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Home care staff requirements in Montana
Montana licenses home health agencies as health care facilities through the Department of Public Health and Human Services. State rules make every licensed home health agency follow the federal Medicare home health rules, including aide training, competency and in-service rules, and also require employee files and an infection control program. Montana's facility licensing law does not name non-medical in-home care agencies as a licensed type.
Licenses
- Home health agencies are a licensed health care facility type in Montana, and home health services must include a registered nurse plus at least one other therapeutic service (MCA 50-5-101).
- Montana's list of licensed health care facility types does not name non-medical in-home care agencies (MCA 50-5-101).
- A licensed home health agency must follow the federal Medicare Conditions of Participation for home health agencies in 42 CFR part 484, and the rule directs agencies to the Department of Public Health and Human Services, Office of Inspector General, for copies (ARM 37.106.1505).
Training and competency
- Because licensed home health agencies must follow 42 CFR part 484, the federal home health aide training, competency evaluation, and 12-hour annual in-service requirements apply to all licensed agencies, not just Medicare-certified ones (ARM 37.106.1505).
Health screening
- Every health care facility must have an infection prevention and control program with written policies, reviewed at least yearly, that address how to protect patients and staff (ARM 37.106.313).
Also in the personnel file
- The facility must keep a file on each employee that includes the employee's name, a job description signed by the employee, signed documentation of orientation, and copies of required credentials or licenses (ARM 37.106.315).
- Employee files must be available to the department within 24 hours if kept off-site (ARM 37.106.315).
Common questions
How much training do home care aides need in Montana?
Because licensed home health agencies must follow 42 CFR part 484, the federal home health aide training, competency evaluation, and 12-hour annual in-service requirements apply to all licensed agencies, not just Medicare-certified ones (ARM 37.106.1505).
What health screening do home care workers in Montana need?
Every health care facility must have an infection prevention and control program with written policies, reviewed at least yearly, that address how to protect patients and staff (ARM 37.106.313).
Which license does a home care agency need in Montana?
Home health agencies are a licensed health care facility type in Montana, and home health services must include a registered nurse plus at least one other therapeutic service (MCA 50-5-101).
Some rules for Montana weren't confirmed from an official source. Check with the state before relying on this page.
Sources
- MCA 50-5-101, Definitions (Montana Legislature)
- ARM 37.106.1505, Minimum standards for a home health agency (Cornell LII)
- ARM 37.106.313, Communicable disease control (Cornell LII)
- ARM 37.106.315, Employee files (Cornell LII)
This page summarizes state licensing rules in plain words, with links to the rules themselves. It is not legal advice, rules change, and your license type decides what applies: check the linked source and your licensing agency. Medicare-certified home health agencies also follow 42 CFR 484.80. Checked October 2026.
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