Lewis and Clark County, MT
Get paid to care for your family member in Lewis and Clark County, Montana
About 16,100 people in Lewis and Clark County are 65 or older — 21% of everyone who lives here. That tracks with Montana as a whole. Roughly 1,420 are 85 or older, the age when daily help usually starts. There are only so many home-care agencies in a county this size, and the ones that are here do not always cover evenings, weekends, or the far end of the county.
Who needs care in Lewis and Clark
- People 65 and older
- 16,100
- People 85 and older
- 1,420
- Median age
- 42.0
- Rank in Montana
- 6th
21% of Lewis and Clark residents
the age daily help usually starts
older than the country as a whole
of 56 counties, by residents 65+
Source: U.S. Census Bureau, 2024 Population Estimates (Vintage 2024). Lewis and Clark County is a smaller-city county (USDA Rural-Urban Continuum Code 3). Montana as a whole is 21% aged 65 or older.
What Montana pays family caregivers
Rates vary — check with the program.
Your exact pay is set by the program and your care plan. We'll tell you your real number before you enroll.
Source: Montana Medicaid program data · Updated September 2026
Montana's programs at a glance
- Big Sky Waiver (self-directed)
- Community First Choice & PCS
- Spouse paid?
- Sometimes
- Parent paid for a child?
- Not right now
- Waitlist
- Some programs have no waitlist.
These rules are set by the state, so they are the same in every county. Read the full Montana guide →
Towns and cities in Lewis and Clark County
Montana sets eligibility, not your town — so a family in Helena and a family at the far edge of the county apply the same way. The largest communities in Lewis and Clark County:
- Helena34,729
- East Helena2,239
Source: U.S. Census Bureau, 2024 Subcounty Population Estimates.
How families in Lewis and Clark apply
You do not need a county office to start. Families in Lewis and Clark County start with Montana's program:
Apply for Montana Medicaid at apply.mt.gov or a local Office of Public Assistance (helpline 888-706-1535); Mountain Pacific Quality Health does the functional assessment (800-219-7035).
Or skip the phone tag — our free 2-minute check tells you which Montana program fits your family, then we help with the forms.
See if you qualify →Lewis and Clark questions, answered honestly
Can I get paid to care for a family member in Lewis and Clark County?
Yes. Montana runs real Medicaid programs — like Big Sky Waiver (self-directed) — that pay family caregivers, and they cover families in Lewis and Clark County. We help you enroll, and applying costs you nothing.
How much do family caregivers earn in Lewis and Clark County?
Montana doesn't publish one flat rate. The program sets your exact pay. We'll tell you your real number before you enroll.
Where do families in Lewis and Clark County apply?
Families in Lewis and Clark County start with the state, not the county. Apply for Montana Medicaid at apply.mt.gov or a local Office of Public Assistance (helpline 888-706-1535); Mountain Pacific Quality Health does the functional assessment (800-219-7035).
Can I get paid to care for my spouse in Lewis and Clark County?
Sometimes — it depends on the program. The fine print for Montana: limited — yes under Big Sky Waiver self-directed option; prohibited under CFCS/PCS (spouses and parents of minors excluded there)
How many people in Lewis and Clark County might need this?
16,100 residents of Lewis and Clark County are 65 or older and about 1,420 are 85 or older, according to the U.S. Census Bureau's 2024 population estimates. Most of them are cared for at home by a relative rather than in a facility. Montana's programs exist to pay for exactly that care.
Which towns in Lewis and Clark do you cover?
All of Lewis and Clark County — including Helena and East Helena. Eligibility is set by Montana, not by your town, so where you live inside the county does not change whether you qualify.
Program facts come from Montana's published Medicaid program rules · Population figures from the U.S. Census Bureau · Updated September 2026. Rules change — always confirm with the program.
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