The VA Montana Health Care System provides a VA presence in every major city in the state through a series of community based clinics, a community living center, and an acute care medical center.
Fort Harrison (Helena) is a 48-bed acute care, medical-surgical facility that offers a broad range of acute, chronic, and specialized inpatient and outpatient services for both male and female veterans. Specialty care includes internal medicine, gerontology, neurology, dermatology, cardiology, palliative care, pain management, medical oncology, surgery (general, vascular, laparoscopic, endoscopic), urology, orthopedics, plastic, ophthalmology, ENT, podiatry, gynecology, chiropractic care, psychiatry (including outpatient substance abuse treatment and PTSD and MST specific care), and ambulatory care (primary care). Radiology Service provides a broad range of diagnostic and interventional care provided on a full time basis. Pathology Services are available on site also provided on a full time basis. Telemedicine services are available for psychiatry, radiology, gynecology, primary care, ophthalmology and tele-home health. The 24-bed inpatient mental health facility serves patients needing treatment for PTSD, Substance Abuse and Acute Care.
A 30-bed Community Living Center (CLC) that provides general and ventilator dependent care is located in Miles City. Primary care is provided at Anaconda, Billings, Bozeman, Cutbank, Glasgow, Glendive, Great Falls, Havre, Kalispell, Lewistown, Miles City, and Missoula. Primary Care Telehealth Outreach Clinics are located in Hamilton and Plentywood. Staff and contract specialists visit the clinics regularly and provide access to specialty care as needed.
Montana is the fourth largest state geographically and has one of the largest per capita veteran populations. To augment mental health services in the outbased clinics, VA Montana Health Care System contracted mental health care outside Lewis and Clark County (location of Fort Harrison) to reduce veteran travel. This allowed the VA to provide for local care while maximizing funding in rural areas without making the veteran travel.
Montana has two state veterans' homes located in Columbia Falls (northwest) and Glendive (east). VA also uses contract arrangements with private nursing homes to allow veterans to be placed in long term care facilities closer to their families.