Montana Medicaid Eligibility Requirements

This page provides general guidelines for the Montana Medicaid eligibility requirements. This is an assistance program that provides medical coverage for low-income people of all ages. The department that handles the Medicaid program is Montana Department of Public Health and Human Services. If you have questions or issues about the Medicaid application or the eligibility requirements, contact the Montana Medicaid office.


Montana Medicaid Overview

The Medicaid program is a federal and state funded program that serves needy individuals and families who meet financial and other eligibility requirements and certain other individuals who lack adequate resources to pay for medical care.


Montana Medicaid Eligibility Requirements - Non Income

The enrollee must be a Montana resident and a U.S. citizen or a qualified legal alien.


Documents Needed For Montana Medicaid Application

  • Proof of Social Security Number application
  • Proof of citizenship or alien status
  • Proof of identity
  • Proof of income
  • Proof of resources
  • Proof of expenses
  • Proof of pregnancy (if pregnant)

Montana Medicaid Benefits

Among the services the Montana program may cover are: treatment by physicians, nurse practitioners, nurse midwives, dentists, dentures, and podiatrists; lab services, including x-rays; inpatient hospital visits; outpatient hospital visits; family planning; nursing facilities; home health care; durable medical equipment; outpatient drugs; mental health; ambulance; and eyeglasses.


Montana Medicaid & CHIP Eligibility Levels

Below is the modified adjusted gross income (MAGI) eligibility levels for Montana Medicaid and Children's Health Insurance Program (CHIP).

Eligibility Levels - By Percentage Of Federal Poverty Level (FPL)

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: 143%
Age 1-5: 143%
Age 6-18: 143%
 261% Medicaid: 157%
CHIP: N/A		 47% N/A

Eligibility Levels - Individual By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: $1,391
Age 1-5: $1,391
Age 6-18: $1,391
 $2,538 Medicaid: N/A
CHIP: N/A		 $457 N/A

Eligibility Levels - Family Of Two By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: $1,874
Age 1-5: $1,874
Age 6-18: $1,874
 $3,421 Medicaid: $2,058
CHIP: N/A		 $616 N/A

Eligibility Levels - Family Of Three By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: $2,358
Age 1-5: $2,358
Age 6-18: $2,358
 $4,304 Medicaid: $2,589
CHIP: N/A		 $775 N/A

Eligibility Levels - Family Of Four By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: $2,842
Age 1-5: $2,842
Age 6-18: $2,842
 $5,187 Medicaid: $3,120
CHIP: N/A		 $934 N/A

Medicaid Eligibility

State Medicaid Office

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