Rehab Centers With Childcare in Montana

Are there treatment programs in Montana where children can stay with a parent?

Some Montana programs list family or childcare services alongside residential rehab, but the details differ and are worth asking about directly. Three in four of these listings are in towns and the rest are rural. None are in urban areas. The median elevation is 4,510 feet.

Livingston, Helena and Dillon are the places named in these listings. Three in four sit within 25 miles of a river, most often the Shields River. Every one is within 25 miles of a named range, most often the Bridger Range. The nearest airport is a median of 29.9 miles away, most often Bozeman Yellowstone International.

Families on the eastern plains may face long drives. The state list of substance use providers is heaviest in Yellowstone, Lewis and Clark, Flathead, Cascade and Missoula counties.

What kinds of childcare do Montana treatment programs offer?

Montana programs handle childcare in three main ways: children living on site with a parent, childcare during treatment hours, or help arranging care somewhere else.

Listings that mention family services may pair them with residential care, partial hospitalization, intensive outpatient, standard outpatient care or medication for opioid use disorder. Many serve pregnant and postpartum women or mothers. Fathers and two-parent families should ask about eligibility. Check the languages field on each listing, and ask whether childcare staff speak the same language.

How can parents in Montana pay for treatment and childcare?

Montana parents often pay for treatment through Montana Medicaid, state-funded slots or sliding fees, and look for childcare help separately. Medicaid expanded on January 1, 2016, under the HELP Act. The HEART waiver lets Medicaid pay for short-term residential stays in larger treatment facilities.

Montana Medicaid has no managed care plans. Most members are in Passport to Health, a primary care case management program. The July 2025 fee schedule sets $264.66 a day for high-intensity residential care. Listings that note Medicaid are a good place to start.

Federal block grant funds managed by the Behavioral Health and Developmental Disabilities Division support state-funded rehab. Under the federal rules, pregnant women are admitted first, with interim services within 48 hours if no bed is open. Programs with sliding-scale fees base cost on income. To find out whether time in treatment counts toward child care assistance, ask the Department of Public Health and Human Services (DPHHS) or a caseworker.

How does entering treatment in Montana relate to custody or a child welfare case?

Choosing voluntary treatment and having an open child welfare case are separate matters, and one does not automatically start or close the other. Montana’s 50-32-609 MCA, amended in 2019, says certain drug statutes do not apply to a pregnant woman seeking or receiving evaluation, treatment or support for a substance use disorder.

Hospital staff or caseworkers may talk about a plan of safe care for a newborn. The assigned caseworker or a family law attorney can explain what that plan, or a treatment plan, means for a specific case. A treatment provider cannot promise any custody result.

What should parents ask a Montana program before admission?

Parents should ask intake staff about children’s ages, how many children can come, and how the childcare is licensed. Other useful questions cover the hours care is offered, how school-age children keep up with classes, whether children get services of their own, and what happens when a child is sick. Ask too whether a partner or relative may visit.

If no program with childcare is nearby

Montana Medicaid covers telehealth by live video and by telephone when it is medically necessary, so telehealth rehab can fit around family life. Evening intensive outpatient groups are another option. Some parents arrange kinship care with relatives for a short stay. A caseworker can explain temporary voluntary care options.

Where to get help now

The 988 Suicide and Crisis Lifeline answers by call or text at any hour. The national treatment referral line and the federal treatment locator can point to programs, and DPHHS pages list no separate state substance use helpline. For programs outside the state, see rehab with childcare nationwide.