Montana Medicaid
Montana Medicaid + HELP
Apply or call
Montana Medicaid + HELP covers pregnant women up to 162% of the federal poverty line — roughly $41,830 annual income for a family of three in 2025. The state adopted Medicaid expansion in 2016. Apply at https://apply.mt.gov/ or call 1-800-362-8312.
On maternal health specifically: Montana Medicaid + HELP has extended postpartum Medicaid coverage to 12 months (effective 2022-04-01), and does not cover doula services through Medicaid.
Montana's HELP Act (2015) took effect January 2016 and sunsets every six years — the legislature last reauthorized it in 2025. Urban Indian Health Institute and tribal health authorities handle enrollment on the seven reservations.
Key facts at a glance
- Pregnant women eligible up to 162% FPL ($41,830 for a family of three in 2025).
- Children 0-5 eligible up to 261% FPL ($67,390 for a family of three).
- Expansion adults eligible up to 138% FPL ($35,630 for a family of three).
- Postpartum Medicaid extended to 12 months (effective 2022-04-01).
Montana Medicaid, topic by topic
Eligibility
Income limits & who qualifies
Montana Medicaid + HELP covers pregnant women up to 162% of the federal poverty line — $41,830 annual income for a family of three in 2025.
How to apply
How to apply step by step
Apply online at https://apply.mt.gov/ or by phone at 1-800-362-8312. Federal law requires a 45-day decision on non-disability applications …
Doula coverage
Doula coverage details
Montana Medicaid + HELP does not currently cover doula services through Medicaid; state advocacy for a State Plan Amendment is ongoing.
Postpartum extension
12-month postpartum status
Montana Medicaid + HELP extended postpartum Medicaid coverage to 12 months, effective 2022-04-01.
Pregnant women
Pregnancy coverage in full
Montana Medicaid + HELP covers pregnancy-related care up to 162% of the federal poverty line — about $41,830 annual income for a family of …
Renewal
Annual renewal & unwinding
Montana Medicaid + HELP redetermines eligibility at least once every 12 months under 42 CFR 435.916. During the 2023+ unwinding, roughly 69…
For Black families
Roughly 1,400 Black residents are enrolled in Montana Medicaid + HELP, per the most recent CMS T-MSIS analytic file. The number understates true eligibility: every state has Black eligibles who aren't currently enrolled, usually because of the administrative-churn rates that rose sharply during the 2023 unwinding.
Montana's HELP Act (2015) took effect January 2016 and sunsets every six years — the legislature last reauthorized it in 2025. Urban Indian Health Institute and tribal health authorities handle enrollment on the seven reservations.
For enrollment help: look for your state's Navigator program (federally funded under the ACA), a Federally Qualified Health Center in your county (every FQHC has certified application counselors on staff), or one of the named community organizations below. Our FQHC directory filters to this state at /clinics/mt/.
More on Montana from Black Health
FQHCs
Federally Qualified Health Centers in Montana
Sliding-scale clinics that take Medicaid + help with applications.
Providers
Providers who accept Medicaid in Montana
Filter our directory to Montana by specialty.
Health data
Black Health outcomes in Montana
Maternal mortality, life expectancy, uninsured rate by race.
Data sources
- Montana Medicaid + HELP — state Medicaid portal.
- KFF State Health Facts, Medicaid income eligibility + expansion + enrollment tables (kff.org/statedata).
- National Health Law Program doula Medicaid project (healthlaw.org/doulamedicaidproject).
- March of Dimes Report Card, 12-month postpartum extension tracker (marchofdimes.org/report-card).
- CMS T-MSIS Analytic Files, Medicaid enrollment by race and ethnicity (medicaid.gov/dq-atlas).
- HHS Poverty Guidelines, 2025 Federal Register release.
Data refreshed: