HIPAA compliant, BAA available

Measurement-Based Care for Montana Care Teams

For community mental health centers, clinics preparing for CCBHC certification, tribal and urban Indian health programs and private practices from Billings to Kalispell. Clients answer validated scales on their own phone, the results are scored on submission, and each person's change sits on one chart, however many miles lie between visits. US customer data stays in Google Cloud US regions.

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HIPAA compliant, BAA available
Data hosted in the US
SOC 2 Type II
Scored on submission
100+
validated assessments
BAA
for HIPAA covered entities
US
Google Cloud regions for US data
$25
per month

Montana Writes Outcome Reporting Into Law

  • In 2025 the Legislature passed HB 574, now Montana Code sections 53-21-1014 to 1016. It told the Department of Public Health and Human Services (DPHHS) to set up a certified community behavioral health clinic (CCBHC) program by 1 October 2026, to establish quality measures and review each clinic's data, and to report patient-centred outcomes to two legislative committees every quarter. On top of federal reporting, each clinic must send DPHHS deidentified data on changes in patients' functional assessment scores, and on housing, work and law enforcement involvement from a baseline onward. DPHHS must also build an incentive program that pays more to clinics showing exceptional quality outcome measures.

    On 28 May 2026 Montana was awarded a place in the federal Section 223 CCBHC demonstration, with provisionally certified first-cohort clinics due to start on 1 October 2026 under a fixed daily payment rate. Under SAMHSA's 2023 criteria, demonstration clinics must report the required clinic-collected measures every year for everyone they serve. Those include depression screening with a follow-up plan and depression remission at six months.

    Montana's statute does not name a functional assessment tool, and HiBoop's library centres on symptom scales rather than functional ones. What a care team can do now is give the same validated scales at intake and through treatment, so change is recorded as numbers rather than notes. HiBoop scores the PHQ-9, the C-SSRS Screener and the SIDAS on submission and charts them per client. Reporting to DPHHS stays with your clinic.

  • Functional Scores, Housing and Work

    The deidentified quality data every Montana CCBHC must report under Montana Code section 53-21-1015

  • An Incentive for Exceptional Outcomes

    Additional financial support DPHHS must design for clinics with exceptional quality outcome measures

  • Federal Demonstration From October 2026

    Awarded 28 May 2026, bringing the federal clinic-collected measures with it

All regions

How HiBoop Supports Montana Care Teams

  • Montana is building CCBHCs into law, pays for collaborative care through Medicaid, and lets a 16-year-old consent to their own mental health care. HiBoop does the measuring; the clinical decisions stay yours.

  • Baselines at the First Contact

    Montana CCBHCs must complete a person-centred and family-centred evaluation within 30 days of a first request. Send the PHQ-9 and GAD-7 before that visit so the baseline is scored and waiting when the evaluation starts.

  • Suicide Risk on the Same Chart

    The C-SSRS Screener and the SIDAS sit alongside the PHQ-9, so a rising item 9 or a positive screen is visible next to the rest of a client's history. The scores inform your judgement; the safety plan is still yours to make.

  • Built for Long Distances

    Clients complete check-ins from an email link or a QR code, on their own phone, between telehealth or in-person sessions. Nothing to install at a frontier clinic or a satellite office.

  • Score Histories You Can Hand Over

    Export one client's scores as CSV or PDF for a treatment review or a records request, or export the whole account when your clinic prepares its own quality reporting.

  • Substance Use Alongside Mental Health

    CCBHCs and community mental health centers see co-occurring needs every day. The ASSIST, TAPS and CAGE-AID sit in the same library as the depression and anxiety scales.

  • Teens Who Consent for Themselves

    A Montanan aged 16 or older may consent to their own mental health services. The PHQ-A, the CRAFFT-2.1 and the ACEs questionnaire cover adolescent depression, substance use and childhood adversity.

Mental health in Montana

Research data

  • Each figure below links to the source it comes from.

