Telephone Reassurance

Our Telephone Reassurance Program pairs home bound older adults with volunteers. These participants need contact due to social isolation and/or vulnerabilities associated with physical limitations and/or a rural setting. Volunteers make telephone contact in accordance with an established schedule agreed upon by the participant and/or their caregiver, help provide safety checks, medication reminders and have caring conversations. Volunteers are informed of community resources that may be helpful to the participant and may make referrals with the participant/caregiver’s consent when needs and/or concerns are made known.

Information & Assistance (I&A)

The SCCOA's Information and Assistance Counselors are happy to assist clients with completing forms/applications for Medicaid, LIEAP and other public assistance programs.  These counselors are also SHIP (State Health and Insurance Assistance Program) certified and help clients with questions or concerns with Medicare or Social Security.  The SCCOA personnel are well versed in knowing the area's resources and work efficiently to connect individuals with the services and/or resources available in the community.

  • Respite Care:                                                                                                                                                                                                                       Relief or rest from care giving activities is called Respite Care and is available on a cost-share basis determined by eligibility, income and ability to pay.  Respite Care may be provided by a SCCOA staff member or a contracted agency for a few hours a week in the home. To qualify, the unpaid caregiver must live with the care recipient and be authorized for services following an in-home assessment.  

In-Home Services

  • Homemaking:   The goal of the Homemaking program is to provide assistance to our clients in keeping their own homes clean, safe and pleasant so that they can stay there as long as they are able.  We employ several homemakers, and also contract with a local provider who are available to help seniors with light housekeeping including dish washing, laundry, sweeping/mopping, vacuuming, dusting, grocery shopping and other duties.  This program is available to anyone over 60 years of age, and we offer a sliding scale fee for those with fixed incomes.  One of our staff will come and perform an in-home visit where a short assessment and income verification in conducted.  Based upon the need, the Sanders County Council on Aging will get services started in the home after an agreed upon schedule and task list is created.  If client qualifies, only  their hourly cost share has to be paid the the SCCOA for services.
  • Ensure Supplement Program:  With a referral from your physician, the Sanders County Council on Aging can provide individuals with liquid nutrition supplements at a very low cost.  We offer a variety of flavors and also can cater to specific dietary needs of clients (Ensure Plus has added calories, High Protein, Immune Health, Pulmocare and Glucerna are available).  Delivery available in some areas.
  • Senior Commodity Program/The Commodity Supplemental Food Program (CSFP) works to improve the health of low-income elderly persons at least 60 years of age by supplementing their diets with nutritious USDA Foods.  For those seniors who qualify, the Sanders County Council on Aging connects individuals with food.  Please contact our office with any questions or to sign up.  For more information, please click the following link: 
  • Home Delivered Meals (Meals on Wheels):   This program is designed for home bound seniors over the age of 60. Individuals under 60 may also qualify if they are disabled or recovering from a period of hospitalization (a physician’s note stating that the applicant would benefit from our service is required to enter the program).  An SCCOA worker will do a brief assessment of each applicant. The suggested donation for a home-delivered meal is $4.00.  Our drivers start delivering meals in most areas between 10-11 a.m.  Meals are available up to 7 days per week, with some days having frozen meals delivered.   Hot Springs, Plains, Thompson Falls and Trout Creek currently have a Home Delivered Meal Program.  No meal delivery on holidays; we do deliver special meals prior to each holiday.

Nutrition Programs

  • Congregate Meals:  The Sanders County Council on Aging partners with many area senior centers to bring nutritious meals and  fellowship for those living in the area.  Our congregate meal program is partially supported by Older American Act funding, therefore those seniors over age 60 are only asked to give a suggested donation for their meals and for qualifying spouses.  See below for participating senior centers, along with locations and meal times.                                                                                                                                                                                                                                         HOT SPRINGS (101 Main Street)- Every Wednesday at 12 noon, 1st & 3rd Fridays at 12 noon.                                   PLAINS (205 West Meany Street)- Wednesdays at 12 noon, Fridays at 5:15pm during Spring/Summer and 12 noon      during Fall/Winter (hours change with Day Light Savings Time).                                                                                                    THOMPSON FALLS (1191 Mt. Silcox Road)- Tuesdays at 12 noon, Thursdays at 6 pm.                                                      TROUT CREEK (18 Larch Street)- Tuesdays & Fridays at 6 pm.                                                                                                        HERON (1260 Upper River Rd)- Wednesdays at 5:30 pm                                                                                                                              **All meals follow the USDA recommendations for senior nutrition; our meals meet one-third of the recommended dietary allowances for seniors.


203 Main Street

PO Box 339

Hot Springs, MT 59845



Visit the Montana Lifespan Respite website for more information on respite.



Sanders County Council On Aging Sanders County Transportation