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Procedural barriers complicate Medicaid enrollment for the unhoused

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Procedural barriers complicate Medicaid enrollment for the unhoused


On a cold February morning at the Flathead Warming Center in Kalispell, shelter guests got ready for the day, eating breakfast, or figuring out if the bus was running on time.

Tashya Evans was in the parking lot smoking a cigarette while she waited for help with her Medicaid application.

Evans is one of about 120,000 Montanans who lost Medicaid as the state re-evaluated everyone’s eligibility. That number is still growing as the state releases more data.

About two-thirds of those who were kicked off state Medicaid rolls lost it for technical reasons like incorrectly filling out paperwork. That’s one of the highest procedural disenrollment rates nationwide, according to a Kaiser Family Foundation analysis.

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Even unsheltered people like Evans, who still qualify, are losing their health insurance. That’s despite the state saying publicly it would use datasets like social security and disability to automatically renew people who likely still qualify for Medicaid.

Evans said she lost coverage in September because she didn’t receive paperwork as she moved from Great Falls.

That’s forcing her to forgo her blood pressure medication and pause dental work. She thinks her blood pressure has been ok, but waiting for the dentist has been hard.

“The teeth broke off. My gums hurt. There’s sometimes where I’m not feeling good and I don’t want to eat,” she said.

She sat down in a spare shelter office with an application counselor from Greater Valley Health Clinic, which serves much of the homeless population in the Flathead Valley.

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Evans recounted all the struggles she’s had.

She tried asking for help at the local state public assistance office. She said staff there don’t have time to answer all her questions about which forms she needs to fill out or walk through the paperwork with her. She tried the state help line, but she couldn’t get through.

“You just get to the point where you’re like, ‘I’m frustrated right now. I have other things that are more important, so let’s not deal with it,’” she said.

Evans said she needs to spend her time looking for a job, finding her next meal and a place to sleep. Sitting on the phone most of the day isn’t feasible.

There’s no public data on how many unhoused people in Montana, or nationwide, have lost Medicaid, but homeless service providers and experts say it’s a big problem.

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Montana health officials said they provided training to prepare homeless service providers.

State health department Director Charlie Brereton also resisted calls from Democratic state lawmakers to pause the redetermination process.

“I’m confident in our redetermination process,” Brereton told lawmakers. “I do believe that many of the Medicaid members who’ve been disenrolled were disenrolled correctly.”

Redetermination went on as planned, ending in January, four months ahead of the federal deadline.

Those helping unsheltered people who have lost coverage said they have spent much of their time trying to help people get in touch with the state Medicaid office to provide them with the correct information.

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Sorting through paperwork mistakes has also been a headache, said Crystal Baker, a case manager at HRDC, the homeless shelter in Bozeman.

“We’re getting mail that’s like, ‘Oh, this needs to be turned in by this date,’ and that’s already two weeks past. So, now we have to start the process all over again. Now, they have to wait two to three months without insurance,” she said.

Federal health officials warned Montana and other conservative states that have been unenrolling high rates of people for technicalities. The agency also warned states for having unreasonable barriers to accessing assistance, such as long hold times on help lines. CMS said that it could force states to halt their process, but so far hasn’t done so.

However, experts said blue states are also kicking homeless people off their rolls and that the redetermination has been chaotic everywhere. Because of the barriers unsheltered people face, it’s easy for them to fall through the cracks.

“It doesn’t seem like such a big deal to fill out paperwork,” said Dr. Margot Kushel, a primary care provider and a homeless researcher at the University of California, San Francisco. Put yourself in the position of an elder who’s experiencing homelessness and has lost their vision, who has no access to [a] computer, no access to [a] car, doesn’t have [a] cell phone.”

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People can typically get retroactive coverage if they get back on Medicaid after they are kicked off.

Kushel said being without Medicaid for any period can be dangerous for the homeless community, which has high rates of chronic health conditions.

