Senior care in Montana.
From Kalispell to Billings, we recommend home care agencies near you. Free for families.

Example
Your care match
Personalized for Mom · near 59101
Harbor Home Care
Home care agency · 2.1 mi away
Offers personal care
Serves 59101
Available weekday mornings
Home care agency
Only this agency gets your request
Home care across Montana.
Pick your city for local phone numbers, ways to pay and answers. If your city is not listed, enter your ZIP code and we’ll look for care near you.
Ask any Montana home care agency about its state license or registration, its insurance, background checks and caregiver training before care starts.
Ways to pay in Montana.
Private pay
Most families pay the provider directly. You agree on hours and rates before care starts.
Long term care insurance
Many policies cover in home care or assisted living after a waiting period.
VA benefits
Veterans and surviving spouses may qualify for Aid and Attendance or VA home care programs.
Medicaid
Your state’s Medicaid program may pay for some care at home for people who qualify.
Montana Medicaid Big Sky Waiver
The Big Sky Waiver is for people on Medicaid who need nursing-home-level care but want to stay at home. It may pay for personal assistance, homemaker help, respite care, adult day health and case management, and there can be a waiting list. To ask for the Big Sky Waiver, call Mountain Pacific Quality Health at 800-219-7035, or call the statewide aging line at 800-551-3191 to reach your local Area Agency on Aging.
All ways to payYour first consultation with the agency is free, and so is our help finding it. Tell us what you need in Montana and the agency reaches out to set it up.
Get my free consultationFree help in Montana.
These services are free, whether or not you use Hailo Care.
Montana Aging Services Help Line
Toll-free statewide line from the Department of Public Health and Human Services that rings into your local Area Agency on Aging during business hours.
800-551-3191Big Sky Waiver referrals (Mountain Pacific Quality Health)
Takes referrals for Montana Medicaid’s Big Sky Waiver, which helps people who need nursing-home-level care live at home.
800-219-7035DPHHS Senior and Long Term Care Division
State office in Helena that runs the Big Sky Waiver and other home and community services for older adults.
406-444-4077Alzheimer’s Association 24/7 Helpline
Free, confidential help for people living with dementia and their families, any time of day.
800-272-3900Do home care agencies need a license in Montana?
It depends on the services an agency provides. Ask any Montana home care agency about its state license or registration, its insurance, background checks and caregiver training before care starts.
Does Montana Medicaid pay for home care?
It can. The Big Sky Waiver is for people on Medicaid who need nursing-home-level care but want to stay at home. It may pay for personal assistance, homemaker help, respite care, adult day health and case management, and there can be a waiting list. To ask for the Big Sky Waiver, call Mountain Pacific Quality Health at 800-219-7035, or call the statewide aging line at 800-551-3191 to reach your local Area Agency on Aging.
How much does home care cost in Montana?
It depends on the type of care, the hours and where you live. Agencies share their rates before care starts, and the first consultation is free.
Which Montana cities do you serve?
Every Montana ZIP code. We have local pages for the 7 largest cities, including Billings, Missoula and Great Falls.
Is a home care consultation free in Montana?
Yes. Your first consultation with the home care agency is free, and so is our help finding the agency. There is no obligation to start care.
Let’s find care that feels like home.
Enter your ZIP code for a free consultation with a home care agency anywhere in Montana. We match you with one local agency.
- Free for families
- Free first consultation
- No obligation