Montana Medicaid

Montana Medicaid is a health care coverage for low-income families including uninsured children under age 18, pregnant women, disabled adults, as well as seniors.

In Montana, Medicaid is divided into two primary, distinct categories: family-related Medicaid and Medicaid for people who are aged, blind, or disabled.

Medicaid for children ages 0–18 is provided through Healthy Montana Kids Plus (HMK Plus) for families with income at or below 148% of the federal poverty level.

FAQ

What are the income requirements for Medicaid in Montana?

As Montana is expanding coverage, Medicaid is now available to all adults age between 19—64 with income up to 138% of the poverty level and up to 162% for pregnant women.

montana Medicaid income limits by household size
montana MedicaidHousehold Size	148% Child 0—18	162% Pregnant Women	138% Adults 19—64
1	$1,968	$2,155	$1,835
2	$2,669	$2,921	$2,489
3	$3,369	$3,688	$3,142
4	$4,070	$4,455	$3,795
5	$4,771	$5,222	$4,448
6	$5,471	$5,989	$5,101
7	$6,172	$6,755	$5,755
8	$6,872	$7,522	$6,408

A 5% disregard based on the federal poverty level (FPL) for the household size may be applied and is reflected in the amounts shown above. Source: Kaiser Family Foundation (KFF).

Native Americans are exempt from premiums and co-payments if they are eligible for services through Indian Health Services (IHS) or a tribal provider.

Is Medicaid expansion is still active in Montana?

While the program was originally set to expire (“sunset”) in June 2025, Governor Greg Gianforte signed House Bill 245 in March 2025, which officially removed that expiration date and made the program permanent.

Where do I apply for Medicaid in Montana?

You can apply for Medicaid in Montana online through apply.mt.gov , the state’s primary portal for health coverage and food assistance programs.

For questions about applications and eligibility, call

Montana Department of Public Health and Human Services
Office of Public Assistance
(888) 706-1535