Montana · State Programs Checked October 2026
Disability Benefits and Help in Montana
What Disability Help Is Available in Montana?
In Montana, the Montana Disability Determination Services (Disability Employment and Transitions Division, Montana Department of Public Health and Human Services) decides the medical part of SSDI and SSI claims; Montana adds a state supplement to SSI for some recipients; Montana Medicaid for Workers with Disabilities (MWD) lets working people with disabilities keep Medicaid. This page lists each program with its official link, plus vocational rehabilitation, free disability rights help, ABLE accounts and parking placards.
Does Montana Add to SSI?
Montana's optional supplement is federally administered and is paid only to SSI recipients in state-certified settings: personal care, group homes for people with mental, physical or developmental disabilities, child and adult foster care, and transitional living for people with developmental disabilities. Recipients not in those settings get no state supplement. SSA pays it together with your SSI.
| Who | Monthly supplement | Year |
|---|---|---|
| individual in state-certified personal care (OS code G) | $94 | 2026 |
| individual in state-certified group home for mentally disabled (OS code H) | $94 | 2026 |
| individual in state-certified group home for physically or developmentally disabled (OS code I) | $94 | 2026 |
| individual in state-certified child and adult foster care (OS code J) | $52.75 | 2026 |
| individual in state-certified transitional living for developmentally disabled (OS code K) | $26 | 2026 |
| individual living independently, not in a state-certified setting (OS code Z, no supplement) | $0 | 2026 |
Source: SSA. See how SSI works and the SSI calculator.
Short-Term Disability in Montana
Montana has no state short-term disability insurance program and no state paid medical leave program for your own health condition.
Compare every state program in state disability insurance.
Medicaid for People With Disabilities in Montana
Montana's Medicaid program is run by the Montana Department of Public Health and Human Services (DPHHS). The state has a 1634 agreement with SSA, so SSA makes the Medicaid decision for SSI recipients: when SSA approves your SSI, Medicaid generally follows. (SSA)
Working with a disability: Montana Medicaid for Workers with Disabilities (MWD) Working disabled people age 16 or older with countable income at or below 250% of the federal poverty level may qualify by paying a monthly cost share fee (ABD Medicaid manual section 201-6).
Home and Community Services in Montana
- Big Sky Waiver (BSW) for the Elderly and Individuals with Physical Disabilities: People with physical disabilities and/or age 65 or older who meet nursing home level of care
- Home and Community Based 0208 Comprehensive Waiver for Individuals with Developmental Disabilities (DD Waiver): People of any age with developmental disabilities
- Severe Disabling Mental Illness HCBS Waiver (SDMI Waiver): Medicaid-eligible members 18 or older with a severe and disabling mental illness who need long-term supports at a nursing facility level
More on Medicaid for people with disabilities and getting paid as a family caregiver.
Vocational Rehabilitation in Montana
Montana's vocational rehabilitation agency helps people with disabilities prepare for, find and keep jobs:
How it works: vocational rehabilitation.
Disability Rights Help in Montana
Disability Rights Montana is Montana's protection and advocacy agency for people with disabilities.
Know your rights: the ADA, accommodations at work, IEPs and 504 plans.
ABLE Accounts in Montana
Montana ABLE: Montana's program is overseen by DPHHS with an MT ABLE Program Oversight Committee, not the state treasurer. In 2026 you can contribute up to $20,000 a year, and the disability must have started before age 46.
Details: ABLE accounts.
Disability Parking Placards in Montana
Apply through the Montana Department of Justice, Motor Vehicle Division (MVD) using Disability Placard Application (MV5-DSB). Fee: There is no fee for a disability placard.. Five years for a permanent disability; six months if the condition is expected to improve within six months; up to two years if expected to improve between six months and two years (form MV5-DSB, 5/26).
How placards work everywhere: disability parking placards.
Related on ssofficelocation.org: Social Security offices and hearing offices in Montana.
Montana Disability Help: Common Questions
Who Decides Disability Claims in Montana?
SSA takes the application and checks the non-medical rules; the Montana Disability Determination Services (Disability Employment and Transitions Division, Montana Department of Public Health and Human Services) makes the medical decision for SSDI and SSI claims from Montana.
Does Montana Add to SSI Payments?
Yes. Montana's optional supplement is federally administered and is paid only to SSI recipients in state-certified settings: personal care, group homes for people with mental, physical or developmental disabilities, child and adult foster care, and transitional living for people with developmental disabilities. Recipients not in those settings get no state supplement.
Does Montana Have State Disability Insurance?
No. Montana has no state short-term disability insurance or paid medical leave program for your own health condition.
Does SSI Come With Medicaid in Montana?
The state has a 1634 agreement with SSA, so SSA makes the Medicaid decision for SSI recipients: when SSA approves your SSI, Medicaid generally follows.
How Do I Get a Disability Parking Placard in Montana?
Apply through the Montana Department of Justice, Motor Vehicle Division (MVD) using Disability Placard Application (MV5-DSB). Fee: There is no fee for a disability placard. Five years for a permanent disability; six months if the condition is expected to improve within six months; up to two years if expected to improve between six months and two years (form MV5-DSB, 5/26).
Disability help in other states
Sources
- dphhs.mt.gov: Dds
- secure.ssa.gov
- dphhs.mt.gov: Montanahealthcareprograms
- secure.ssa.gov
- dphhs.mt.gov: ABD201.6 (PDF)
- dphhs.mt.gov: BigSkyWaiverProgram
- dphhs.mt.gov: Ddpmedicaidwaivers
- dphhs.mt.gov: SDMI
- dphhs.mt.gov: InfoSheetforMTHCBSWaivers (PDF)
- dphhs.mt.gov: Vocrehab
- rsa.ed.gov: States
- disabilityrightsmt.org
- savewithable.com
- mvdmt.gov: MV5 DSB Disability Placard Application 05.26F (PDF)
- mvdmt.gov: Physical disability plates
SSDI and SSI in Montana
Social Security disability works the same in every state: SSA takes your application, and a state agency makes the medical decision. In Montana, that agency is the Montana Disability Determination Services (Disability Employment and Transitions Division, Montana Department of Public Health and Human Services). In 2026, SSI pays up to $994 a month for an individual before any state supplement, and work above $1,690 a month generally rules out disability benefits.
Start with how to apply, SSDI vs SSI and the eligibility screener. To visit an office, find Social Security offices in Montana on socialsecurityofficesnearme.com, the office finder from the same publisher.