“Being out of your asthma medicine for three days can be life threatening. If you have high blood pressure and you suddenly stop your medicine, your blood pressure shoots up, and your risk of having a heart attack goes way up,” she said.

When people don’t understand why they’re losing coverage or how to get it back, that erodes their trust in the medical system, said Kushel.

Evans, who was able to get help with her application, is likely to regain coverage.

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Providers on the ground said it could take years to get everyone who lost coverage back on Medicaid. They worry that those who go without coverage will resort to using the emergency room rather than managing their health conditions proactively.

Baker, the case manager at the Bozeman shelter, set up several call-backs from the state for one client. The state needed to interview him to make sure he still qualified, but the state never called back.

“He waited all-day long. It was so stressful for him that he just gave up,” she said.

That client ended up leaving the Bozeman area before she could convince him it was worth trying to regain Medicaid.

Baker worries his health will catch up with him before he decides to reapply to Medicaid.

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Missoula School Board fills trustee vacancy, receives facilities update

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Missoula School Board fills trustee vacancy, receives facilities update


The Missoula County Public Schools Board of Trustees voted unanimously Tuesday night to appoint London Meservy to a vacant trustee seat previously held by former Chairwoman Wilena Old Person.

Board Chairwoman Arlee Walker Andrews said this comes during a period of high turnover for the board, which she said has seen a rotation of 19 different faces over the past two years.

Meservy, a parent of four students across the district, will be sworn in Friday and hold the seat until the May election. He told the board he plans to run for the position in the spring.

“I was sad to see the former chairperson go but excited for the opportunity,” Meservy said. “I want to help continue the upward trajectory of the Missoula School District.”

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The board also heard an update from the Facilities Planning Committee, part of an ongoing review of district-owned properties. The committee’s work builds on months of public engagement that included building tours, surveys and meetings with more than 200 community members and partners such as the City of Missoula and the University of Montana.

Trustee Jenny Walsh said the district’s goal is to manage its facilities responsibly without overburdening taxpayers.

“What we’re really doing is reorganizing our public assets to steward them better for the public. We’re not giving up any public assets,” she said. “I think there’s a bit of public perception that we’re like after money, but really we’re just trying to be really responsible stewards for our taxpayers, which are our teachers and our parents and our families.”

Superintendent Micah Hill clarified that any proceeds from property sales would go into district funds with flexible spending authority. Those dollars are free to be expended in any way the board sees fit, he said.

The next MCPS board meeting is on January 27.

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Montana Lottery Mega Millions, Lucky For Life results for Jan. 13, 2026

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The Montana Lottery offers multiple draw games for those aiming to win big. Here’s a look at Jan. 13, 2026, results for each game:

Winning Mega Millions numbers from Jan. 13 drawing

16-40-56-64-66, Mega Ball: 04

Check Mega Millions payouts and previous drawings here.

Winning Lucky For Life numbers from Jan. 13 drawing

21-32-34-35-38, Lucky Ball: 14

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Check Lucky For Life payouts and previous drawings here.

Winning Big Sky Bonus numbers from Jan. 13 drawing

06-07-21-22, Bonus: 12

Check Big Sky Bonus payouts and previous drawings here.

Feeling lucky? Explore the latest lottery news & results

When are the Montana Lottery drawings held?

  • Powerball: 8:59 p.m. MT on Monday, Wednesday, and Saturday.
  • Mega Millions: 9 p.m. MT on Tuesday and Friday.
  • Lucky For Life: 8:38 p.m. MT daily.
  • Lotto America: 9 p.m. MT on Monday, Wednesday and Saturday.
  • Big Sky Bonus: 7:30 p.m. MT daily.
  • Powerball Double Play: 8:59 p.m. MT on Monday, Wednesday, and Saturday.
  • Montana Cash: 8 p.m. MT on Wednesday and Saturday.

Missed a draw? Peek at the past week’s winning numbers.

