Montana Public Radio
Montana begins Medicaid work-requirement removals October 1 with 59 posts, 20 filled
Montana Public Radio reported that removals for missing work requirements start October 1 for nearly 71,000 enrollees.
The Record
Montana: the record
Every Montana record from every file, newest first; federal records that apply in every state are in the full archive.
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Issues active in Montana
Tracked issues with at least one Montana record since Apr 27, 2026.
- Medicaid work-requirement implementation7 records
- Health center openings, closures and mergers6 records
- Medicaid financing and eligibility operations6 records
- The $50 billion Rural Health Transformation Program6 records
- Safety-net workforce and capacity shifts3 records
- Community Health Center Fund and federal appropriations1 record
Montana Public Radio
Montana: just over 7,000 enrollees went through work-requirement renewals this summer; noncompliance removals begin October 1
Montana health officials told lawmakers that just over 7,000 Medicaid enrollees went through the new work-requirement renewal process in July and August, Montana Public Radio reported on September 15, 2026.
Seeley Swan Pathfinder
Partnership Health Center will close its Seeley Lake clinic October 31 after the hospital district declined to extend its lease
Partnership Health Center, a federally qualified health center serving Missoula County, will close its Seeley Lake clinic when its lease ends October 31, 2026…
Montana Public Radio
State officials expect up to 5,000 monthly Medicaid compliance reviews; one letter carried conflicting deadlines
Montana Public Radio reported July 20 that state officials expected up to 5,000 people each month to have to show compliance with Montana's Medicaid community-engagement rules.
Montana Public Radio
CARD's Libby asbestos clinic closes earlier than planned after losing federal funding
Montana Public Radio reported August 13 that the Center for Asbestos Related Disease in Libby had closed permanently earlier that week, ahead of its previously announced August 31 closing date, after losing federal funding.
Montana Healthcare Programs
Montana's July 1 FQHC/RHC manual updates PPS, change-in-scope and billing instructions without publishing a new rate amount
Montana Healthcare Programs' FQHC and RHC Provider Manual, effective July 1, 2026, supersedes earlier manuals and communications concerning its content.
Health Resources and Services Administration
HRSA reports $46.2M across 13 Montana Health Center Program awards in FY2025
HRSA's FY2025 Montana fact sheet, with data as of September 30, 2025, reports $46,225,706 across 13 Health Center Program awards to 13 unique awardees. It separately reports one $500,000 Expanded Hours award to one unique awardee.
Montana Department of Public Health and Human Services
Montana makes PCMT Tiers 1 and 2 effective July 1; Tier 3 remains targeted for July 2027
DPHHS's current Primary Care Management Transformation page describes PCMT as a primary-care case-management and value model for Medicaid and Healthy Montana Kids Plus and says the model must be budget neutral to the state.
Montana Department of Public Health and Human Services
Montana lists $221M across five RHTP core-initiative budgets without provider subawards
DPHHS's current approved-initiatives page lists first-year core-initiative budgets of $21 million for workforce development, $82 million for sustainable rural access, $29 million for innovative care models, $56 million for community health and prevention…
Montana Department of Public Health and Human Services
Montana's $4M first-year rural EMS equipment grant window ended August 15
DPHHS's RHTP grants page says $4 million in first-year funding was available for rural emergency medical service equipment and ambulances, with need-based criteria.
Montana Department of Public Health and Human Services
Montana opens a rural health workforce-retention RFI through August 31 to inform a future project
DPHHS's RHTP solicitations page lists Rural Health Care Workforce Retention RFI DLI-RFI-2027-0091 as opened August 12, 2026 and closing August 31 at 2 p.m. MDT.
Montana Healthcare Programs
Montana's MAR 2026-127.1 index still labels July 1 fee schedules and manuals as proposed
Montana Healthcare Programs' current proposed-fee-schedules page labels the package MAR Notice 2026-127.1 and lists proposed fee schedules and manuals intended to be effective July 1, 2026.
One Health
One Health posts weekday Belgrade pharmacy hours alongside medical and behavioral-health access
One Health's current Belgrade page lists medical and behavioral-health services at 19 East Main Street, with posted hours of 8 a.m.–7 p.m. Monday and Wednesday and 8 a.m.–5 p.m. Tuesday, Thursday and Friday, plus on-call assistance.
Montana Healthcare Programs
Montana publishes a Plan First family-planning manual for FQHCs, RHCs and other providers
Montana Healthcare Programs' July 28 provider notice announces a new Plan First Provider Manual covering services, billing, authorizations and policies.
Montana Department of Administration
State employee health centers require appointments and do not serve the general public
The Montana Department of Administration's current health-center page says Premise Health operates Montana Health Centers for eligible State of Montana, Montana Municipal Interlocal Authority and Montana University System–Helena plan members.
Montana Healthcare Programs
Montana flags 2027 Medicaid claims-system changes for trading partners
Montana Healthcare Programs' July 27 provider notice says the state plans to implement the Montana Healthcare Claims System with Gainwell Technologies in 2027 to modernize claims processing and payments.
Montana Public Radio
Montana had hired a little over half its planned eligibility workers as work requirements began; Cover Montana fell from about 18 staff to one
Montana Public Radio reported July 2, 2026 that the state had not finished all systems needed to implement Medicaid community-engagement rules. The state had hired a little over half of the workers it said it needed to keep up.
One Health
One Health opens a 26,700-square-foot Milligan FQHC with integrated medical, behavioral-health and pharmacy services
One Health announced that the newly rehabilitated Milligan Building in downtown Miles City officially opened to patients on February 3, 2026.
