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Assisted Living in MT

A Caregiver's Guide to Assisted Living Facilities in Montana

What they're called

Official name: Assisted Living Facilities (Categories A, B, and C)

Common name: Assisted living facilities

To compare assisted living to board and care, skilled nursing, and other long-term residential care communities, see Residential Care Options: How to Decide.

What they offer
  • Individual or shared (up to four persons) living units (from single rooms to multiroom apartments), often with cooking facilities
  • All meals, usually in a common dining area
  • 24-hour monitoring
  • Assistance with medications; administration of medications to residents in Category B or C facility who require it
  • Assistance with arrangements for healthcare services
  • Personal care services, including for residents who are consistently dependent for help with up to four activities of daily living (ADLs); Category B and C facilities may provide for residents who require assistance with more than four ADLs
  • Social and exercise activities
  • Any facility may provide, or allow a resident to obtain from a third party, skilled nursing care, rehabilitative therapy, or other skilled services related to short-term acute illnesses, for up to 30 days for one episode and up to 120 days per year.
  • A Category B facility may provide, or permit the resident to arrange for, skilled nursing care or other skilled services for more than 30 days for a specific acute episode and for more than 120 days a year (for no more than five residents at any one time).
  • Category C facility may also provides care for residents with Alzheimer's disease or other severe cognitive impairment who are incapable of expressing needs or making basic care decisions.

Note: Some facilities also offer respite care and other special services.

What they cost

Median monthly fees: $3,100 (higher for residents requiring memory care)

State of Montana requirements
  • Facility may provide, or allow a resident to obtain from a third party, services for administration of medications or for skilled nursing care.
  • Assessment of resident's needs and development of a resident's service plan to be made upon admission and reviewed within 60 days of admission.
  • Shared bathrooms and bathing facilities are permitted.
State of Montana oversight

The Montana state Department of Public Health and Human Services, Quality Assurance Division (406-444-2676) licenses and regulates assisted living facilities.

How to resolve problems or offer feedback
How to pay for assisted living in Montana
  • Most assisted living is paid for privately by the resident and/or his or her family.
  • For Medicaid-eligible low-income residents whose condition would qualify them for Medicaid coverage of nursing home care, Montana's Home and Community Based Services Waiver program pays part of the cost of services provided by participating facilities. The program is available in only certain counties and has a limited number of slots.
  • Low-income veterans or surviving spouses of veterans may be eligible for Aid and Attendance or other payments from the Department of Veterans Affairs (VA), which can help pay for assisted living.
  • Some assisted living facilities offer sliding scale fees, making a higher level of care available to families that might not otherwise be able to afford it. Be sure to ask -- or ask a geriatric care manager in the area if he or she knows which facilities offer sliding scale fees.
Help finding and choosing a facility
  • Hire a geriatric care manager (most have extensive local knowledge about assisted living facilities in a particular geographic area, including space availability, resident needs assessments, sliding scale fees, and resident satisfaction). To find a geriatric care manager, see's Senior Living Directory.
  • For details about assisted living facilities in each of the 50 U.S. states plus the District of Columbia, see A Caregiver's Guide to Assisted Living Facilities.

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