Inmate Medical Program

Are inmate medical costs draining your county budgets?

MACo is proud to partner with NACo and Correctional Risk Services (CRS) to offer two programs to help Montana counties contain the costs of medical care for county inmates.  Enroll Today!

Under the Claims Administration Management program, CRS will perform claims administration management for all county inmates housed in a county jail, which includes reviewing inmate medical bills for accuracy, and to ensure all discounts are applied.

Under the Inmate Excess Medical Insurance program, CRS will provide inmate excess medical insurance for county inmates. After payment of the initial $10,000 deductible, the insurance will pay the next $240,000 in medical costs for a hospitalized inmate, per policy year.

For more information, please contact Shannon Shanholtzer via telephone at 406-449-4370 or via email at

To help interpret and determine payment responsibility and timeframes, CRS and MACo have developed a new form for you.  It can be found here.

Following initial enrollment, CRS will issue monthly invoices. Counties will be billed in arrears for premium payments.

Please be sure to submit your invoice and your monthly premium check to MACo by the 15th!

Join These Counties Who Have Taken Advantage of This Great Opportunity

Inmate Excess Medical Insurance Inmate Medical Claims Administration
Anaconda-Deer Lodge Granite Musselshell Teton Ravalli
Beaverhead Hill Park Sweet Grass
Blaine Jefferson Phillips Toole
Broadwater Judith Basin Pondera Treasure
Carbon Lake Powell Valley
Chouteau Lincoln Rosebud
Custer Madison Sanders
Golden Valley McCone Stillwater


County Information Gathering Tool NACo FSC-MACo Agreement (FYI)
Request For Inmate Eligibility Form
For enrollment information, please contact MACo.
For more information, contact Shannon Shanholtzer at (406) 449-4370, or visit the Correctional Risk Services website at:

County Excess Inmate Medical Claims Reimbursements

Is Your County Next?

Anaconda Deer-Lodge County

Beaverhead County


Powell County

Roosevelt County