Plan First

New Application Process effective 01/01/2021.

Plan First is a Montana Medicaid Waiver that covers family planning services for eligible women. Some of the services covered include office visits, contraceptive supplies, laboratory services, and testing and treatment of STDs.

December 2017 Medicaid 1115 Plan First Family Planning Waiver Revised Extension/Renewal Submission  

May 2018 Medicaid 1115 Plan First Family Planning Waiver Revised Extension/Renewal Submission:  Repeat of Public Notice Period

June 2012 through March 2019 Medicaid 1115 Plan First Family Planning Waiver Evaluation Report

2020 Medicaid 1115 Plan First Family Planning Waiver Evaluation Design

2020 Medicaid 1115 Plan First Family Planning Waiver Evaluation Design Approval Letter

General Eligibility Criteria

  • Montana Resident
  • Female 19 through 44
  • Able to bear children and not presently pregnant
  • Annual household income up to and including 211% Federal Poverty Level

Adults, age 19-44 with an annual household income 0 to 138% FPL may qualify for more comprehensive coverage through the HELP Medicaid plan, also known as Medicaid Expansion. There is also coverage available for pregnant women with an annual household income up to 157% FPL. Find out if you qualify at Apply.

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The DPHHS website is being redesigned and will be moved to a new platform in July. 
Please be aware that some bookmarks to the DPHHS site may need to be updated after the move.
Thank you for your patience while we complete this move.

Plan First Public Input Forum

Plan First 2020 Annual Report and Budget Neutrality

Plan First Current Special Terms and Conditions from CMS

 

2021/Early 2022 Income Guidelines

If income is near the shown income guidelines, please apply. Some income may not be counted. This way we can help you find the best coverage for which you qualify.

2021 Income Thresholds are effective through March 31, 2022

FAMILY SIZE

2021 PLAN FIRST INCOME THRESHOLD

(Family Planning Coverage)

Apply at Apply Online

2021 PREGNANCY MEDICAID COVERAGE INCOME THRESHOLD

(Short term pregnancy and post-partum coverage)

Apply Here

2021 STANDARD MEDICAID COVERAGE FOR HELP/MEDICAID EXPANSION INCOME THRESHOLD

(Most comprehensive coverage)

Apply Here

1

 $27,177

$20,222

$17,774

2

$36,756

$27,349

$24,040

3

$46,336

$34,477

$30,305

4

$55,915

$41,605

$36,570

5

$65,494

$48,733

$42,835

6

$75,074

$55,861

$49,100

7

 $84,653

$62,988

$55,366

Plan First Covered Code List

 

 

How to Apply:

The easiest way is to Apply Online

Paper applications are available at your nearest Office of Public Assistance (OPA) physical addresses found here:

OPA Office physical addresses

For more Information see:

                             Plan First Brochure

 

Questions?  Contact:

Office of Public Assistance

(OPA) Helpline 1-888-706-1535 or email your local OPA office, addresses found here:

OPA Office email addresses