County health data
Madison County, MT
CDC PLACES estimates diabetes at 10.6% of adults in Madison County (Montana: 9.4%). This county has 10 HRSA shortage designations and 2 hospitals.
License. US government work, Public Domain Mark 1.0.
For help with food, housing, utilities, or rides in Madison County, call 211 or visit 211.org.
Health measures compared with the state
40 measures for adults in Madison County (about 8,033 adults). 24 have a Montana figure from the same survey.
Largest differences from the Montana figure: coronary heart disease 7.7% vs 3.6% (+4.1 points), arthritis 32.8% vs 29.1% (+3.7 points), and high blood pressure 35.8% vs 32.2% (+3.6 points).
Health Outcomes
| Measure | Madison County | Montana | US | Year |
|---|---|---|---|---|
| Arthritis | 32.8% | 29.1% | 26.3% | 2023 |
| High blood pressure | 35.8% | 32.2% | 34.0% | 2023 |
| Cancer, excluding non-melanoma skin cancer | 11.6% | n/a | n/a | 2023 |
| Current asthma | 10.5% | 11.7% | 10.2% | 2023 |
| Coronary heart disease | 7.7% | 3.6% | 4.0% | 2023 |
| COPD | 7.3% | 7.3% | 6.3% | 2023 |
| Depression | 21.6% | 24.4% | 21.8% | 2023 |
| Diagnosed diabetes | 10.6% | 9.4% | 11.8% | 2023 |
| High cholesterol, adults ever screened | 36.4% | 34.0% | 37.2% | 2023 |
| Obesity | 28.7% | 30.5% | 34.4% | 2023 |
| Stroke | 3.8% | 3.4% | 3.3% | 2023 |
| All teeth lost, ages 65 and older | 7.6% | n/a | n/a | 2022 |
Prevention
| Measure | Madison County | Montana | US | Year |
|---|---|---|---|---|
| No health insurance, ages 18 to 64 | 8.7% | 10.7% | 9.3% | 2023 |
| Taking blood pressure medicine, adults with high blood pressure | 78.0% | n/a | n/a | 2023 |
| Routine checkup in the past year | 74.4% | 73.4% | 78.4% | 2023 |
| Cholesterol screening | 86.4% | n/a | n/a | 2023 |
| Colorectal cancer screening, ages 45 to 75 | 68.8% | n/a | n/a | 2022 |
| Dental visit in the past year | 65.8% | n/a | n/a | 2022 |
| Mammogram, women ages 50 to 74 | 73.4% | n/a | n/a | 2022 |
Health Risk Behaviors
| Measure | Madison County | Montana | US | Year |
|---|---|---|---|---|
| Binge drinking | 18.7% | 19.5% | 15.1% | 2023 |
| Current smoking | 12.2% | 12.4% | 12.1% | 2023 |
| No leisure-time physical activity | 19.4% | 19.6% | 24.5% | 2023 |
| Short sleep | 28.6% | n/a | n/a | 2022 |
Health Status
| Measure | Madison County | Montana | US | Year |
|---|---|---|---|---|
| Fair or poor health | 17.4% | 18.0% | 18.5% | 2023 |
| Frequent mental distress | 15.0% | 17.8% | 15.4% | 2023 |
| Frequent physical distress | 13.8% | 14.1% | 12.6% | 2023 |
Disability
| Measure | Madison County | Montana | US | Year |
|---|---|---|---|---|
| Cognitive disability | 12.3% | 14.3% | 13.7% | 2023 |
| Any disability | 29.9% | n/a | n/a | 2023 |
| Hearing disability | 9.6% | 9.7% | 7.4% | 2023 |
| Independent living disability | 7.2% | 8.4% | 7.8% | 2023 |
| Mobility disability | 13.5% | 12.8% | 13.4% | 2023 |
| Self-care disability | 3.4% | 3.6% | 3.7% | 2023 |
| Vision disability | 4.2% | 4.3% | 5.0% | 2023 |
Health-Related Social Needs
| Measure | Madison County | Year |
|---|---|---|
| Lack of social and emotional support | 20.5% | 2023 |
| Food insecurity in the past year | 9.0% | 2023 |
| Received food stamps in the past year | 6.1% | 2023 |
| Housing insecurity in the past year | 7.3% | 2023 |
| Lack of reliable transportation in the past year | 5.8% | 2023 |
| Loneliness | 28.3% | 2023 |
| Utility shut-off threat in the past year | 5.0% | 2023 |
Source: CDC PLACES county data, as of December 4, 2025. Publisher page
Source: CDC BRFSS prevalence data, as of September 15, 2026. Publisher page
Health professional shortage areas
HRSA lists 10 designated shortage rows in Madison County: primary care 3 (highest score 16), mental health 4 (highest score 16), and dental 3 (highest score 15). 1 covers a geographic area or population group; the other 9 are facility designations.
