Medicaid Waiver Guide – Montana

Understanding Montana Medicaid

Montana currently has two HCBS 1915(c) waivers that serve children and waive parent income. See Montana’s Long Term Care page for more information on Montana’s programs. Montana also has a Community First Choice program that allows anyone enrolled in Medicaid to receive personal care services.

Types of Waivers

Home and Community-Based Waiver for Individuals with Developmental Disabilities

• Description from medicaid.gov: Provides day supports and activities, homemaker, residential habilitation, respite, nutritionist services, occupational therapy, physical therapy, private duty nursing, speech therapy, supports brokerage, adult foster support, assisted living, behavioral support services, caregiver training and support, community transition services, companion services, environmental modifications, individual goods and services, meals, personal care, personal emergency response system, personal supports, psychological evaluation/counseling and consultation services, remote monitoring equipment, remote monitoring, retirement services, specialized medical equipment and supplies, supported employment (co-worker support), supported employment (follow along support), supported employment (individual employment support), supported employment (small group employment support), and transportation services to individuals with intellectual disabilities or developmental disabilities ages 0 or older who meet an ICF/IID level of care.
• Online State Information: Developmental Disability page
• Official Federal Information
• How to Apply: Contact the nearest DDP Regional Office.

Montana Big Sky

• Description from medicaid.gov: Provides adult day health, big sky waiver personal assistance, case management, community adult group homes, day habilitation, homemaker, prevocational services, respite, supported employment, audiology, respiratory therapy, speech therapy, financial management services – self direction, independence advisor – self direction, adult foster care, community transition, consultative clinical and therapeutic services, dietetic-nutritionist services, environmental accessibility adaptations, family training and support, health and wellness, homemaker chore, level 1 assisted living, level 2 assisted living behavioral health modification, level 3 assisted living specialized care, member directed goods and services, money management, non-medical transportation, nurse supervision for personal care attendants, nutrition, occupational therapy, pain and symptom management, personal emergency response systems, physical therapy, post acute rehabilitation services, senior companion, service animals, skilled nursing, specialized child care for children who are medically fragile, specialized medical equipment and supplies, specially trained attendant, and vehicle modifications services to individuals ages 65 or older and individuals with physical disabilities or other disabilities ages 0-64 years who meet a nursing facility level of care.  This waiver operates with a concurrent 1915(b)(4) authority.
• Online State Information: Big Sky Page
• Official Federal Information
• How to Apply: Contact the Mountain Pacific Quality Health Foundation at 1-800-219-7035.

Other online resources for Montana:

• Check out Montana’s Developmental Disabilities Program, individuals older than 16 can receive free case management services.
• Montana Autism Center has informational and educational resources as well as state policy updates.
• Parents, Let’s Unit for Kids is a parent to parent network dedicated to supporting families with special needs in Montana.

Telephone Resources

Developmental Disabilities Program General Line — 406-444-2995

Ordering Goally with a Medicaid Waiver

Talk with your case manager to see if the waiver program you have will cover Goally. If so, have your case manager email us at: [email protected] to place an order on your behalf.