MontanaMedicaid applicants could receive temporary home-care coverage
The failed proposal would let older adults and people with physical disabilities receive temporary coverage for certain home and community-based services after screening and approval.
What it does
People who are elderly or have physical disabilities could receive temporary Medicaid coverage for certain home and community-based services after screening and agency approval.
Trained state and community organizations would screen applicants, but applicants would still need to seek ongoing coverage within 10 days and could use this temporary process only once every 12 months.
Argument forTemporary coverage could help eligible people receive personal care, equipment, or safe hospital-to-home support while Medicaid reviews their full application.
Argument againstApplicants could lose temporary coverage quickly if they miss the 10-day ongoing-coverage application deadline, with no administrative hearing for the temporary decision.
More detail
The Medicaid agency may grant temporary eligibility for certain home and community-based services after screening and agency approval. The provision covers people who are elderly or have a physical disability. Covered services include personal care, meal delivery, emergency response systems, equipment, technology, and services that support a safe transition home or prevent hospitalization. Applicants must complete the required screening process. The agency division that manages long-term care services must authorize eligibility. Temporary eligibility starts when screening is completed and ends when ongoing Medicaid eligibility is decided or at the end of the following month, whichever comes first.
Approved screeners would check applications, income, resources, residency, and care needs before making a presumptive eligibility decision. Screeners may include trained state staff, aging agencies, tribal entities, hospitals, hospital-affiliated facilities, and other department-approved organizations. Screening must use a department application, self-attestation of Medicaid requirements, and a functional assessment. Organizations must complete department training before certification and renew certification each year. The applicant or representative must apply for ongoing Medicaid coverage within 10 calendar days. A person may use presumptive eligibility only once in any consecutive 12-month period. There is no administrative hearing right for a presumptive eligibility decision. The 10-day application deadline begins after the presumptive eligibility decision. The one-use limit applies across each consecutive 12-month period.
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Where it stands
- Introduced
- Passed Senate
- Passed House
- To Governor
- Became Law
Looking ahead
No hearings or votes scheduled.
History
- 2025
- Jun 18(S) Veto OverrideLatest
- May 23(S) Veto Override Vote in Progress
- May 23(S) Vetoed by Governor Greg GianforteMajor
- May 14(S) Transmitted to GovernorTo Governor
- May 12(H) Signed by SpeakerPassed House
- Apr 21(S) Signed by PresidentPassed Senate
- Apr 14(S) Returned from Enrolling
- Apr 14(S) Sent to Enrolling
- Apr 12(S) 3rd Reading House Amendments
- Vote recorded Do Pass. Result: pass.Upper
- Apr 12(S) Scheduled for 3rd ReadingMinor
- Apr 11(S) 2nd Reading House AmendmentsMinor
- Vote recorded Do Pass. Result: pass.Upper
- Apr 11(S) Scheduled for 2nd ReadingMinor
- Apr 9(H) Returned to Senate with Amendments
- Vote recorded Do Concur. Result: pass.Lower
- Apr 9(H) 3rd Reading
- Apr 9(H) Scheduled for 3rd ReadingMinor
- Apr 8(H) 2nd ReadingMinor
- Vote recorded Do Concur. Result: pass.Lower
- Apr 8(H) Scheduled for 2nd ReadingMinor
- Apr 8(S) Revised Fiscal Note Printed
- Apr 7(S) Revised Fiscal Note Signed
- Apr 7(S) Revised Fiscal Note ReceivedMinor
- Apr 2(S) Revised Fiscal Note Printed
- Apr 2(S) Fiscal Note Unsigned
- Apr 1(S) Revised Fiscal Note Requested
- Mar 29(H) Committee Report - (H) Appropriations
- Mar 28(H) Committee Executive Action - (H) Appropriations
- Vote recorded be_concurred_in_as_amended. Result: pass.Lower
- Mar 28(S) Revised Fiscal Note Requested
- Mar 26(H) Hearing - (H) Appropriations
- Vote recorded Do Concur. Result: pass.Lower
- Mar 26(H) Rereferred to Committee - (H) AppropriationsMinor
- Mar 26(H) 2nd ReadingMinor
- Mar 21(H) Committee Report - (H) Human Services
- Mar 19(H) Committee Executive Action - (H) Human Services
- Vote recorded be_concurred_in_as_amended. Result: pass.Lower
- Mar 5(H) Hearing - (H) Human Services
- Feb 25(H) 1st Reading
- Feb 25(H) Referred to Committee - (H) Human ServicesMinor
- Feb 24(S) Transmitted to House
- Vote recorded Do Pass. Result: pass.Upper
- Feb 24(S) 3rd Reading
- Feb 21(S) Committee Report - (S) Finance and Claims
- Vote recorded do_pass. Result: pass.Upper
- Feb 21(S) Committee Executive Action - (S) Finance and Claims
- Feb 18(S) Hearing - (S) Finance and Claims
- Feb 10(S) Rereferred to Committee - (S) Finance and ClaimsMinor
- Vote recorded Do Pass. Result: pass.Upper
- Feb 10(S) 2nd ReadingMinor
- Feb 10(S) Scheduled for 2nd ReadingMinor
- Feb 6(S) Committee Report - (S) Public Health, Welfare and Safety
- Feb 6(S) Revised Fiscal Note Printed
- Feb 5(S) Committee Executive Action - (S) Public Health, Welfare and Safety
- Jan 27(S) Revised Fiscal Note Requested
- Jan 25(S) Tabled in Committee - (S) Public Health, Welfare and SafetyMinor
- Jan 24
- Vote recorded to_table. Result: pass.Upper
- Jan 10(S) Hearing - (S) Public Health, Welfare and Safety
- Jan 9(S) Fiscal Note Printed
- Jan 8(S) Fiscal Note Signed
- Jan 7(S) Referred to Committee - (S) Public Health, Welfare and SafetyMinor
- Jan 6(S) 1st Reading
- 2024
- Dec 30(S) Fiscal Note Requested
- Dec 30(S) Fiscal Note ReceivedMinor
- Dec 27(S) Introduced
- Dec 27(LC) Draft Delivered to Requester
- Dec 5(LC) Draft Ready for Delivery
- Dec 4(LC) Draft in Assembly
- Dec 2(LC) Draft in Final Drafter Review
- Nov 26(LC) Draft in Input/Proofing
- Nov 20(LC) Draft in Edit
- Nov 20(LC) Draft in Legal Review
- Nov 1(LC) Drafter AssignedIntroduced
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