPHHS. We help you enroll — applying costs you nothing.

Why would the government pay me?

Care at home costs Medicaid far less than a nursing home. So states pay family members to give that care at home. It's good for your loved one, and it's the law working the way it should.

Can I get paid to care for my spouse in Montana?

Sometimes — it depends on the program and the care needed. The fine print: limited — yes under Big Sky Waiver self-directed option; prohibited under CFCS/PCS (spouses and parents of minors excluded there)

Can I get paid to care for my child in Montana?

Not for young children right now — but parents of adult children can often be paid. The fine print: no under CFCS/PCS (explicitly prohibited); Big Sky Waiver serves adults — parent-of-minor not addressed

How much do family caregivers get paid in Montana?

Montana doesn't publish one flat rate — rates vary and the program sets your exact pay. We'll tell you your real number before you enroll.

Is there a waitlist?

Some programs here have no waitlist. Others can have one. Details: BSW: yes, limited slots (~2,800/yr, waitlist forms when full); CFCS/PCS: entitlement, no waitlist

Do I have to work for an agency?

It depends on the program. In Montana: hybrid — member hires/fires the caregiver but a financial management services / provider agency handles payroll, taxes, background checks; agency-based model also available

Sources: medicaidplanningassistance.org · medicaidplanningassistance.org · dphhs.mt.gov · Updated September 2026. Program rules change — always confirm with the program.

Find out in 2 minutes

Answer 5 easy questions. See your programs and pay before you share any contact info.

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