Assisted living in Montana

We don’t publish this state’s inspection record yet — so nothing below is ranked by it.

Assisted living is licensed by the state, not Medicare, and Montana DPHHS, Quality Assurance Division doesn’t release its inspection and complaint records as a bulk file we can ingest. Several states in this position still let you look up one community at a time on their own site — so the record may well exist; we just don’t have it. We will not invent one: no community below is marked clean, because we have nothing to clear it with. To check a specific community, ask Montana DPHHS ↗ for its inspection and complaint history, or call your Long-Term Care Ombudsman ↗ — a free, independent advocate.

What Montana licenses — and why this total isn’t comparable to another state’s

There is no national definition of “assisted living.” Each state decides what it licenses and what to call it, so a state total counts whatever that state chose to license — state counts on this site are not comparable to each other, and a bigger number does not mean more assisted living. Here that total is:

• 207 Assisted living

Memory care isn’t marked here — because the state doesn’t publish it.

Montana DPHHS, Quality Assurance Division’s licensing file carries no memory-care or dementia-unit designation, so we cannot tell you which of these communities has one. There certainly are memory-care communities in this state — we just have no authoritative list of them, and we won’t guess from a community’s name. Ask any community directly whether it runs a secured dementia unit, and ask your Long-Term Care Ombudsman ↗ which local communities take dementia residents.

Estimated cost range · regional

In Montana, assisted living typically runs about $4,850–$7,300/month.

This is a regional estimate modeled from published survey data (the CareScout/Genworth state median, ±20%) — not this community’s actual price, which it sets privately. Ask the community for its current all-in monthly rate and what each care level adds.

Paying with Medicaid

Montana Medicaid can help pay for assisted living — through a waiver, not through regular Medicaid.

The Montana waiver that can pay for it:

• Big Sky Waiver (BSW) — covers in-home / assisted living / adult day / adult foster care

In Montana: apply or check eligibility ↗ or call 888-706-1535.

A waiver pays for care, not for rent. Even where the state covers assisted-living services, room and board is still the resident’s to pay. Full eligibility limits — income, assets, the look-back — are on our Montana Medicaid page.