Stair lifts for homes in Madison County, Montana

Madison County's county seat, Virginia City, still has nearly 300 structures from the Gold Rush era, and almost half of them were built before 1900. Ennis, Sheridan and Twin Bridges carry their own older Main Street buildings, with ranch-style houses and newer rural homes spread out between them.

That mix shapes what kind of stair lift makes sense. A steep staircase in an old two-story house in town is a different job from the entry steps of a ranch house out along the Ruby or the Madison. This page walks through the homes, the distances, and the programs that may help with the cost.

Stair lift installed in a home in Madison County
towns in the county
4
people in the towns listed below
1,847
aged 65 or older
35.1%
own their home
81.5%

Older multi-story homes in the town cores

The whole town of Virginia City was designated a National Historic Landmark in 1962 and is recognized as the Virginia City Historic District. Homes like the Thomas Francis Meagher House stand alongside buildings such as the 1866 Gilbert Brewery, restored beginning in the 1950s by Charles and Sue Bovey.

The older multi-story homes in these historic town cores are where stair lift retrofits come up most. Staircases in houses this age can be narrow, steep or turn partway up, so we measure before recommending anything. A straight flight takes a straight rail; a landing or a bend usually means a curved rail built to fit that staircase.

Split-level homes bring a different question: several short flights instead of one long one. Sometimes one lift on the flight used most often covers daily life, and sometimes a household needs more than one.

Ranch houses, walk-ups and outdoor steps

Ranch-style and single-family homes across the county often have most living space on one floor. The stairs that cause trouble are frequently the ones outside: porch steps, a deck, or the drop from a garage into the house. An outdoor stair lift or a vertical platform lift can handle those.

Walk-up apartments are a separate case. If you rent, the building owner has to approve any installation, so it helps to have that conversation before an assessment.

Distance and planning around a big county

Madison County covers 3,603 square miles, with parts of the Beaverhead, Deerlodge and Gallatin national forests and five major rivers: the Madison, Beaverhead, Big Hole, Jefferson and Ruby. Only one out of three residents lives in the four small incorporated towns. Everyone else is on ranches or in unincorporated communities.

That spread lengthens travel to contractors, medical appointments and Area Agency on Aging services. Planning ahead matters here. Getting a measurement done early, and lining up any program paperwork at the same time, saves extra trips.

Who is looking at stair lifts here

About 35.1% of residents are 65 or older, and 81.5% own their homes. For homeowners, a permanent stair lift is often a practical way to keep using the whole house instead of moving.

VA programs have specific rules about stair lifts, covered in the programs list below, and the Belgrade Service Office at (406) 388-4601 can help veterans sort out which benefits apply.

Paying for a stair lift in Madison County

The Montana Big Sky Waiver is the one program in this list where the source names a home modifications benefit, and stair lifts would fall under that category rather than a separate line item. It has a waiting list, so starting early helps.

Southwest Montana Aging and Disability Services in Butte, at 125 Basin Creek Rd., is the local starting point for referrals; call (406) 782-5555. The contracted senior centers in Sheridan (406-842-5966), Twin Bridges (406-684-5175) and Ennis (406-682-4422) are closer to home.

Statewide, Montana also lists the Montana Assistive Technology Loan (MATL), Reverse Annuity Mortgage (RAM), Community First Choice Services (CFCS), and the Property Tax Assistance Program (PTAP) & Elderly Homeowner/Renter Credit. Ask the aging office whether any of these fit your situation.

Programs to ask about in Madison County

  • Montana Big Sky Waiver (Medicaid HCBS)

    A Medicaid home and community-based waiver that lists home modifications for safety and accessibility as a covered benefit, set individually through a service plan; you must be Medicaid-eligible, meet a nursing-facility level of care, and there is a waiting list. Call Mountain Pacific Quality Health at (800) 219-7035 about the level of care determination.

    (800) 219-7035 Official program page

  • Southwest Montana Aging and Disability Services (Area V Agency on Aging / ADRC)

    The local information, referral and options-counseling office for adults 60+ and adults with disabilities in Madison and five other counties; its source does not list a stair lift or home modification benefit. Call (406) 782-5555.

    (406) 782-5555 Official program page

  • USDA Section 504 Single Family Housing Repair Loans & Grants

    Repair loans up to $40,000 at 1% for 20 years, and grants up to $10,000 for very-low-income homeowners age 62+ who cannot repay a loan; the source describes general safety and repair work and does not mention stair lifts. Call (406) 585-2580.

    (406) 585-2580 Official program page

  • VA Home Improvements and Structural Alterations (HISA) Grant

    A VA grant of up to $6,800 or $2,000 lifetime for medically necessary home alterations, but it specifically excludes stair glides and porch lifts. Call (800) 827-1000.

    (800) 827-1000 Official program page

  • VA Specially Adapted Housing (SAH) and Special Home Adaptation (SHA) Grants

    Grants of up to $126,526 (SAH) or $25,350 (SHA) for FY2026 for veterans with qualifying severe service-connected disabilities to buy, build or change a permanent home; the source does not mention stair lifts. Call (800) 827-1000.

    (800) 827-1000 Official program page

  • Ability Montana (formerly Montana Independent Living Project) - Butte Branch, Center for Independent Living

    A Center for Independent Living serving people with disabilities in Madison and nearby counties with peer mentoring, personal-care coordination and referral; no stair lift or home modification program is listed. Call (406) 782-4834.

    (406) 782-4834 Official program page

Local offices that can help

  • Older adults

    Area V - Southwest Montana Aging & Disability Services

    125 Basin Creek Rd., Butte, 59701

    (406) 782-5555

  • Veterans

    Belgrade Service Office

    350 Airport Rd., Belgrade, 59714

    (406) 388-4601 Website

Questions from Madison County

Can a stair lift go into an old house in Virginia City or another historic town core?

Often, yes. Older multi-story homes in the town cores are where stair lift retrofits are most common. Steep or turning staircases usually need a curved rail measured for that specific staircase.

Will the VA pay for a stair lift?

The VA HISA grant specifically excludes stair glides and porch lifts. The SAH and SHA grants do not mention stair lifts in their source, so ask the VA at (800) 827-1000 or the Belgrade Service Office at (406) 388-4601.

Does Medicaid in Montana help with stair lifts?

The Montana Big Sky Waiver lists home modifications for safety and accessibility as a covered benefit, which is where a stair lift would fall. You must qualify for Medicaid and a nursing-facility level of care, and there is a waiting list. Call (800) 219-7035.

Is there help for someone under 60?

Southwest Montana Aging and Disability Services also serves adults with disabilities, not only those 60+. Ability Montana's Butte branch serves people with disabilities in Madison County at (406) 782-4834.

Who do I call locally if I live near Ennis, Sheridan or Twin Bridges?

The contracted senior centers are Sheridan at 406-842-5966, Twin Bridges at 406-684-5175 and Ennis at 406-682-4422. The main Area V office in Butte is at (406) 782-5555.

What about steps outside a ranch house?

Outdoor stair lifts and vertical platform lifts are built for porch, deck and entry steps. On ranch-style homes these are often the stairs that matter most.

Talk to a stair lift specialist

Tell us about the stairs in your home and we will explain which lift fits, what it costs and how installation works.

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