Billings, MT · Montana Big Sky Waiver / HCBS
Medicaid Nursing Home & Assisted Living — Billings, MT
Medicaid nursing home coverage in Billings includes room, board, and skilled care when eligible — unlike assisted living. Use our nursing home ratings tool to compare CMS star scores for facilities in Billings.
Assisted living in Billings averages ~$4,000/month (near the MT state average of ~$4,000). Montana Big Sky Waiver / HCBS may cover care services for eligible residents, but room and board typically remains private pay. Montana Big Sky waiver serves elderly and disabled adults.
Montana helpline: 1-800-551-3191
Key limits (screening estimates)
- Income: ~$2,829/mo
- Assets: ~$2,000 individual
Montana program notes
- • Montana Big Sky waiver serves elderly and disabled adults.
- • Assisted living options concentrated in larger cities.
- • Rural access is a challenge statewide.
Next steps in Billings
- Contact Montana ADRC at 1-800-551-3191.
- Apply through Montana Medicaid.
- Ask about Big Sky waiver.
AllyKin Affordability Gap Index
Medicaid vs Assisted Living Cost in Billings
Avg assisted living
$4,000/mo
Montana Big Sky Waiver / HCBS income limit
$2,829/mo
Affordability gap
1.4×
1.4× Medicaid income limit — verify waiver slots
Assisted living in Billings ($4,000/mo) is roughly 1.4× the Montana Big Sky Waiver / HCBS income limit (~$2,829/mo). Some families may qualify for waiver-covered care services, but room and board in assisted living typically remains private pay.
Annual AL cost equals ~17 months of the Medicaid income screening limit. Limits are estimates — verify with Montana Medicaid caseworker.
No phone number required. This screening tool is 100% free and private. Results are educational only — not legal or financial advice.
FAQs — Billings
Does Medicaid pay for nursing homes in Billings, MT?▾
Yes — Montana Medicaid (Montana Big Sky Waiver / HCBS) covers skilled nursing facility room, board, and care for eligible residents. Income limit ~$2,829/mo, assets ~$2,000, and a 60-month look-back apply statewide. Medicaid nursing home coverage in Billings includes room, board, and skilled care when eligible — unlike assisted living. Use our nursing home ratings tool to compare CMS star scores for facilities in Billings.
How do I qualify for Medicaid nursing home care in Billings?▾
Meet Montana Big Sky Waiver / HCBS income and asset limits, pass the 60-month look-back review, and receive a level-of-care assessment confirming nursing-facility need. Contact Montana ADRC at 1-800-551-3191. Compare CMS star ratings for Billings nursing homes before choosing a facility.
Does Medicaid pay for assisted living in Billings, MT?▾
Montana's Montana Big Sky Waiver / HCBS may cover care services for eligible residents in participating communities. Room and board in standard assisted living is usually private pay. At ~$4,000/mo local AL cost, waivers often cover care hours — not housing. Use our free checker below.
What is the Medicaid income limit in Billings?▾
Statewide screening limit is approximately $2,829/month for individuals and $2,000 in countable assets. Billings does not have separate limits — Montana Big Sky Waiver / HCBS rules apply across Montana.
What Medicaid waivers help with assisted living in Montana?▾
Montana Big Sky waiver serves elderly and disabled adults. Assisted living options concentrated in larger cities. Call 1-800-551-3191 for county-specific guidance.
How many assisted living facilities in Billings accept Medicaid?▾
The Billings area has approximately 20 licensed communities. Not all accept Montana Big Sky Waiver / HCBS waiver residents — always verify participation and waitlist status before touring.
What are the next steps to apply for Montana Big Sky Waiver / HCBS in Billings?▾
Contact Montana ADRC at 1-800-551-3191. Apply through Montana Medicaid. Ask about Big Sky waiver.
Can I afford assisted living in Billings while on Medicaid?▾
Assisted living in Billings averages ~$4,000/month (near the MT state average of ~$4,000). Montana Big Sky Waiver / HCBS may cover care services for eligible residents, but room and board typically remains private pay. Montana Big Sky waiver serves elderly and disabled adults.
Assisted Living in Billings
Costs, neighborhoods, and free matching
Inspection Lookup — Billings
Verify license and violations before touring
Nursing Home Ratings — Billings
CMS star ratings for skilled nursing
Sources & methodology
Cost estimates, demographics, and safety data are compiled from government sources. Verify current figures with official portals before making care decisions.