Quick answer
Likely yes in Montana, but not yet confirmed on an official page
- Spouse Likely yes
- Adult child Likely yes
2 programs to ask about. Start here: Community First Choice / Personal Care – self-directed.
These badges summarize the details below. "Not confirmed" means we couldn't find it stated on an official page yet.
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The programs to ask about, documents to gather, and who to call in Montana. We'll also email you if Montana's rules or pay rates change.
Programs that pay family caregivers
Community First Choice / Personal Care – self-directed
Self-directed option in which the member chooses their attendant; a provider agency handles payroll, taxes and required checks.
Big Sky Waiver
HCBS waiver with a policy on payments to legally responsible individuals (BSW 604-1).

Who can be paid?
Can I get paid to take care of my parent in Montana?
Reported yes for adult children and other relatives.
Can a spouse be paid as a caregiver in Montana?
Reported limited – per DPHHS materials as summarized, a spouse can be paid only for 'extraordinary care', generally up to 40 hours a week, and can't be both paid caregiver and personal representative.
How to apply
How do I apply in Montana?
See DPHHS 'Accessing Community First Choice Services'.
Is there a waiting list in Montana?
Unknown.
Pay and requirements
How much does it pay?
Unknown.
Caregiver requirements
See DPHHS 'Accessing Community First Choice Services'.