Alluvion Health
Alluvion posts 64 weekly medical and behavioral-health hours, Saturday access and 24/7 medical advice
Alluvion Health's current homepage posts Great Falls medical and behavioral-health hours of 7 a.m.–6 p.m. Monday through Friday and 8 a.m.–5 p.m. Saturday, totaling 64 posted hours per week.
Glacier Community Health Center
Glacier posts Tuesday/Thursday dental walk-ins, but its footer repeats Thursday only
Glacier Community Health Center’s current dental service section says its Cut Bank clinic accepts walk-ins for exams or toothaches on Tuesdays from 1–3 p.m. And Thursdays from 9–11 a.m., first come, first served.
Marias Healthcare Services Inc.
Marias posts evening and Saturday access at Shelby plus care sites in Valier, Sunburst and Conrad
Marias Healthcare Services Inc.’s current homepage posts Shelby medical, behavioral-health, podiatry and pharmacy hours of 8 a.m.–7:30 p.m. Monday through Friday and 9 a.m.–5 p.m. Saturday.
Partnership Health Center
Partnership Health Center becomes an independent nonprofit, retains FQHC status, and transfers staff employment from Missoula County
Effective January 1, Partnership Health Center officially separated from Missoula County, became an independent 501(c)(3) nonprofit, and retained its Federally Qualified Health Center status.
RiverStone Health
RiverStone Health says it launched Montana’s first APP residency in 2026
RiverStone Health’s page, published January 21, says the organization launched Montana’s first Advanced Practice Provider residency in 2026.
KPAX
Montana FQHC ends Seeley Lake dental care and may end its lease
Partnership Health Center, a Montana FQHC, told patients on June 23 that dental care at its Seeley Lake site ends July 30, MTN News reported.
Montana Department of Public Health and Human Services
DPHHS sets a July–September hold-harmless period, October enforcement and January six-month renewals
DPHHS's current FAQ says Montana went live with community-engagement review on July 1, 2026.
Montana Free Press
Gianforte signs HB 245 and removes Medicaid expansion's recurring sunset for more than 75,000 adults
Montana Free Press reported that Governor Greg Gianforte signed House Bill 245 on March 27, 2025.
Montana Budget & Policy Center
Montana report documents Medicaid's 2023 reach in Indian Country and 100% federal reimbursement for qualifying IHS services
A March 2024 Montana Budget & Policy Center report says 42,907 American Indian people were using Medicaid as of November 2023, including 14,057 through expansion.
Montana Healthcare Programs
DPHHS declines additional SFY2027 Medicaid rate adjustments except legally required and CMS-schedule updates
A May 29 provider notice says projected budget shortfalls led DPHHS not to implement additional legislatively authorized Medicaid provider-rate adjustments in state fiscal year 2027.
Montana Free Press Capitol Tracker
Montana's HB 850 community-health-worker licensing proposal was vetoed
Montana Free Press's final bill tracker identifies House Bill 850 as a proposal to license and regulate community health workers and marks the measure vetoed; its legislative timeline ends June 27, 2025.
Montana Department of Public Health and Human Services
Montana's Medicaid community-engagement rules took effect July 1 after the state converted its 1115 request to an SPA
DPHHS's June 30 release says most non-excluded Medicaid expansion members ages 19–64 must complete and document 80 hours of qualifying activity each month beginning July 1, 2026, with compliance reviewed at redetermination.
National Association of Community Health Centers
National CHC funding deadlines are September 30 for discretionary support and December 31 for mandatory support
NACHC's current funding page says Community Health Centers received $4.6 billion in mandatory funding, which represents about 70% of federal CHC support and expires December 31, 2026.
Montana Department of Public Health and Human Services
Montana's RHTP FAQ outlines five initiatives and says specific subaward decisions remain pending
DPHHS's current program FAQ describes five core initiatives: workforce development, sustainable access, innovative care models, community health and prevention, and technology innovation.
Montana Free Press
Montana's $233M first-year rural-health award was not preallocated among initiatives in January
Montana Free Press reported that Montana received roughly $233 million for the first year of the five-year Rural Health Transformation Program.
Montana Primary Care Association
MPCA identifies funding, workforce, Medicaid, Medicare, 340B and health IT as health-center policy issues
The Montana Primary Care Association says it monitors and advocates on state and federal policies affecting community health centers, Urban Indian Organizations and their patients.
Montana Free Press / KFF Health News
Montana Free Press reports a July 1 work-rule launch amid a $183M Medicaid budget shortfall
Montana Free Press reported on May 27 that Montana was scheduled to become the second state after Nebraska to implement the federal Medicaid community-engagement requirement on July 1, six months before the January 2027 deadline.
Flathead Beacon
Montana provider guest column says most 3% Medicaid rate increases were withheld; Immanuel reports a $189 daily gap
In a June 8 guest column, Immanuel Living CEO Jason Cronk says DPHHS decided not to implement most of the 3% Medicaid provider-rate increases approved by the 2025 Legislature for July 1, 2026.
Daily Montanan
PacificSource will leave Montana by December 31 after reporting members across four insurance lines
PacificSource told the state it would cease Montana operations and continue individual plans only through December 31, 2026.
Montana Department of Public Health and Human Services
Montana's 20-member rural-health advisory council includes an FQHC applicant category
DPHHS opened applications for its Rural Health Transformation Program Center of Excellence Advisory Council from April 30 through May 22.
KTVQ
Intermountain Health will close its Lewistown family-medicine clinic July 24 and eliminate 41 Montana roles
Intermountain Health said its Lewistown Clinic–Family Medicine would close July 24, 2026, eliminating six positions.