Plan First Plan First 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 Draft Evaluation Report 2020 Medicaid 1115 Plan First Family Planning Waiver Draft Evaluation Design 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. Plan First Public Input Forum Public Input Forum Announcement – August 15, 2019 Public Input Forum Agenda – August 15, 2019 Public Input Forum Handout – August 15, 2019 Plan First 2019 Annual Report and Budget Neutrality Plan First 2019 Annual Report Plan First 2019 Budget Neutrality Plan First Current Special Terms and Conditions from CMS 2020/Early 2021 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. 2020 Income Thresholds are effective through March 31, 2021 FAMILY SIZE 2020 PLAN FIRST INCOME THRESHOLD (Family Planning Coverage) Apply at Apply Online 2020 PREGNANCY MEDICAID COVERAGE INCOME THRESHOLD (Short term pregnancy and post-partum coverage) Apply at Apply 2020 STANDARD MEDICAID COVERAGE FOR HELP/MEDICAID EXPANSION INCOME THRESHOLD (Most comprehensive coverage) Apply at Apply 1 $ 26,924 $ 20,033 $ 17,609 2 $ 36,376 $ 27,067 $ 23,791 3 $ 45,829 $ 34,100 $ 29,974 4 $ 55,282 $ 41,134 $ 36,156 5 $ 64,735 $ 48,168 $ 42,338 6 $ 74,188 $ 55,201 $ 48,521 7 $ 83,640 $ 62,235 $ 54,703 Plan First Acceptable Identity and Citizenship Documents Plan First Documents and Resources Plan First Application (Preferred method is the online application) Plan First Info Tips On Application Completion Plan First Covered Code List Plan First Provider and Covered Services Information How to Apply: The easiest way is to Apply Online. For more information: Plan First Brochure 1-855-854-1399 In-State Toll Free 1-406-444-6446 Out-of- State and Helena Area Email: planfirst@mt.gov