  • 25.6%

    of Montana adults had any mental illness in the past year (model-based annual average, 2023-2024)

    SAMHSA NSDUH, 2023-2024

  • 17.5%

    of Montanans aged 12 to 17 had a major depressive episode in the past year (annual average, 2023-2024)

    SAMHSA NSDUH, 2023-2024

  • 28.4%

    of Montana adults received mental health treatment in the past year (2024)

    SAMHSA NSDUH, 2024

  • 6.0%

    of Montana adults had serious thoughts of suicide in the past year (annual average, 2023-2024)

    SAMHSA NSDUH, 2023-2024

Research from Montana

  • Telehealth for suicide prevention

    In a survey of 80 Montana professionals providing suicide prevention services to American Indians, almost 98% agreed telehealth was needed and 93% were willing to use it, and the share using telehealth at least usually rose from 6.3% before the COVID-19 pandemic to 30%.

    Pruitt et al., Telemedicine and e-Health, 2022 PMID 34085870

  • Health outcomes in foster care

    In the Missoula Foster Child Health Program, a community collaboration that served 485 children, one-third had a behavioural health concern at admission, and physical and behavioural health problems decreased significantly between admission and discharge.

    Espeleta et al., Health & Social Work, 2024 PMID 38148103

  • Repeated depression measures with community health workers

    A Montana State University pilot protocol trains community health workers to deliver 12 weeks of telephone behavioural activation to Spanish-speaking adults who screen positive for depression in southwest Montana, measuring change with the Beck Depression Inventory before and after; 12 participants completed at least 10 sessions.

    Moyce and Crawford, JMIR Research Protocols, 2024 PMID 39264699

  • Perinatal mental health in rural care

    Interviews with 7 pregnant or postpartum women with substance use or mental health concerns at a rural Montana clinic identified family history, stigma, low awareness of postpartum depression and isolation as themes in seeking mental health care.

    Hanson et al., MCN: The American Journal of Maternal Child Nursing, 2023 PMID 37574693

  • Hispanic immigrants and mental health

    Spanish-language interviews with 14 Hispanic immigrants in Montana identified five themes, including stigma and acculturation stress, and pointed to a need for Spanish-language services.

    Moyce et al., Journal of Transcultural Nursing, 2022 PMID 35075920

Montana's Behavioural Health System and Where Measurement Fits

  • HiBoop has no connection to DPHHS, Medicaid or tribal health systems. These are the programs and rules your clinic is likely to be asked about.

  • CCBHC Program (HB 574)

    Montana Code 53-21-1014 to 1016

    Clinics must directly provide targeted case management, peer and family support, and outreach that includes working with hospitals and law enforcement. Urgent needs get clinical services and an initial evaluation within one business day. Private insurance is billed first and Medicaid last, with a public sliding fee scale and no one turned away for inability to pay. DPHHS must rebase the clinic rate at least every two years.

    Quality measuresFunctional scoresOutcome incentive

  • Behavioral Health System for Future Generations

    HB 872

    HB 872 created a state special revenue fund of $300 million to reform Montana's behavioural health and developmental disabilities services. A commission held 14 public meetings around the state and made 22 long-term recommendations, one of which is to expand and sustain CCBHCs.

    $300 million22 recommendationsCommission

  • Medicaid Rates for Screening and Collaborative Care

    July 2026

    The Montana Healthcare Programs physician fee schedule effective 1 July 2026 lists office rates for 96127 ($7.04), the collaborative care codes 99492 ($225.36), 99493 ($203.76) and 99494 ($86.39), G2214 ($85.45) and general behavioural health integration, 99484 ($80.75). Facility rates are lower. Check the current schedule before you bill.

    9612799492 to 99494G2214

  • Board of Behavioral Health

    Department of Labor and Industry

    The board regulates counselling, social work, marriage and family therapy, addiction counselling and peer support in Montana, including licensed clinical professional counsellors (LCPC), licensed clinical social workers (LCSW), licensed marriage and family therapists (LMFT) and certified family peer support specialists.

    LCPCLCSWLMFT

Care Teams Across Montana

  • Montana's crisis planning for CCBHCs is being designed to cover all 56 counties. HiBoop runs in a browser, so the same check-ins reach a client near a state facility or on a ranch hours away.

  • Warm Springs

    Montana State Hospital, run by DPHHS, is in Warm Springs.

  • Butte

    The Montana Chemical Dependency Center, a DPHHS facility, is in Butte.

