State guide
Montana Home Care Compliance
All six compliance areas for Montana home care agencies, each cited to official sources.
Last reviewed: July 24, 2026
Montana at a glance Montana licenses skilled home health agencies through DPHHS; non-medical home care agencies are not licensed. Montana's minimum wage is $10.85 in 2026 (CPI-indexed each January 1, no tip credit), with state overtime over 40 hours and no paid sick leave law.
Requirements by category
Health Benefits & ACA → Montana uses HealthCare.gov, has expanded Medicaid (reauthorized in 2025 without a sunset), and has no state benefits mandates. HealthCare.govYesNo Occupational Health → Montana licenses home health agencies as health care facilities, and the minimum standards applicable to all licensed facilities require… RequiredFrom 1st employee Caregiver Training → Montana licenses home health agencies through DPHHS (with Medicare certification required for Medicaid participation), deferring to the… 75 (federal)None (no license); Medicaid PAS…12 hrs/yr (federal) Wage & Hour → Montana's minimum wage is $10.85 in 2026 (CPI-indexed each January 1, no tip credit), with state overtime over 40 hours and no paid sick… $10.851.5x >40None Licensure & Survey Readiness → Montana licenses skilled home health agencies through DPHHS; non-medical home care agencies are not licensed. MT DPHHSMont. Code Ann. § 50-5-101Home health agency; none for… Background Checks → Montana has no comprehensive fingerprint mandate for home care; DPHHS licensure and Medicaid rules require criminal background and… NoNurse aide registry; sex…
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Reviewed quarterly by Vitable Health.