Silver Bow County, MT

Get paid to care for your family member in Silver Bow County, Montana

About 7,380 people in Silver Bow County are 65 or older — 20% of everyone who lives here. That tracks with Montana as a whole. Roughly 728 are 85 or older, the age when daily help usually starts. There are only so many home-care agencies in a county this size, and the ones that are here do not always cover evenings, weekends, or the far end of the county.

Who needs care in Silver Bow

People 65 and older
7,380

20% of Silver Bow residents

People 85 and older
728

the age daily help usually starts

Median age
40.5

older than the country as a whole

Rank in Montana
9th

of 56 counties, by residents 65+

Source: U.S. Census Bureau, 2024 Population Estimates (Vintage 2024). Silver Bow County is a smaller-city county (USDA Rural-Urban Continuum Code 5). Montana as a whole is 21% aged 65 or older.

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

Montana's programs at a glance

  • Big Sky Waiver (self-directed)
  • Community First Choice & PCS
Spouse paid?
Sometimes
Parent paid for a child?
Not right now
Waitlist
Some programs have no waitlist.

These rules are set by the state, so they are the same in every county. Read the full Montana guide →

Towns and cities in Silver Bow County

Montana sets eligibility, not your town — so a family in Butte-Silver Bow (balance) and a family at the far edge of the county apply the same way. The largest communities in Silver Bow County:

Source: U.S. Census Bureau, 2024 Subcounty Population Estimates.

How families in Silver Bow apply

You do not need a county office to start. Families in Silver Bow County start with Montana's program:

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).

Or skip the phone tag — our free 2-minute check tells you which Montana program fits your family, then we help with the forms.

See if you qualify →

Silver Bow questions, answered honestly

Can I get paid to care for a family member in Silver Bow County?

Yes. Montana runs real Medicaid programs — like Big Sky Waiver (self-directed) — that pay family caregivers, and they cover families in Silver Bow County. We help you enroll, and applying costs you nothing.

How much do family caregivers earn in Silver Bow County?

Montana doesn't publish one flat rate. The program sets your exact pay. We'll tell you your real number before you enroll.

Where do families in Silver Bow County apply?

Families in Silver Bow County start with the state, not the county. 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).

Can I get paid to care for my spouse in Silver Bow County?

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

How many people in Silver Bow County might need this?

7,380 residents of Silver Bow County are 65 or older and about 728 are 85 or older, according to the U.S. Census Bureau's 2024 population estimates. Most of them are cared for at home by a relative rather than in a facility. Montana's programs exist to pay for exactly that care.

Which towns in Silver Bow do you cover?

All of Silver Bow County — including Butte-Silver Bow (balance) and Walkerville. Eligibility is set by Montana, not by your town, so where you live inside the county does not change whether you qualify.

Program facts come from Montana's published Medicaid program rules · Population figures from the U.S. Census Bureau · Updated September 2026. Rules change — always confirm with the program.

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