0208 Comprehensive DD Waiver Services

Qualified Provider Standards
Effective 7/1/2010

Day Habilitation

Service Delivery Method (check each that applies):
checkbox Participant-directed as specified in Appendix E
checkbox Provider managed

Specify whether the service may be provided by (check each that applies):
checkbox Legally Responsible Person
checkbox Relative
checkbox Legal Guardian

Provider type(s):
DD service provider agency under contract with the DDP
Other standard:
The service requirements outlined in ARM 37.34.937 through 37.34.942 shall apply. The staffing rule as outlined in ARM 37.34.2107. The individual will receive training within 30 days of hire including:  abuse reporting, incident reporting, client rights, client confidentiality and first aid training, College of Direct Support training, CPR training and any specialty training relating to the need of individuals served, as outlined in the plan of care. Persons assisting with meds will be certified in accordance with ARM 37.34.114. In addition, the employer will maintain documentation verifying the person providing direct client services has an acceptable criminal background check.

Homemaker

Service Delivery Method (check each that applies):
checkbox Participant-directed as specified in Appendix E
checkbox Provider managed

Specify whether the service may be provided by (check each that applies):
checkbox Legally Responsible Person
checkbox Relative
checkbox Legal Guardian

Provider type(s):
Employee of a DDP provider agency under contract with the DDP
Other standard:
ARM 37.34.929 and ARM 37.34.930
All employees of agencies providing direct client services under contract with the DDP will have a completed background check (ARM 37.34.2102).

Provider type(s):
Employee functioning as a homemaker for a legal business entity
License:
Workers are employees of a business entity, licensed, bonded and insured to deliver professional homemaker services.
Other Standard:
ARM 37.34.929 and ARM 37.34.930. Qualifications of the person providing the homemaker service will be reviewed and approved by the contracting agency and the service recipient and family, if applicable. The family or recipient can request the provider subcontracting with the business entity to complete a background check of the worker at no cost to the recipient. The person providing this service must be 18 years of age.

Residential Habilitation

Service Delivery Method (check each that applies):
checkbox Participant-directed as specified in Appendix E
checkbox Provider managed

Specify whether the service may be provided by (check each that applies):
checkbox Legally Responsible Person
checkbox Relative
checkbox Legal Guardian

Provider type(s):
DD service provider agency under contract with the DDP
Other Standard:
The service requirements outlined in ARM 37.34.937 through 37.34.942 shall apply. The staffing rule as outlined in ARM 37.34.2107. The individual will receive training within 30 days of hire including:  abuse reporting, incident reporting, client rights, client confidentiality and first aid training, College of Direct Support training, CPR training and any specialty training relating to the need of the individual served, as outlined in the plan of care. Persons assisting with meds will be certified in accordance with ARM 37.34.114. In addition, the employer will maintain documentation verifying the person providing direct client services has an acceptable criminal background check. Persons providing residential habilitation may be sixteen or seventeen years of age if the service is provided under direct adult supervision and all other requirements are met.

Respite

Service Delivery Method (check each that applies):
checkbox Participant-directed as specified in Appendix E
checkbox Provider managed

Specify whether the service may be provided by (check each that applies):
checkbox Legally Responsible Person
checkbox Relative
checkbox Legal Guardian

Provider type(s):
DD Service provider agency under contract with the DDP
Other Standard:
ARM 37.34.946, ARM 37.34.947
In addition, the respite provider is subject to approval by the family, and must possess any competencies outlined by the family in the plan of care, which are related to the specific needs of the individual. Person providing the service must be 16 or older.

Respite services may be provided in licensed day care settings. Licensed day care settings may choose to receive payment directly from the DDP in accordance with the terms of a DDP contract, or be reimbursed for respite services by an agency designated as an OHCDS in their DDP contract. The respite qualified provider section will be updated to include the licensing rules applicable to day care settings for children and day centers for adults. The rule references include:

  • Infant and Child Day Care Centers- ARM 37.95.102 through 37.95.184, 37.95.602 through 37.95.640, 37.95.1001 through 37.95.1021 and 37.95.205 through 37.95.227.
  • Family and Group Day Care Homes- ARM 37.95.102 through 37.95.184, ARM 37.95.702 through 37.95.730 and ARM 37.95.1001 through 37.95.1015 and 37.96.1016.
  • Adult Day Center- ARM 37.106.2601 through 37.106.2621.

Provider type(s):
The Respite worker is the employee of the service recipient (or the legal representative) choosing to self direct respite with employer authority
Other Standard:
* the person is subject to a criminal background check (at the request of the service  recipient or representative).
* the person must pass the requirements of a first aid course.
* the person must be at least 16 years of age.

