Montana · home health aide (HHA)

Home Health Aide Training in Montana

How to become a home health aide in Montana: the routes that qualify you, who regulates home health agencies in Montana, pay, free training options, and all 51 state-approved CNA programs, since a CNA certification also qualifies you as a home health aide.

A home health aide caring for a client at home in Montana
$17.61median hourly pay for Montana home health and personal care aides
75 hrsminimum home health aide training under federal rules
51state-approved CNA programs listed below
10,400home health and personal care aides working in Montana

Your route

Two ways to qualify as a home health aide in Montana

Home health agencies in Montana are licensed by the Montana DPHHS, Office of Inspector General. Medicare and Medicaid agencies must use aides who completed one of the federally approved routes. These are the two most common.

Fastest route

Become a CNA first

CNA

  • Finish a state-approved CNA program (listed below) and pass the state exam.
  • Under federal rules, a CNA in good standing on the state registry qualifies as a home health aide for Medicare and Medicaid agencies.
  • It also lets you work in nursing homes, where Montana CNAs earn a median $19.67 an hour.

Agency route

Home health aide training

75 hrs

  • At least 75 hours, including 16 hours of supervised hands-on practice.
  • Often run by home health agencies, which may train you if they hire you.
  • Then pass a competency evaluation given by a registered nurse.

Why we list CNA programs: under federal rules, a state-approved CNA program plus good standing on the Montana nurse aide registry qualifies you as a home health aide. It’s the route that opens the most doors. See our Montana CNA guide.

The steps

How to become a home health aide in Montana

The general path for most new aides.

  1. Pick your routeCNA training if you want the most options, or a home health aide course through an agency.
  2. Complete the trainingAt least 75 hours with 16 hands-on, or your state’s CNA hours.
  3. Pass the evaluationA competency evaluation for aides, or the state CNA exam.
  4. Apply to agenciesAgencies check your training and, for CNAs, the state registry before you start.

Keep your hours up. Federal rules require at least 12 hours of in-service training a year, and if you go 24 months in a row without paid aide work, you must retrain.

Home health aide vs. CNA

Home health aide or CNA in Montana?

The two jobs overlap, but the settings and pay differ.

Home health aideCNA
Where you workClients’ homes, through home health and hospice agenciesNursing homes and hospitals
Training75 hours federal minimum, or a CNA certificationState-approved CNA program
Official recordYour agency’s training and competency recordsThe Montana nurse aide registry
Median pay (MT)$17.61 an hour*$19.67 an hour

*Federal pay data groups home health aides with personal care aides. About 10,400 of them work in Montana.

Help paying

Free and funded training in Montana

Ways to cover the cost of training.

Get hired first

Many home health agencies train aides they hire, and nursing homes that hire you can’t charge you for CNA training under federal rules.

Grants and Job Corps

  • Montana Job Service (WIOA): Your local Job Service Montana office can pay for approved training if you're unemployed, laid off, or low-income. montanaworks.gov

Directory

State-approved CNA programs in Montana

All 51 programs from our Montana CNA guide. Finishing one, passing the exam, and staying in good standing on the state registry also qualifies you as a home health aide for Medicare and Medicaid agencies.

