Montana FQHC Intelligence

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. It also lists medical/podiatry sites in Valier and Sunburst, a weekday dental site in Shelby, a weekday medical/behavioral-health/podiatry site in Conrad, and Shelby vision hours that include every other Saturday.

The page says Marias accepts all patients for health and wellness services and posts a nurse-advice-hotline number. This is a standing operator-reported network baseline retrieved July 16, 2026, not a dated expansion.

The page does not quantify breaks, service-specific or individual-provider schedules, provider count or FTE, simultaneous coverage, appointment inventory, hotline availability or response time, visits, unique patients, travel avoided, or outcomes; listed sites and hours are not treated as continuously staffed capacity for every named service.

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. The same page’s footer, however, calls out Thursday walk-ins only, so the two posted schedule elements do not fully agree and patients should confirm directly.

The page says the clinic is taking new patients, instructs prospective patients to call on the first Wednesday of each month, describes appointments as limited, and says extra efforts are made to see children. This is a standing operator-reported access baseline retrieved July 16, 2026, not a dated expansion.

It does not quantify appointment inventory, acceptance rates, pediatric priority rules, provider count or FTE, simultaneous staffing, walk-in volume or waits, utilization, cost, travel avoided, or outcomes; posted availability does not establish delivered capacity.

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. It offers a same-day medical appointment pathway, welcomes walk-ins at 601 First Avenue North while recommending that patients call ahead, and says its policy is to provide medical advice 24 hours a day through an on-call provider in the caller's preferred language.

It separately posts weekday pharmacy and dental hours and limits dental walk-ins to emergencies on a first-come basis. This is a standing baseline retrieved July 16, 2026, not a dated expansion.

The page does not specify breaks, individual service or provider schedules, staffing or FTE, simultaneous availability, appointment inventory, walk-in waits, after-hours response times or utilization, visits, unique patients, or outcomes; posted hours are not treated as staffed capacity for every service.

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. Its state interests include workforce, access and fairness, while its federal page identifies funding, workforce development, Medicare and Medicaid regulation, 340B and health-information infrastructure as critical issues.

The page describes MPCA's policy role; it does not publish a count of Montana health centers, adopt a position on a specific pending bill, quantify a funding cliff or state that any organization has received an award.

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. It excludes adjustments required by state statute or federal regulation—including Federally Qualified Health Centers, Rural Health Clinics, Indian Health Services and hospice—and CMS-established fee schedules for durable medical equipment and ambulatory surgery centers.

DPHHS also says it will implement 2026 RBRVS units and an updated APR-DRG grouper on a budget-neutral basis. The notice does not publish an FQHC PPS amount or change, quantify a provider-specific loss or report an access outcome.

Intermountain Health said its Lewistown Clinic–Family Medicine would close July 24, 2026, eliminating six positions. It also said care-model changes at four Bozeman and Billings clinics would begin in June and eliminate another 35 leadership and staff roles, for 41 statewide.

The organization cited long-term financial sustainability in a volatile health-care industry, said most of its clinics would remain open and allowed affected workers to apply for other openings. The report does not identify an FQHC transfer arrangement, count displaced patients or establish a statewide rural-clinic trend.

RiverStone Health’s page, published January 21, says the organization launched Montana’s first Advanced Practice Provider residency in 2026. The one-year Teaching Health Center program is designed for newly graduated NPs and PAs and covers pediatric, adult, and geriatric primary care, with emphasis on substance use disorders, mental illness, and care for under-resourced patients and families; the page says applications for 2026–27 are open.

The source does not provide the exact launch or cohort-start day, cohort size, current resident count, salary, graduates, retention, added FTEs, visit capacity, or patient outcomes. No staffing or access expansion is inferred.

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. Staff ceased being county employees on December 31 and became employees of the independent health center on January 1; the announcement says no jobs were lost or eliminated and most patients would experience minimal or no changes.

PHC says independence provides more flexibility in hiring specialized health-care staff and reports an existing baseline of 18,000 patients annually. The source does not report employee headcount or FTEs, completed specialized hires, vacancy changes, transition cost, revenue effects, new services, added capacity, or patient outcomes.

The 18,000-patient figure is a standing organization baseline, not an outcome of independence.

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. The proposal therefore did not create an operating state licensing framework.

The tracker does not establish Medicaid reimbursement for community health workers, a workforce count, an FQHC staffing effect or a replacement policy.