Domiciliary Care

39-71-1107 (3) MCA

When a worker suffers from a condition that requires 24-hour care and that results from the accident but that requires domiciliary care other than as provided in Title 37, chapter 8, the care may be provided by a family member. The insurer's responsibility for reimbursement for the care is limited to no more than the daily statewide average medicaid reimbursement rate for the current fiscal year for care in a nursing home. The insurer is not responsible for respite care.  Please use this form for

The daily statewide average Medicaid reimbursement rate for care in a nursing home:

Effective:

 

 

  July 1, 2020 $211.42
  October 1, 2019 $208.60
  July 1, 2019 $204.30
  July 1, 2018 $202.46
  January 1, 2018 $181.57
  October 1, 2017 $187.17
  July 1,2016 $176.06
  July 1, 2015 $172.70

39-71-1107 (4) MCA

Domiclliary care by a family member that is necessary for a period of less than 24 hours a day may not exceed the hourly mean wage by area for homehealth aides, as published by the deeartment in the most recent edition of the Montana informational Wage Rates by Occupation and adopted annually by the department prior to January 1. The insurer is not liable for more than 8 hours of care each day at the rate in effect at the time that the services are rendered. For a listing of counties in each of these areas, please click here.


 

PUBLISH DATE AREA NAME  MEAN HOURLY WAGE 
July 1, 2020 STATEWIDE 12.45
  Billings MSA 12.36
  Great Falls MSA 12.02
  Missoula MSA 12.47
  East-Central (Balance of State) 12.01
  Southwest (Balance of State) 12.86
  West (Balance of State) 12.40
     
July 1, 2019 STATEWIDE 12.47
  Billings MSA 14.18
  Great Falls MSA 11.49
  Missoula MSA 12.37
  East-Central (Balance of State) 12.37
  Southwest (Balance of State) 13.07
  West (Balance of State) 12.12
     
July 1, 2018 STATEWIDE $12.05
  Billings MSA $13.76
  Great Falls MSA $11.07
  Missoula MSA $12.96
  Central-Balance of State $10.99
  Southwest-Balance of State $12.32
  West-Balance of State $11.66
     
August 1, 2017 STATEWIDE $11.49
  Billings MSA $12.95
  Great Falls MSA $10.81
  Missoula MSA $11.11
  East - Balance of State $13.29
  Central - Balance of State $10.06
  Southwest - Balance of State $11.91
  West - Balance of State $11.29
     

October 1, 2016

STATEWIDE $10.82
  Billings MSA $12.53
  Great Falls MSA $10.49
  Missoula MSA $10.86
  Central-Balance of State $9.69
  Southwest-Balance of State $10.86
  West-Balance of State $11.05
     
January 1, 2016 STATEWIDE $10.77
  Billings MSA $11.73
  Great Falls MSA $10.71
  East-Balance of State $11.23
  Central-Balance of State $10.21
  Southwest-Balance of State $10.69
  West-Balance of State $11.12
     
January 1, 2015 STATEWIDE $10.83
  Billings MSA $11.53
  Great Falls MSA $10.72
  Missoula MSA $10.83
  Eastern Montana $10.83
  Central Montana $10.08
  Southwestern Montana $10.95
  Western Montana $10.62