Montana home care license requirements

From the Home Care Agency Licensing Reference Guide, research completed October 15, 2026. Published by Home Care Agency Blueprint · Updated October 25, 2026

Bottom line: No state license identified — Medicaid provider enrollment (DPHHS programs).

License required?

No state license identified

License / pathway

Medicaid provider enrollment (DPHHS programs)

Fees (initial / renewal)

Not confirmed in official sources — check with the state agency

Note: The guide's 50-state summary lists no state license found, while the detailed entry below says whether a license is required is not confirmed in official sources (the guide’s UNVERIFIED grade). Treat this as unresolved and confirm with the state before you serve clients.

From the 50-state summary. Fees shown as stated in the state entry; see each entry for conditions, conflicts, and sources.

Montana requirements, item by item

Bracketed numbers link to the official sources at the bottom of this page.

Not confirmed in official sources — check with the state agency We could not confirm this item on an official state source during our review, so we did not estimate it.

Montana licensing items from the reference guide

Item	What the guide found
License required?	Not confirmed in official sources — check with the state agency
License type / name	For Medicaid-funded services, the stated pathway is provider enrollment: PAS provider agencies are Medicaid-enrolled providers; CFCS/PCS agency-based services are managed and provided through an agency; and entities delivering 0208 Comprehensive Waiver services must enroll as Montana Medicaid providers and complete a DDP Provider Addendum. These facts do not establish a general state license for non-medical home care agencies. [1][2][3]
Licensing agency	Montana DPHHS administers the referenced programs; for 0208 Comprehensive Waiver provider enrollment, the manual identifies the Developmental Disabilities Program (DDP) and its Provider Addendum. The facts do not identify a general home-care agency licensing authority. [2][3]
Agency website	https://dphhs.mt.gov/SLTC/csb/CFCS-PCS ; https://dphhs.mt.gov/assets/BHDD/DisabilityServices/0208ComprehensiveWaiverProviderManualEff07012024.pdf [2][3]
Initial application / license fee	Not confirmed in official sources — check with the state agency
Renewal fee	Not confirmed in official sources — check with the state agency
Renewal cycle	Not confirmed in official sources — check with the state agency
Typical approval timeline	No official timeline published — check with the agency
Administrator qualifications	Not confirmed in official sources — check with the state agency
Caregiver background checks	For DDP waiver service roles, the manuals list background-check requirements for service providers, including companion services; the 2024 manual also lists personal care. The facts do not establish a general background-check requirement for all non-medical home-care agencies. [3][4]
Caregiver training hours	For certain DDP waiver service staff, including companion service providers, the cited manual specifies 12 hours of annual training after the first year. This is a waiver-provider requirement, not established here as a general agency requirement. [3][4]
Registry checks	Not confirmed in official sources — check with the state agency
General liability insurance	DDP 0208 waiver providers must maintain commercial general liability insurance. The sources reviewed do not establish this as a requirement for all non-medical home-care agencies. [3][4]
Workers' compensation	Not confirmed in official sources — check with the state agency
Bonding (surety / dishonesty)	Not confirmed in official sources — check with the state agency
Rule changes 2025–2026	Not confirmed in official sources — check with the state agency

Track these items in the checklist

Sources

1. AGENCY-BASED AND SELF-DIRECTED PERSONAL ...
   https://rules.mt.gov/browse/collections/aec52c46-128e-4279-9068-8af5d5432d74/policies/46045f6c-1c8f-4fa0-8131-f25e732731d3
2. Community First Choice Services and Personal Care Services - dphhs
   https://dphhs.mt.gov/SLTC/csb/CFCS-PCS
3. 0208 Comprehensive Waiver Provider Manual Effective 07-01-2024
   https://dphhs.mt.gov/assets/BHDD/DisabilityServices/0208ComprehensiveWaiverProviderManualEff07012024.pdf
4. [PDF] 0208 Comprehensive Waiver Provider Manual - dphhs
   https://dphhs.mt.gov/assets/BHDD/DisabilityServices/DDPProviderManual.pdf

Limits: fees and forms change often. Agencies sometimes post conflicting figures (a statute vs. an older form); those conflicts are shown, not resolved by guessing. Confirm the current fee with the agency before filing. This guide is a research reference, not legal advice.