Assisted living in Montana: how it is licensed.
Who licenses assisted living in Montana, and what to check before you choose.
What Montana calls it
In Montana, assisted living is licensed under the term “Assisted Living Facility”. Other states use different names, so it helps to know the exact term when you search.
Who licenses and inspects
Montana Department of Public Health and Human Services, Office of Inspector General, Licensure Bureau is the agency that licenses these communities. It is the official place to check a community’s license and inspection history.
Paying for care
Medicare generally does not cover long term custodial care.
Montana's Big Sky Waiver may offer Adult Residential Living among its services for people who are financially eligible for Medicaid and meet nursing facility level of care; the state page notes waiting lists currently exist. Eligibility rules apply.
Help and complaints
Montana Long-Term Care Ombudsman Program (DPHHS) supports residents of long term care and their families.
Also worth knowing in Montana
Montana's licensing letter says an assisted living license application must include a resident agreement meeting ARM 37.106.2823, and residents cannot be admitted until the facility is licensed.
Sources we checked (October 2026)
Licensing rules change. We checked the pages below. Confirm with the state agency.
Questions
Who regulates assisted living in Montana?
Montana Department of Public Health and Human Services, Office of Inspector General, Licensure Bureau.