  • Lewistown

    DPHHS runs the Mental Health Nursing Care Center in Lewistown.

  • Boulder

    The Intensive Behavioral Center, also run by DPHHS, is in Boulder.

  • All 56 Counties

    DPHHS is finalizing a decentralized, tiered crisis model for CCBHC and non-CCBHC areas so that crisis coverage reaches every county.

Data sovereignty

Why Montana clinics choose HiBoop

  • Why Montana Programs Choose HiBoop

    • US customer data in Google Cloud US regions, encrypted at rest and in transit
    • SOC 2 Type II certified and HIPAA compliant, with a BAA for covered entities
    • Role-based permissions and an access log covering every view and export
    • Care is $25/month with no contract, and no credit card is needed to begin
    • Email links and waiting-room QR codes, answered on the client's own phone

  • USD pricing & support

    Transparent pricing in USD with flexible payment options for clinics of every size.

    Care
    A single clinician, no contract
    $25
    USD/month
    Team
    From this price, any number of clinicians
    $200
    USD/month
    Network
    For organizations with several sites
    Custom
    Enterprise pricing

100+ validated scales for Montana clinics

  • Validated scales grouped by what they measure, each with its scoring and source. Public programmes often call this routine outcome monitoring (ROM), or patient-reported outcome measures (PROMs): the same practice of giving a validated scale at regular points and reading the scores over time.

  • Depression and Suicide Risk

    • PHQ-9 (Depression)
    • C-SSRS Screener (Suicide Risk)
    • SIDAS (Suicidal Ideation)

  • Alcohol, Tobacco and Other Drugs

    • ASSIST (Substance Involvement)
    • TAPS (Tobacco, Alcohol and Other Substances)
    • CAGE-AID (Alcohol and Drug Use)

  • Adolescents and Childhood Adversity

    • PHQ-A (Adolescent Depression)
    • CRAFFT-2.1 (Youth Substance Use)
    • ACEs (Adverse Childhood Experiences)
Browse all assessments

Montana Health Information and Consent Rules

  • HIPAA is the federal baseline. Montana adds its own disclosure rules for HIPAA-covered providers, an age of consent of 16 for mental health services, and deidentified reporting for CCBHCs. No state law certifies software, so the obligations stay with your organization; HiBoop supplies the safeguards that help you meet them.

  • What Montana law expects

    • Apply Montana Code Title 50, chapter 16, part 8, which governs health care information held by providers subject to HIPAA, including narrow limits on disclosure to law enforcement
    • Accept consent to mental health services from a minor aged 16 or older, or from the parent or guardian of a younger minor, when care is given by a facility, a physician or a licensed mental health professional (Montana Code 53-21-112)
    • If you run a CCBHC, report quality data on functional scores, housing, work and law enforcement involvement to DPHHS in a deidentified form (Montana Code 53-21-1015)
    • Keep HIPAA's privacy, security and breach notification safeguards, with a business associate agreement for each vendor that handles protected health information

  • What HiBoop gives you

    • A BAA for HIPAA covered entities
    • Hosting in Google Cloud US regions for US customer data, with encryption at rest and in transit
    • Role-based access, plus a record of every time client data is viewed or exported
    • A SOC 2 Type II certified platform, with the supporting controls on our trust page

  • Taking HiBoop to your board or compliance lead?

    The trust page covers hosting, encryption, access controls and our SOC 2 Type II report. Ask us for a BAA or for help completing a security review.

    See the trust centre

Grants & funding for Montana mental health clinics

Funding Guide

  • Public and private funding programs that support measurement-based care implementation.

  • SAMHSA — Substance Abuse and Mental Health Services Administration

    Certified Community Behavioral Health Clinic (CCBHC) Expansion Grants

    Tech eligible

    SAMHSA’s CCBHC grants fund detailed behavioral health services including the infrastructure, staffing, and technology required to meet CCBHC standards. Outcome measurement and digital assessment platforms are explicitly eligible as required infrastructure for CCBHC certification.

    $1M–$5M/yearLearn more

  • SAMHSA

    Mental Health Block Grant (MHBG)

    Tech eligible

    States receive federal MHBG funds and redistribute them to community mental health organizations. Technology, quality improvement, and workforce development are eligible uses. Contact your state mental health authority to understand how MHBG flows in your state.