Winning lottery numbers are sponsored by Jackpocket, the official digital lottery courier of the USA TODAY Network.

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Where can you buy lottery tickets?

Tickets can be purchased in person at gas stations, convenience stores and grocery stores. Some airport terminals may also sell lottery tickets.

You can also order tickets online through Jackpocket, the official digital lottery courier of the USA TODAY Network, in these U.S. states and territories: Arizona, Arkansas, Colorado, Idaho, Maine, Massachusetts, Minnesota, Montana, Nebraska, New Hampshire, New Jersey, New York, Ohio, Oregon, Puerto Rico, Washington D.C., and West Virginia. The Jackpocket app allows you to pick your lottery game and numbers, place your order, see your ticket and collect your winnings all using your phone or home computer.

Jackpocket is the official digital lottery courier of the USA TODAY Network. Gannett may earn revenue for audience referrals to Jackpocket services. GAMBLING PROBLEM? CALL 1-800-GAMBLER, Call 877-8-HOPENY/text HOPENY (467369) (NY). 18+ (19+ in NE, 21+ in AZ). Physically present where Jackpocket operates. Jackpocket is not affiliated with any State Lottery. Eligibility Restrictions apply. Void where prohibited. Terms: jackpocket.com/tos.

This results page was generated automatically using information from TinBu and a template written and reviewed by a Great Falls Tribune editor. You can send feedback using this form.

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Film Trailer Released for the Montana Backcountry Discovery Route Project

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Film Trailer Released for the Montana Backcountry Discovery Route Project


Press Release | January 12, 2026

Backcountry Discovery Routes has released the official trailer for its newest route, the Montana Backcountry Discovery Route (MTBDR). A full-length expedition documentary will release February 7 at the Ellen Theatre in Bozeman, Montana, prior to its nationwide film tour.

This is a press release from BDR…

Photos By Miguel Santana / Courtesy of BDR

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Seattle, WA – (January 9, 2026) — Backcountry Discovery Routes (BDR), the non-profit organization dedicated to creating and preserving off-highway riding opportunities for adventure and dual-sport motorcyclists, has released the official trailer for its newest route, the Montana Backcountry Discovery Route (MTBDR).

The full-length expedition documentary will make its world premiere during the MTBDR Route Release Event on Saturday, February 7, 2026, at the Ellen Theatre in Bozeman, Montana, before launching a nationwide film tour at motorcycle dealerships and clubs across the country.

About the Route

The MTBDR is BDR’s 23rd route and completes the final link in the Western BDR system, creating a continuous backcountry network across the western United States. The approximately 900-mile route begins in Island Park, Idaho, and travels north through Montana before ending near the U.S.–Canada border outside of Eureka.

Montana Backcountry Discovery Route Project

Crossing more than 13 mountain ranges, the MTBDR takes riders deep into Big Sky Country, weaving together alpine ridgelines, remote valleys, dense pine forests, historic mining towns, wide-open ranchlands, and rugged two-track roads. Highlights include the Gravelly Range, Ruby River Valley, Virginia City, Butte, and the wild landscapes of the East Pioneer, Highland, and Cabinet Mountains.

Montana Backcountry Discovery Route Project

Blending scenic gravel, flowing forest roads, and optional harder sections for more experienced riders, the MTBDR offers an ideal balance of accessibility and challenge. The route is best enjoyed between July and September, depending on snow levels and seasonal closures.

Montana Backcountry Discovery Route Project
Montana Backcountry Discovery Route Project

With the release of the route, riders will have access to free GPS tracks, detailed travel resources, FAQs, route updates, and the official MTBDR Motorcycle Map, providing everything needed to plan a self-guided Montana backcountry adventure.

