Montana offers two ways to get paid as a family caregiver.

1. Home and Community Based Services Waiver (Big Sky): is designed to help elderly and disabled adults receive care at home or in a community setting. This program pays friends and certain family members for providing personal care services. Other services range from adult day and respite care to transportation assistance. 

Program Requirements

• • MUST be a resident of Montana
  • MUST be 65+ OR disabled
  • MUST require nursing facility level of care
  • MUST be Medicaid eligible
  • All caregivers eligible 

Contact Number: 1-800-219-7035 (Mountain Pacific Quality Health)

2. Montana Community First Choice/Personal Assistance Programs: helps elderly and disabled adults receive care at home. Through this program, friends and certain family members can be paid for providing personal care services. 

Program Requirements

• • MUST be a resident of Montana
  • MUST have a health condition that limits ability to perform activities of daily living 
  • MUST be Medicaid eligible
  • Spouses are NOT eligible 

Contact Number: 406-444-4564 (Abby Holm, Program Manager) 1-888-706-1535 (Montana Public Assistance Helpline)