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Drill into 2020 Scorecard Report data for a single state or compare performance and rankings on measures of long-term services and supports across states.

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Montana

State Rankings

  • Overall: 27
  • Affordability and Access: 40
  • Choice of Setting and Provider: 26
  • Quality of Life & Quality of Care: 16
  • Support for Family Caregivers: 30
  • Effective Transitions: 15

Number of indicators for which this state ranked in the:

  • Top Quartile: 6
  • 2nd Quartile: 9
  • 3rd Quartile: 5
  • Bottom Quartile: 6
Dimension and Indicator Baseline Scorecard 2020 Scorecard Change in Performance Compare
Data Year State Rate Data Year State Rate US Average Best State Rate Rank
Affordability and Access 40
Median annual nursing home private pay cost as a percentage of median household income ages 65+ 2015-16 222% 2018-19 226% 245% 168% 21
Median annual home care private pay cost as a percentage of median household income ages 65+ 2015-16 93% 2018-19 89% 80% 51% 38
Private long-term care insurance policies in effect per 1,000 people ages 40+ 2015 56 2018 50 43 138 19
Percentage of adults ages 21+ with ADL disability at or below 250% of poverty receiving Medicaid or other government assistance health insurance 2014-15 43.4% 2016-18 49.4% 56.7% 79.2% 39
Estimated Medicaid LTSS users per 100 population with ADL disability 2014 33 2017 40 46 100 26
ADRC/No Wrong Door Functions (Composite Indicator, scale 0-100%) 2016 41% 2019 44% 66% 96% 43
Choice of Setting and Provider 26
Percentage of Medicaid and state-funded LTSS spending going to HCBS for older people and adults with physical disabilities 2013 36.8% 2016 38.2% 45.1% 73.5% 24
Estimated percentage of Medicaid aged/disabled LTSS users receiving HCBS 2014 47.5% 2017 54.4% 64.2% 83.9% 27
Number of people self-directing services per 1,000 population with disabilities * * 2019 16.2 30.4 149.1 18 *
Home health and personal care aides per 100 population ages 18+ with an ADL disability 2013-15 20 2016-18 23 22 47 17
Assisted living and residential care units per 1,000 population ages 75+ 2014 83 2016 80 49 102 9
Adult day services total licensed capacity per 10,000 population ages 65+ 2014 6 2016 7 61 171 46
Subsidized housing opportunities (place-based and vouchers) as a percentage of all housing units 2015 4.8% 2017-18 4.6% 6.2% 18.6% 45
Quality of Life & Quality of Care 16
Rate of employment for adults with ADL disabilities ages 18-64 relative to rate of employment for adults without ADL disabilities ages 18-64 2013-15 30.4% 2016-18 27.1% 21.4% 38.1% 10
Percentage of high-risk nursing home residents with pressure sores * * 2018 6.3% 7.3% 4.8% 19 *
Percentage of long-stay nursing home residents who inappropriately receive antipsychotic medication 2015 15.0% 2018 12.8% 14.6% 7.8% 11
HCBS quality cross-state benchmarking capability * * 2015-19 0.0 1.3 3.6 38 *
Support for Family Caregivers 30
Supporting working caregivers (maximum possible score 17.0) 2014-16 0.00 2019 0.00 3.17 13.50 38
Family responsibility protected classification 2014 0.00 2019 0.00 0.29 2.00
Exceeds Federal FMLA 2016 0.00 2019 0.00 0.29 3.00
Paid Family Leave 2016 0.00 2019 0.00 0.50 3.50
Mandatory Paid Sick Days 2016 0.00 2019 0.00 0.85 3.00
Flexible Sick Days 2016 0.00 2019 0.00 0.75 3.00
Unemployment insurance for family caregivers 2016 0.00 2019 0.00 0.49 1.00
Person- and family-centered care (maximum possible score 5.5) 2016 1.50 2019 2.80 3.04 5.50 31
Spousal impoverishment protections 2015 0.50 2019 0.50 0.90 2.00
Having caregiver assessment 2016 1.00 2019 1.30 1.34 2.50
CARE Act legislation 2016 0.00 2019 1.00 0.80 1.00
Nurse delegation and scope of practice (maximum possible score 5.0) 2016 5.00 2019 5.00 3.30 5.00 1
Nursing tasks able to be delegated 2016 4.00 2019 4.00 2.69 4.00
Nurse practitioner scope of practice 2016 1.00 2019 1.00 0.61 1.00
Transportation policies (maximum possible score 1.0) 2015-16 0.00 2019 0.00 0.14 1.00 8
Volunteer driver protection 2015-16 0.00 2019 0.00 0.14 1.00
Effective Transitions 15
Percentage of nursing home residents with low care needs * * 2017 14.8% 8.9% 2.1% 44 *
Percentage of home health patients with a hospital admission 2014 14.8% 2017 16.0% 15.8% 13.8% 29
Percentage of long-stay nursing home residents hospitalized within a six-month period 2014 12.0% 2016 12.6% 16.8% 4.7% 14
Percentage of nursing home residents with one or more potentially burdensome transitions at end of life 2013 20.2% 2016 20.7% 28.6% 16.2% 6
Percentage of short-stay residents who were successfully discharged to the community * * 2017-18 59.2% 53.9% 68.5% 8 *

Export Indicators

* Comparable data not available for baseline and/or current year. Rank cannot be calculated without current data. Change in performance cannot be calculated without both baseline and current data.
ADL = Activities of Daily Living; ADRC = Aging and Disability Resource Center; HCBS = Home- and Community-Based Services; LTSS = Long-Term Services and Supports.