Home Health Aides in Billings, MT: Hire In-Home Help

Local figures

Home Health Aides in Billings, MT: the local picture

7

Medicare-certified home health agencies list Billings ZIP codes in their service area

$17.61

median hourly wage of home care aides in Montana (BLS, May 2025)

22,510

residents 65 or older (19% of Billings)

35%

of residents 65+ report a disability (35% in Yellowstone County)

7 Medicare-certified home health agencies list Billings ZIP codes in their service area; the highest-rated are below, and 5 of those list home health aide services. Agency aides are usually part of care a doctor orders. For help beyond those visits, families hire an aide directly.

Home health and personal care aides in Montana earn a median $17.61 an hour (BLS, May 2025), with the middle half between $14.95 and $20.73.

Billings has about 22,510 residents aged 65 or older, 35% of whom report a disability.

Billings compared with Yellowstone County and Montana

Census figure	Billings	Yellowstone County	Montana
Residents 65+ with a disability	35%	35%	32%
Residents 65 or older	19%	18%	20%
Residents 85 or older	2.5%	2.1%	1.9%
Residents 65+ in households who live alone	33%	30%	29%
Residents 65+ below the poverty line (approx.)	9.7%	8.7%	9.9%
Residents 5+ who speak a language other than English at home	3.8%	3.7%	4.2%
Median income, households headed by someone 65+	$58,894	$60,402	—

Older residents in towns around Billings

Town	Distance	Residents 65+	65+ with a disability
Lockwood, MT	8.0 mi	1,212	43%
Laurel, MT	13 mi	1,046	49%
Hardin, MT	46 mi	513	40%
Red Lodge, MT	53 mi	845	18%

Medicare-certified home health agencies serving Billings

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Compassus Home Health - Billings	Billings, MT	1.1 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(406) 652-8883
Cody Regional Health Home Health	Cody, WY	91 mi	3.5 of 5	nursing, physical therapy, occupational therapy, medical social work, home health aides	(307) 578-2413
St John's United Home Health	Billings, MT	2.7 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(406) 655-5800
Campbell County Health Home Health	Gillette, WY	182 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(307) 688-6230
Home And Care Billings	Billings, MT	1.1 mi	2.5 of 5	nursing, physical therapy, occupational therapy, speech therapy	(406) 371-7300
Riverstone Health	Billings, MT	2.7 mi	2.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(406) 247-3200
Homestead Health LLC	Circle, MT	180 mi	not rated	nursing, home health aides	(406) 852-0343

Straight-line miles from the center of Billings. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a home health aide can help with

Bathing, grooming, dressing and toileting
Transfers, walking and positioning
Meals and help with eating
Medication reminders

Cost

What home health aides costs in Billings

At the Montana median aide wage of $17.61 an hour, 20 hours of help a week comes to about $1,526 a month in wages, which is 31% of the $4,908 monthly median income of Billings households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Montana's minimum wage is $10.85 an hour (U.S. Department of Labor table, updated July 1, 2026).

Hiring directly, you agree the rate with the caregiver and usually become the household employer (U.S. Department of Labor rules). Some families qualify for programs that pay for care at home; see Medicaid programs for family caregivers: who can be paid, and the rules in 12 states.

Before you hire

What to know before hiring a home health aide

Federal rules require home health aides who work for Medicare-certified agencies to complete at least 75 hours of training, including 16 hours of supervised practical training, or pass a competency evaluation (42 CFR 484.80). Many states add their own requirements.

Questions worth asking: Where did you train, and can I see the certificate? Have you worked for a home health agency? Which transfers and equipment are you trained on? More in our home health aides guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

Home Health Aides in Billings: common questions

Which home health agencies serve Billings?

Medicare lists 7 certified agencies whose service area includes Billings ZIP codes. The highest-rated on Medicare’s quality stars include Compassus Home Health - Billings (4 of 5), Cody Regional Health Home Health (3.5 of 5), St John's United Home Health (3 of 5). Compare them on Medicare Care Compare.

How much does home health aides cost in Billings?

At the Montana median aide wage of $17.61 an hour, 20 hours of help a week comes to about $1,526 a month in wages, which is 31% of the $4,908 monthly median income of Billings households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Montana's minimum wage is $10.85 an hour (U.S. Department of Labor table, updated July 1, 2026).

What is the difference between a home health aide and a CNA?

Both are trained in personal care. A certified nursing assistant (CNA) has passed a state exam and is on the state nurse aide registry, and often works in nursing homes and hospitals. A home health aide is trained for care in the home. Neither does skilled nursing.

More near Billings

More senior care near Billings

Home Health Aides in nearby cities

Other care in Billings

More for Billings families

Sources

Census ACS 2020–2024 5-year; CMS provider data (October 25, 2026); U.S. DOL state minimum wages (July 1, 2026); BLS OEWS May 2025 aide wages, which cover employed aides rather than private rates.

Home Health Aides in Billings, MT