    State-distributedLearn more

  • SAMHSA

    Primary and Behavioral Health Care Integration (PIPBHC)

    Tech eligible

    SAMHSA’s PIPBHC program funds integration of primary and behavioral health care, including the technology infrastructure needed to coordinate care across disciplines. Outcome measurement platforms and digital assessment tools are eligible as integration infrastructure.

    $500K–$900K/yearLearn more

  • HRSA — Health Resources and Services Administration

    Rural Health Network Development Program

    Tech eligible

    HRSA funds rural health networks to develop shared infrastructure including technology platforms, telehealth systems, and outcome measurement tools. Mental health-focused networks in rural areas can use this to fund shared digital assessment and measurement platforms.

    $250K–$500K/yearLearn more

  • HRSA

    Behavioral Health Workforce Development Program

    Tech eligible

    Supports expanding the behavioral health workforce through training, clinical placements, and technology-supported care delivery. Technology platforms that support supervision, measurement, and case management are eligible uses.

    $250K–$1MLearn more

  • CMS Innovation Center (CMMI)

    ACCESS Model — Behavioral Health Track

    Tech eligible

    The Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) model includes a Behavioral Health Track for practices treating depression and anxiety. It shifts from fee-for-service to monthly payments tied to outcomes — explicitly requiring technology-enabled care and outcome measurement.

    Enhanced per-patient paymentsLearn more
View all grants & funding

Resources for Montana practitioners

Montana Laws, Programs and Rates

Latest in mental health in California

Crisis and urgent help lines

More crisis lines

Measurement-based care

…starts with what we measure, and how long.

Frequently Asked Questions

  • Does Montana require measurement-based care?

    For CCBHCs, Montana law comes close. Section 53-21-1015 requires each clinic to report changes in patients' functional assessment scores, plus housing, work and law enforcement involvement, and section 53-21-1016 calls for an incentive program tied to quality outcome measures. We found no Montana rule requiring other outpatient providers to use standardized scales. If your clinic is in the demonstration, the federal clinic-collected measures apply as well.

  • Can HiBoop submit our CCBHC quality data to DPHHS?

    No. HiBoop is not connected to DPHHS or Medicaid systems. It sends and scores scales, charts change for each client and exports the data as CSV or PDF, so your clinic can compile what DPHHS asks for in its own reporting.

  • Can a 16-year-old in Montana start therapy without a parent?

    Yes. Under section 53-21-112, a minor who is at least 16 may consent to mental health services from a facility, a physician or a licensed mental health professional without a parent or guardian. For younger clients a parent or guardian gives consent. How you handle a teen's scores and who sees them is a matter for your clinical policy and your counsel; HiBoop's role-based access lets you restrict them.

  • Is HiBoop HIPAA compliant for Montana clinics?

    Yes. HiBoop is HIPAA compliant and signs a business associate agreement with covered entities. Montana's own rules for HIPAA-covered providers, in Title 50, chapter 16, part 8, still apply to how your clinic discloses information, so confirm particular disclosures with your counsel.

Official sources for Montana

  • Billing and payment routes

    1. 1.CMS MLN909432: Behavioral Health Integration Services · public program · codes 99484, 99492, 99493, 99494, G2214, G0323 (read in the document on 2026-11-01)
    2. 2.CMS Physician Fee Schedule look-up · fee schedule
    3. 3.SAMHSA: Certified Community Behavioral Health Clinics (CCBHC) · public program

    Fee codes and amounts are set by each payer and change; check the linked schedule before you bill. HiBoop does not submit claims.

    Regulators and licensing

    1. 1.ASPPB: psychology licensing boards · psychologists
    2. 2.ASWB: social work regulatory boards · social workers
    3. 3.Counseling Compact · counsellors
    4. 4.Social Work Licensure Compact · social workers

    Data and statistics

    1. 1.SAMHSA: NSDUH state reports
    2. 2.HRSA: HPSA Find (mental health shortage areas)
    3. 3.NIMH: mental illness statistics

    Listed for reference so you can find the official source. HiBoop is not affiliated with, and is not endorsed by, any of these organizations.