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.
The daily statewide average Medicaid reimbursement rate for care in a nursing home:
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Effective: |
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July 1, 2025 |
$291.26 |
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July 1, 2024 |
$282.78 |
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July 1, 2023 |
$261.26 |
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July 1, 2022 |
$212.36 |
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July 1, 2021 |
$211.84 |
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July 1, 2020 |
$211.42 |
39-71-1107 (4) MCA
Domiciliary 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 home-health aides, as published by the department 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.
| EFFECTIVE DATE | AREA NAME | MEAN HOURLY WAGE |
| July 1, 2025 | STATEWIDE | $16.00 |
| Billings MSA | $16.16 | |
| Great Falls MSA | $15.21 | |
| Missoula MSA | $15.22 | |
| Bozeman MSA | $18.24 | |
| Helena MSA | $15.82 | |
| East-Central (Balance of State) | $16.24 | |
| Southwest (Balance of State) | $16.40 | |
| West (Balance of State) | $15.90 | |
| July 1, 2024 | STATEWIDE | $15.19 |
| Billings, MSA | $15.60 | |
| Great Falls, MSA | $14.34 | |
| Missoula, MSA | $14.14 | |
| East-Central (Balance of State) | $15.48 | |
| Southwest (Balance of State) | $15.55 | |
| West (Balance of State) | $15.76 | |
| July 1, 2023 | STATEWIDE | $14.32 |
| Billings, MSA | $14.77 | |
| Great Falls, MSA | $13.71 | |
| Missoula, MSA | $14.06 | |
| East-Central (Balance of State) | $14.36 | |
| Southwest (Balance of State) | $14.57 | |
| West (Balance of State) | $14.18 | |
| July 1, 2022 | STATEWIDE | $13.65 |
| Billings, MSA | $13.82 | |
| Great Falls, MSA | $12.78 | |
| Missoula, MSA | $13.83 | |
| East-Central (Balance of State) | $13.40 | |
| Southwest (Balance of State) | $13.82 | |
| West (Balance of State) | $13.54 | |
| July 1, 2021 | STATEWIDE | $13.02 |
| Billings, MSA | $12.77 | |
| Great Falls, MSA | $12.52 | |
| Missoula, MSA | $12.97 | |
| East-Central (Balance of State) | $12.68 | |
| Southwest (Balance of State) | $13.68 | |
| West (Balance of State) | $12.96 | |