Supported Employment

Service Delivery Method (check each that applies):
checkbox Participant-directed as specified in Appendix E
checkbox Provider managed

Specify whether the service may be provided by (check each that applies):
checkbox Legally Responsible Person
checkbox Relative
checkbox Legal Guardian

Provider type(s):
DD service provider agency under contract with the DDP
Other Standard:
ARM 37.34.937 through 37.34.942 shall apply. The staffing rule as outlined in ARM 37.34.2107. The individual will receive training within 30 days of hire including:  abuse reporting, incident reporting, client rights, client confidentiality and first aid training, College of Direct Support training, CPR training and any specialty training relating to the need of individual served, as outlined in the plan of care. Persons assisting with meds will be certified in accordance with ARM 37.34.114. In addition, the employer will maintain documentation verifying the person providing direct client services has an acceptable criminal background check.

Waiver-funded Children's Case Management (WCCM)

Service Delivery Method (check each that applies):
checkbox Participant-directed as specified in Appendix E
checkbox Provider managed

Specify whether the service may be provided by (check each that applies):
checkbox Legally Responsible Person
checkbox Relative
checkbox Legal Guardian

Provider type(s):
DD Child and Family service provider agency under contract with the DDP
Certificate:
FSS certification in accordance with ARM 37.34.926 and DDP policies regarding FSS certification.
Other Standard:
Other rules pertaining to staff competencies and requirements may be reviewed at ARM 37.34.925 and 37.34.2106.

Provider type(s):
Individual subcontracting with an agency with a DDP contract or contracting directly with the DDP
Certificate:
Current Family Support Specialist (FSS0 certification in accordance with ARM 37.34.926 and DDP policies regarding FSS certification, including the FSS Certification Handbook.
Other Standard:
The case manager (a Family Support Specialist) must have a four year degree in a human services field, three years of experience in working with children with developmental disabilities, and current FSS certification. Other rules pertaining to staff competencies and requirements may be reviewed at ARM 37.34.925 and 37.34.2106.

Occupational Therapy

Service Delivery Method (check each that applies):
checkbox Participant-directed as specified in Appendix E
checkbox Provider managed

Specify whether the service may be provided by (check each that applies):
checkbox Legally Responsible Person
checkbox Relative
checkbox Legal Guardian

Provider type(s):

  • Licensed occupational therapist, enrolled as a Montana Medicaid provider
  • An agency providing occupational therapy services and enrolled as a Montana Medicaid provider, reimbursed via subcontracts with DD service provider agencies with DDP contracts
  • DD service provider agency employing qualified occupational  therapists as defined in the ARM and MCA sites in this section, under contract with the DDP

License:
Licensed in accordance with applicable ARMs 24.165.101 through 24.165.307
Other Standard:
MCA 37.24-101 through 37.24-311 apply. 
ARM 37.34.950 and 37.34.951 apply.

Physical Therapy

Service Delivery Method (check each that applies):
checkbox Participant-directed as specified in Appendix E
checkbox Provider managed

Specify whether the service may be provided by (check each that applies):
checkbox Legally Responsible Person
checkbox Relative
checkbox Legal Guardian

Provider type(s):

  • Licensed physical therapist, enrolled as a Montana Medicaid provider
  • An agency providing physical therapy services and enrolled as a Montana Medicaid provider.
  • DD service provider agency employing qualified physical therapists as defined in the ARM and MCA sites in this section, under contract with the DDP.

License:
Licensed in accordance with applicable ARMs 8.42.101 through 8.42.503
Other Standard:
MCA 37.11-101 through 37.11-322 shall apply.
ARM 37.34.954 and 37.34.955 apply.

Psychological Services

Service Delivery Method (check each that applies):
checkbox Participant-directed as specified in Appendix E
checkbox Provider managed

Specify whether the service may be provided by (check each that applies):
checkbox Legally Responsible Person
checkbox Relative
checkbox Legal Guardian

Provider type(s):
The psychologist, counselor, or social worker (see above) is an employee of a DD service provider agency under contract with the DDP
License:
Licensed in accordance with Montana ARM
24.219.504
Other Standard:
All agencies with a DDP contract for providing direct client services will have a completed criminal background check for all employees. In addition, the ARM and MCA site references for these professionals apply.

Provider type(s):
An agency providing counseling and therapy services as defined above and enrolled as a Montana Medicaid provider
License:
Licensed in accordance with Montana ARM  24.219.504
Other Standard:
The ARM and MCA site references for these professionals apply.

Provider type(s):
Licensed Professional Counselor, enrolled as a Medicaid provider
License:
Licensed in accordance with Montana ARM
24.219.604
Other Standard:
ARM 24.219.101 through 24.219.615 governing the licensure of persons practicing professional counseling
MCA 37-23-101 through 37.23.311 outlines the licensure requirements for a licensed professional counselor.
ARM 37.34.971 and 37.34.972
Criminal background check

Provider type(s):
Licensed Clinical Social Worker, enrolled as a Medicaid provider
License:
Licensed in accordance with Montana ARM
24.219.504
Other Standard:
ARMS 24.219.101 through 24.219.615 govern the licensure of persons licensed to practice clinical social work
MCA-37.22.101 through 37.22.411 outlining the requirements for licensed clinical social workers.
ARM 37.34.971 and ARM 37.34.972
Criminal background check