“The Montana BDR completes the last piece of the Western BDR puzzle, and it’s been one of the most anticipated routes we’ve ever created. It delivers on every level: big landscapes, remote riding, historic towns, and a true sense of exploration. This route does not disappoint.” ~ Bryce Stevens, MTBDR Co-Architect & BDR Co-Founder and Routes Development Director

Film & Route Release

The MTBDR documentary follows the BDR team and special guests as they verify and ride the route, capturing both the scale of Montana’s landscapes and the collaborative effort required to develop a route of this magnitude. The film also includes the next generation of BDR riders—the sons of BDR co-founders—reflecting the multi-generational nature of the community and how these routes are often best experienced when shared. It’s a reminder that the BDR legacy continues to grow, shaped by riders who are discovering these places for the first time.

Montana Backcountry Discovery Route Project
Montana Backcountry Discovery Route Project

The world film premiere and official route release will take place on Saturday, February 7, 2026, at the Ellen Theatre in Bozeman, Montana, with members of the BDR team, route architects, and industry partners in attendance. Tickets for the premiere are available at www.RideBDR.com/MTBDR.

Montana Backcountry Discovery Route Project
Montana Backcountry Discovery Route Project

Free GPS tracks, digital maps, FAQs, and travel resources will be released at 12:00 PM PST on February 7 at www.RideBDR.com. The waterproof MTBDR Motorcycle Map will be available for purchase through the BDR Online Store.

“As a Montana native, it’s incredibly rewarding to help bring this route to life. The MTBDR showcases the best of our state while supporting rural communities that rely on visitor travel. We’re excited to welcome riders from across the country to experience Montana responsibly and respectfully.” ~ Russ Ehnes, MTBDR Co-Architect & AMA Chairman of the Board

Montana Backcountry Discovery Route Project

MTBDR Film Tour

Each year, nearly 100 motorcycle dealerships and clubs nationwide host screenings of BDR’s newest film, bringing the adventure riding community together for an evening of inspiration and connection.

  • Dealerships and clubs interested in hosting an MTBDR screening can now sign up at https://ridebdr.com/MTBDRscreenings
  • Riders interested in attending a screening in their area can check the listing of screening at https://ridebdr.com/MTBDRtour. More screenings are being added daily so check back if you don’t see a screening near you.
Montana Backcountry Discovery Route Project

Montana Backcountry Discovery Route Project

Route Sponsors

The MTBDR project was made possible through the support of key industry partners who share BDR’s commitment to adventure motorcycling, responsible travel, and public land access. Presenting sponsors include:

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  • Triumph Motorcycles America returned for a second consecutive year as an OEM sponsor, providing Tiger 900 Rally Pro motorcycles for the expedition team. Triumph also supported the project with guest riders featured in the film, including Jeff Stanton of Jeff Stanton Adventures, a Triumph-accredited training and touring partner.
  • onX Offroad, the official navigation app of Backcountry Discovery Routes, supported the MTBDR by providing reliable, user-friendly navigation tools that helped the team verify the route and navigate safely throughout the expedition.
  • Quad Lock outfitted the MTBDR team with its patented phone mounting systems, allowing riders to securely mount their phones for navigation even on rough backcountry roads and rugged terrain.
  • Edelweiss Bike Travel, a leading global motorcycle tour company, continues its long-standing support of the adventure motorcycling community in the U.S. through its ongoing sponsorship of BDR routes and projects.

BDR is also grateful for the continued support of its industry partners, including:

Touratech, Mosko Moto, Motoz Tires, KLIM, Cardo Systems, Alpinestars, Rev’It!, Colorado Motorcycle Adventures, West 38 Moto, Rogue Moto, Moto Camp Nerd, SoCal Offroad School, Fox Racing, Black Dog Cycle Works, Doubletake Mirror, REVER, Cyclops, Emmaus Moto Tous, ADV Rider Training, Giant Loop, and others.

For more information about the MTBDR, film screenings, and route details, visit www.RideBDR.com/MTBDR.

 

Click here for more Press Releases on Cycle News.

 

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