50-State Regulatory Atlas Montana
State licensing summary
Montana: healthcare licensing and regulation
Montana: state license; branch rule not confirmed; no certificate of need; compact member. Regulator: Montana Department of Public Health and Human Services.
Educational summary, last reviewed October 17, 2026. Not legal advice — confirm with the state licensing agency or counsel.
11 findings: 7 verified, 4 provisional. How findings are sourced and labelled.
At a glance
- License
- State license requiredVerified
- Regulator
- Montana Department of Public Health and Human Services
- Branch offices
- State license; branch rule not confirmedProvisional
- Certificate of need
- No certificate of needVerified
- Service area
- Confirm with the state agencyProvisional
- In-state office
- See out-of-state rules below
- Medicare certification
- Separate federal step, only for agencies that bill MedicareVerified
Home health licensing
State license
VerifiedYes. DPHHS licenses home health agencies, starting with a six-month provisional license and an on-site survey. The state standard is the Medicare Conditions of Participation.
In practice: Hold the authority the state requires before the first patient is admitted there, and keep its number, category and expiry with the office it covers.
Certificate of need
VerifiedNo, since October 1, 2021.
In practice: No certificate of need step for home health.
Branch offices
ProvisionalConfirm with the state agency Not established in this review.
In practice: Track each office’s authority on its own where the state licenses offices separately, and with the parent where it lists them.
Service area
ProvisionalConfirm with the state agency Not established in this review.
In practice: Check the patient’s address against the approved service area before accepting a referral.
Out-of-state agencies
ProvisionalConfirm with the state agency Not established in this review.
In practice: A license in one state does not authorize care in another; the patient’s state decides.
Home infusion nursing
Home infusion nursing
ProvisionalConfirm with the state agency Not established in this review.
In practice: Confirm the license category before staffing infusion visits in this state.
Montana licenses “home infusion therapy agencies” (ARM 37.106, Subchapter 24): preparing, administering or furnishing parenteral medications or parenteral or enteral nutrition in a person’s residence. The agency needs an administrator, a pharmacist-in-charge (or designee) and a Montana-licensed nurse available 24 hours a day (ARM 37.106.2405); medications are administered by Montana-licensed professionals (ARM 37.106.2415); solutions are dispensed by a pharmacist in a Montana-licensed pharmacy (ARM 37.106.2416).
In practice: Infusion here is its own license category, separate from the general home health license. Confirm current fees and forms with DPHHS.
Source: ARM 37.106 Subchapter 24MT DPHHS home infusion therapy rules
Staffing and nurse licensure
Nurse licensure (compact)
VerifiedMember of the Nurse Licensure Compact, implemented. A nurse with a multistate license from another compact state may practice here; the agency still needs this state’s own authority to operate.
In practice: Check each nurse’s license against the patient’s state, not the agency’s.
Detailed state rules for staffing agencies in this state are being added.
Medicare, hospice and VA programs in this state
Montana is not one of the six states in CMS’s Review Choice Demonstration for home health (Illinois, Ohio, Texas, North Carolina, Florida, Oklahoma).
Source: CMS: Review Choice Demonstration for Home Health Services
Montana is not one of the six states (Arizona, California, Nevada, Texas, Georgia, Ohio) where CMS applies its provisional period of enhanced oversight to newly enrolling hospices.
Source: CMS Medical Review: Hospice
VA Community Care Network region
VerifiedMontana is in Community Care Network Region 4, administered by TriWest. Agencies join by contracting with the regional third-party administrator, not with VA. VA has re-procured the network as CCN Next Generation with two regions, East and West; which administrator serves which region from 2027 was not announced in the sources reviewed.
Time-sensitive. Region assignments change with CCN Next Generation; recheck VA’s announcements during 2027.
Source: VA: Community Care Network
Federal rules that apply in every state
Medicare certification
VerifiedMedicare certification under the home health Conditions of Participation (42 CFR Part 484) is a federal step for agencies that bill Medicare home health. It is separate from the state license. Where a state ties entry to certification, that state’s findings say so.
In practice: A branch serving a portion of the parent’s area is supervised and administered by the parent agency (42 CFR 484.2).
Source: 42 CFR 484.2
For a Medicare-certified agency, “its personnel must be qualified in all States in which they provide services” (State Operations Manual § 2184).
In practice: Nurse licensure follows the patient’s state.
Medicare’s home infusion therapy benefit is a separate Part B supplier benefit, not a home health benefit. It pays an accredited, qualified home infusion therapy supplier for professional services tied to specific parenteral drugs given through a pump that is durable medical equipment (42 CFR Part 486, Subpart I).
In practice: Most pharmacy-dispensed home infusion is not billable under this benefit; nursing for those patients is usually paid by other payers or under contract.
Compared with Texas
Federal Conditions of Participation double as the state standard.
Other service lines
State rules for these lines are being added to the guide: Medicare home health, Medicare home infusion therapy benefit, Infusion pharmacy, Hospice, Private duty nursing, Personal care and Medicaid HCBS, VA community care, Infusion suites.
Look up a licensed provider
- Public Facility Search VerifiedMontana DPHHS Office of Inspector General, Licensure Bureau
Licensed facilities by type, including home health agencies, hospices and home infusion therapy.
National lookups
- Medicare Care Compare — Home health
Medicare-certified home health agencies with quality ratings and services offered.
- Medicare Care Compare — Hospice
Medicare-certified hospices with quality measures.
- CMS Provider Data Catalog — Home Health Care Agencies (6jpm-sxkc)
All Medicare-registered home health agencies with CCN, address, ownership, services, certification date and quality measures, as CSV and an unauthenticated API.
- CMS Provider Data Catalog — Hospice – General Information (yc9t-dgbk)
Medicare-certified hospices with CCN, address, county, ownership type and certification date, as CSV and an unauthenticated API.
- CMS QCOR — HHA 2567 Statements of Deficiencies
Federal survey statements of deficiencies for home health agencies, filterable by state, survey type, tag and CCN, with a full-dataset XLSX download.
- CMS QCOR — Hospice 2567s
Federal survey statements of deficiencies for hospices.
- NPPES NPI Registry
National Provider Identifier records with addresses, authorized official and taxonomies, with a public API.
- HHS-OIG List of Excluded Individuals/Entities (LEIE)
Individuals and entities excluded from federal health care programs, with a monthly downloadable database.
- SAM.gov Exclusions
Federal exclusion records across agencies.
- Nursys QuickConfirm
Nurse license status, discipline / board-issued alerts and expiry, free to employers and the public.
Associations
No dedicated state association found; the associations below are broader healthcare associations. See also national associations.
- MHA – An Association of Montana Health Care Providers (Montana Hospital Association)hospitals, home health, hospice · broader healthcare association
A multi-provider hospital association whose membership scope includes home health and hospice; CMS lists it as Montana’s state hospice organization contact.
Official sources
About this guide. Published and maintained by Paloma Health Technologies; Findings are cited to official sources, dated and status-labelled; see the editorial policy. Educational summary, last reviewed October 17, 2026. Not legal advice — confirm with the state licensing agency or counsel.