# Mont. Code Ann. § 53-4-1004: 53-4-1004 Eligibility for program -- rulemaking

> Montana · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_MT_T53_C4_P10_S53-4-1004

## Section

- **Citation:** Mont. Code Ann. § 53-4-1004
- **Heading:** 53-4-1004 Eligibility for program -- rulemaking
- **Jurisdiction:** Montana
- **Kind:** Statutes
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** MT Code / Title 53 / Chapter 4 / Part 10 / Section 53-4-1004

## Text

53-4-1004 . (Temporary) Eligibility for program -- rulemaking. (1) To be considered eligible for the program, a child:

(a) must be 18 years of age or younger;

(b) must have a combined family income at or below 250% of the federal poverty level or at a lower level determined by the department of public health and human services as provided in subsection (4);

(c) may not already be covered by private insurance that offers creditable coverage, as defined in 42 U.S.C. 300gg(c), for 3 months prior to enrollment in the program or since birth, whichever period is less;

(d) may not be eligible for medicaid benefits; and

(e) must be a United States citizen or qualified alien and a Montana resident.

(2) The department of public health and human services shall adopt rules that establish the program's criteria for residency. The criteria must conform as nearly as practicable with the residency requirements for medicaid eligibility.

(3) Subject to 53-4-1009 (3), rules governing eligibility may also include financial standards and criteria for income and resources, treatment of resources, and nonfinancial criteria.

(4) If the department determines that there is insufficient funding for the program, it may lower the percentage of the federal poverty level established in subsection (1)(b) in order to reduce the number of persons who may be eligible to participate or may limit the amount, scope, or duration of specific services provided. (Terminates on occurrence of contingency--sec. 15, Ch. 571, L. 1999; sec. 14, I.M. No. 155, approved November 4, 2008.)

## Nearby sections

- [Mont. Code Ann. § 53-4-1001 53-4-1001 Short title](https://www.frixlaw.com/law-library/statutes/STATE_MT_T53_C4_P10_S53-4-1001.md)
- [Mont. Code Ann. § 53-4-1002 53-4-1002 Purpose -- definition](https://www.frixlaw.com/law-library/statutes/STATE_MT_T53_C4_P10_S53-4-1002.md)
- [Mont. Code Ann. § 53-4-1003 53-4-1003 Establishment and administration of program](https://www.frixlaw.com/law-library/statutes/STATE_MT_T53_C4_P10_S53-4-1003.md)
- [Mont. Code Ann. § 53-4-1004 53-4-1004 Eligibility for program -- rulemaking](https://www.frixlaw.com/law-library/statutes/STATE_MT_T53_C4_P10_S53-4-1004.md)
- [Mont. Code Ann. § 53-4-1005 53-4-1005 Benefits provided](https://www.frixlaw.com/law-library/statutes/STATE_MT_T53_C4_P10_S53-4-1005.md)
- [Mont. Code Ann. § 53-4-1007 53-4-1007 Department may contract for services](https://www.frixlaw.com/law-library/statutes/STATE_MT_T53_C4_P10_S53-4-1007.md)
- [Mont. Code Ann. § 53-4-1008 53-4-1008 Participant cost sharing](https://www.frixlaw.com/law-library/statutes/STATE_MT_T53_C4_P10_S53-4-1008.md)
- [Mont. Code Ann. § 53-4-1009 53-4-1009 Department to adopt rules -- review by interim committee](https://www.frixlaw.com/law-library/statutes/STATE_MT_T53_C4_P10_S53-4-1009.md)
- [Mont. Code Ann. § 53-4-1010 53-4-1010 Sharing of information](https://www.frixlaw.com/law-library/statutes/STATE_MT_T53_C4_P10_S53-4-1010.md)
- [Mont. Code Ann. § 53-4-1011 53-4-1011 Tobacco settlement funds to general fund](https://www.frixlaw.com/law-library/statutes/STATE_MT_T53_C4_P10_S53-4-1011.md)
- [Mont. Code Ann. § 53-4-1012 53-4-1012 State special revenue account](https://www.frixlaw.com/law-library/statutes/STATE_MT_T53_C4_P10_S53-4-1012.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_MT_T53_C4_P10_S53-4-1004. Check the current official text before relying on it. Not legal advice.