| Discipline | Area or population | Facility | Highest score |
|---|---|---|---|
| primary care | 0 | 3 | 16 |
| mental health | 1 | 3 | 16 |
| dental | 0 | 3 | 15 |
Area and population designations
| Designation | Discipline | Type | Score |
|---|---|---|---|
| Madison County | mental health | High Needs Geographic HPSA | 16 |
Facility designations (9)
| Designation | Discipline | Type | Score |
|---|---|---|---|
| MADISON VALLEY CLINIC | primary care | Rural Health Clinic | 16 |
| RUBY VALLEY MEDICAL CLINIC | primary care | Rural Health Clinic | 16 |
| TWIN BRIDGES MEDICAL CLINIC | primary care | Rural Health Clinic | 16 |
| MADISON VALLEY CLINIC | dental | Rural Health Clinic | 15 |
| RUBY VALLEY MEDICAL CLINIC | dental | Rural Health Clinic | 15 |
| TWIN BRIDGES MEDICAL CLINIC | dental | Rural Health Clinic | 15 |
| MADISON VALLEY CLINIC | mental health | Rural Health Clinic | 14 |
| TWIN BRIDGES MEDICAL CLINIC | mental health | Rural Health Clinic | 14 |
| RUBY VALLEY MEDICAL CLINIC | mental health | Rural Health Clinic | 13 |
Source: HRSA Health Professional Shortage Areas, as of October 14, 2026. Publisher page
Hospitals and readmission rates
CMS Care Compare lists 2 acute care or critical access hospitals in Madison County, 2 of them critical access. None has a readmission rate CMS rates worse than the national rate.
| Hospital | City | Stars | Heart failure | Pneumonia | COPD | Heart attack | Hip or knee |
|---|---|---|---|---|---|---|---|
| MADISON VALLEY MEDICAL CENTERCritical access | ENNIS | n/a | n/a | n/a | n/a | n/a | n/a |
| RUBY VALLEY MEDICAL CENTERCritical access | SHERIDAN | n/a | n/a | n/a | n/a | n/a | n/a |
Each rate is the share of patients readmitted within 30 days of discharge, July 2023 to June 2025. "n/a" means CMS did not publish a rate for that hospital.
Source: CMS Care Compare hospital general information, as of August 13, 2026. Publisher page
Source: CMS Care Compare unplanned hospital visits, as of September 30, 2026. Publisher page
Montana rural health plan
Building a Healthier Rural Montana: Investing in People, Technology, & Preventive Care to Strengthen Health Systems, Improve Access, & Build a More Resilient, Sustainable Future for Rural Communities.
Initiatives, as the state's abstract names them (page 40):
- Develop Montana’s rural health workforce through recruitment, training, and retention
- Ensure the sustainability of Montana’s rural health facilities to ensure access through partnerships and restructuring
- Launch innovative care delivery and payment models to improve access and outcomes in Montana
- Invest in Montana’s community health and preventative infrastructure
- Deploy modern health care technologies for Montana’s providers and patients
CMS says the abstract budgets are illustrative and are not award amounts, so none are shown.
Source: CMS Rural Health Transformation Program state project abstracts, as of December 2025. Publisher page
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Neighboring counties
Medicare plans in Madison County, MT
About this data
County rates are CDC PLACES model-based estimates of adults, built from the CDC BRFSS survey and Census population data. State and US figures are BRFSS survey results for the same year. They are not averages of counties, and small differences may not be meaningful.
Shortage rows are HRSA designations with status Designated. Scores run from 0 to 25 (0 to 26 for dental); a higher score means greater need. Hospitals are acute care and critical access hospitals CMS lists in the county, with 30-day rates of unplanned readmission. Health centers are active HRSA-funded and look-alike sites.
Rural health plan initiatives are copied as the state wrote them. Nothing here is medical advice.
Source: CDC PLACES county data, as of December 4, 2025. Publisher page
Source: CDC BRFSS prevalence data, as of September 15, 2026. Publisher page
Source: HRSA Health Professional Shortage Areas, as of October 14, 2026. Publisher page