Care Coordination
Supporting families who are raising children and youth with special healthcare needs with services and care they need to play, learn, and grow

Managing the needs of children and youth with special healthcare needs (CYSHCN) can be challenging, especially in a rural state with limited resources. Many of Montana’s families are tackling the management of doctor’s visits, therapies, insurance, paperwork, and more on their own, all while being their child’s biggest champion. Regardless of diagnosis, geographic location, or size and scale of a care team, we are building a family-centered complex care management program that is designed to truly meet the needs of families and children in Montana…but we can’t do it alone.We are currently seeking 100 families to join our program and together redefine support for children and youth with special healthcare needs.If you are a caregiver of a child aged 0-18 with long-term medical needs, are open to sharing your everyday experiences, are comfortable with regular check-ins with our multidisciplinary team, and are passionate about making Montana a better place for kids with medical complexity, we would love to have you join us in this program. If you’re interested in learning more, fill out the form below:
Frequently Asked Questions
Families in Montana with children aged 0-18 who have long-term medical issues, and may need help managing care.
We work with all types of health insurance and Medicaid to minimize financial barriers for participation. Additionally, we offer a generous financial assistance program for families who choose to apply. Whether you have insurance or not, we encourage you to reach out to learn more about how we can support your child’s care.
The support each family receives will look different! One family might utilize one thing from this list while another utilizes all of the resources. If your family needs something that’s not on this list, please complete the interest form and let us know!
Medical Support
- Appointment scheduling
- Lab/test result dissemination
- Establishment of care with new providers
- Centralized communication with a shared plan of care for all members of your existing care team
- Support in moving from pediatric to adult care
Non-Medical Support
- Navigation of Medicaid, Healthy Montana Kids and private insurance
- Connections with resources like food, housing, and transportation assistance
- Communication with education partners
It’s important to us to have a wide variety of families with different needs and experiences by our side in order to build a program that truly works to support all Montana families of children and youth with special healthcare needs. To apply to be part of the 100 families building this program, the first step is to complete the interest form above. Then, a team member will reach out to you via your preferred contact method and set up a time to speak with you to learn more about your child, your family, and your needs.
First and foremost, this program is not intended to replace the care your child already receives. Our team consists of a Medical Director, a Registered Nurse, a family advocate, and our network of pediatric-specific providers, mental health professionals, and more.
Yes! If you’re not sure if your family is a fit for the program, we still encourage you to complete our interest form. However, if you’d like to connect with someone first, a team member can be reached here or at (406) 200-8242.
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