51 programs
ProgramCityCountyPhone
Aaniiih Nakoda College NATPHarlemBlaine(406) 353-2607
Big Sandy Medical Center NATPBig SandyChouteau(406) 378-2188
Billings Adult and Community Education NATPBillingsYellowstone(406) 281-5003
Billings Clinic Broadwater CAH NATPTownsendBroadwater(406) 266-3186
Bitterroot College NATPHamiltonRavalli(406) 375-0100
Bitterroot Health CNA Program NATPHamiltonRavalli(406) 363-2211
Blackfeet Community College NATPBrowningGlacier(406) 338-5441
Chapel Court Assisted Living NATPBillingsYellowstone(406) 655-5600
City College at Montana State University Billings NATPBillingsYellowstone(406) 247-3073
Clark Fork Valley Hospital NATPPlainsSanders(406) 826-4800
CNA Productions Training ProgramHelenaLewis and Clark(317) 494-0051
CNA Training for the Future of NursingChinookBlaine(406) 945-0201
Community Hospital of Anaconda NATPAnacondaDeer Lodge(406) 563-8500
Community Medical Center Missoula NATPMissoulaMissoula(406) 327-4173
Crest – Nurse Aide Training ProgramButteSilver Bow(406) 494-7031
Daniels Memorial CAH NATPScobeyDaniels(406) 487-2300
Dickinson Lifelong Learning CenterMissoulaMissoula(406) 549-8765
Elkhorn Healthcare & Rehabilitation NATPClancyJefferson(406) 933-8311
Evergreen Healthcare CNA Program Montana(406) 741-2992
Fallon Medical Complex Hospital NATPBakerFallon(406) 778-3331
Flathead Valley Community College NATPKalispellFlathead(406) 756-3822
Gallatin CNA SchoolBelgradeGallatin(406) 570-6041
GFC MSU Continuing Education & Training NATPGreat FallsCascade(406) 551-5104
Glendive Medical Center CAH NATPGlendiveDawson(406) 345-2607
Health Promotion Disease Prevention NATPPoplarRoosevelt(406) 768-3087
Heart for Living NATPLivingstonPark(406) 223-4461
Helena College NATPHelenaLewis and Clark(406) 447-6944
Highlands College NATPButteSilver Bow(406) 496-3793
Libby Care Center NATPLibbyLincoln(406) 293-6285
Logan Health Education Services NATP(406) 756-4744
McCone County Health Center NATPCircleMcCone(406) 485-3381
Miles Community College NATPMiles CityCuster(406) 874-6199
Missouri River Medical Center NATPFort BentonChouteau(406) 622-3331
Montana Health Network NATP(406) 234-1424
Montana Mental Health Nursing HomeLewistownFergus(406) 538-7451
Mountain View of CascadiaEurekaLincoln(406) 297-2541
Mountainview Medical CenterWhite Sulphur SpringsMeagher(406) 547-3321
Northern Cheyenne THIP CNA Program NATPLame DeerRosebud(406) 942-2238
Northern Montana Hospital NATPHavreHill(406) 265-2211
Platinum Career Solutions NATP – MissoulaMissoulaMissoula(406) 926-2712
Priorities at Work NATPBillingsYellowstone(406) 252-8645
Professional Travelers Inc CNA Training ProgramArleeLake(406) 207-9614
Prosperity Training Center MontanaButteSilver Bow(406) 723-6556
Providence St. Joseph's MC – NATPPolsonLake(406) 883-7488
Rosebud Health Care Center CAH NATPForsythRosebud(406) 346-4235
Roundup Memorial Healthcare NATPRoundupMusselshell(406) 323-2104
Teamsters Local 2 CNA Training NATPButteSilver Bow(406) 494-2747
Thrive CPR NATPChinookBlaine(406) 262-3292
Tobacco Root Mountains Care Center NATPSheridanMadison(406) 842-5600
Trinity Hospital – NATPWolf PointRoosevelt(406) 653-6549
Yes You Can NATPStevensvilleRavalli(406) 777-5411

Tip: ask each program whether it also offers a home health aide add-on. For details, costs, and exam steps, see our Montana CNA guide.

FAQ

Montana home health aide questions

Short answers to what people ask most.

Does Montana certify home health aides?

Home health aides in Montana work for home health agencies licensed by the Montana DPHHS, Office of Inspector General. Medicare and Medicaid agencies must hire aides who meet the federal training and competency rules. Ask the agency you're applying to which credential it requires.

How do I become a home health aide in Montana?

The two most common routes are completing a 75-hour home health aide training and competency evaluation, or becoming a CNA. Federal rules count a CNA in good standing on the Montana nurse aide registry as a qualified home health aide.

How much do home health aides make in Montana?

The median pay for home health and personal care aides in Montana is $17.61 an hour, about $36,630 a year, based on the May 2025 federal wage survey. Montana CNAs earn a median $19.67 an hour.

Can a CNA work as a home health aide?

Yes, for Medicare and Medicaid home health agencies, if the CNA completed a state-approved program and is listed in good standing on the state nurse aide registry.

Do home health aides need yearly training?

Yes. Federal rules require at least 12 hours of in-service training every 12 months for aides at Medicare and Medicaid agencies.

Sources: Montana DPHHS, Office of Inspector General; our Montana CNA guide (state-approved program list); 42 CFR 484.80, Home health aide services; U.S. Bureau of Labor Statistics, OEWS May 2025. Last checked October 2026. See something out of date? Report a correction.