Provider type(s):
Licensed Psychologist, enrolled as a Medicaid provider
License:
Licensed in accordance with Montana ARM 24.189.601
Other Standard:
ARM 24.189.101 through 24.189.823 governing the licensure of persons licensed to practice psychology.
MCA 37-17-101 through 37-17-318 outlining the qualifications of a licensed psychologist
ARM 37.34.971 and 37.34.972
Criminal background check

Speech Therapy

Service Delivery Method (check each that applies):
checkbox Participant-directed as specified in Appendix E
checkbox Provider managed

Specify whether the service may be provided by (check each that applies):
checkbox Legally Responsible Person
checkbox Relative
checkbox Legal Guardian

Provider type(s):

  • DD service provider agency employing qualified speech therapists as defined in the ARM and MCA sites in this section, under contract with the DDP
  • An agency providing speech therapy services and enrolled as a Montana Medicaid provider
  • Licensed speech language pathologist (AKA, speech therapist), enrolled as a Montana Medicaid provider

License:
Licensed in accordance with applicable ARMs 24.222.101 through 24.222.307
Other Standard:
MCA 37.15-101 through 37.15-323 shall apply.
ARM 37.34.956 and 37.34.957 apply.

Adult Companion

Service Delivery Method (check each that applies):
checkbox Participant-directed as specified in Appendix E
checkbox Provider managed

Specify whether the service may be provided by (check each that applies):
checkbox Legally Responsible Person
checkbox Relative
checkbox Legal Guardian

Provider type(s):
The staff person providing the companion service will be an employee of the agency under contract with the DDP
Other Standard:
The DDP QIS will verify the individual has received training within 30 days of hire including:  abuse reporting, incident reporting, client rights, client confidentiality and first aid training, College of Direct Support, CPR training and any specialty training relating to the needs of individual served, as outlined in the plan of care. Persons assisting with meds will be certified according to rule. In addition, the employer will maintain documentation verifying the person providing direct client services has an acceptable criminal background check. Person providing service must be 16 or older. If transportation is required, the requirements outlined in ARM 34.37.967 and 34.37.968 will apply.

Adult Foster Support

Service Delivery Method (check each that applies):
checkbox Participant-directed as specified in Appendix E
checkbox Provider managed

Specify whether the service may be provided by (check each that applies):
checkbox Legally Responsible Person
checkbox Relative
checkbox Legal Guardian

Provider type(s):
Adult Foster Supports AND Residential Training Support
License:
MCA 50-5-101 through MCA 50-5-216
Other Standard:
ARM 37.100.101 through 37.100.175

In addition, the adult foster care provider will be an employee of an agency with a DDP contract, authorized to provide Residential Training Supports. All the standards outlined for Residential Training Supports will apply.

Provider type(s):
Adult Foster Supports Only
License:
MCA 50-5-101 through MCA 50-5-216
Other Standard:
ARM 37.100.101 through 37.100.175

Provider type(s):
Residential Training Support Only
Other Standard:
Residential Training Supports (RTS) is reimbursable only when delivered to a recipient living in a licensed adult foster home funded under Adult Foster Supports. The staff person providing RTS works for an agency with a DDP contract.
The service requirements outlined in ARM 37.34.937 through 37.34.942 shall apply. The staffing rule as outlined in ARM 37.34.2107. The individual will receive training within 30 days of hire including:  abuse reporting, incident reporting, client rights, client confidentiality and first aid training, College of Direct Supports, CPR training and any specialty training relating to the need of the individual served, as outlined in the plan of care. Persons assisting with meds will be certified in accordance with ARM 37.34.114. In addition, the employer will maintain documentation verifying the person providing direct client services has an acceptable criminal background check. Persons providing residential supports training will be 18 years of age.

Assisted Living

Service Delivery Method (check each that applies):
checkbox Participant-directed as specified in Appendix E
checkbox Provider managed

Specify whether the service may be provided by (check each that applies):
checkbox Legally Responsible Person
checkbox Relative
checkbox Legal Guardian

Provider type(s):
Licensed Assisted Living Facility
License:
Licensed in accordance with MCA 50-5-101
MCA 50-5-225 through 50-5-228
Other Standard:
ARMs 37.106.2801 through 37.106.2908 apply.

Board Certified Behavior Analyst

Service Delivery Method (check each that applies):
checkbox Participant-directed as specified in Appendix E
checkbox Provider managed

Specify whether the service may be provided by (check each that applies):
checkbox Legally Responsible Person
checkbox Relative
checkbox Legal Guardian

Provider type(s):

  • An individual certified as a BCBA and reimbursed by an agency with a DDP contract
  • An individual certified as a BCBA, with a DDP contract

Certificate:
The Behavior Analyst Certification Board (BACB) is a nonprofit 501(c)(3) corporation established to meet professional credentialing needs identified by behavior analysts, governments, and consumers of behavior analysis services. The BACB adheres to the national standards for boards that grant professional credentials. The BACB certification procedure undergoes regular psychometric review and validation, pursuant to a job analysis survey of the profession and standards established by content experts in the field.

Individuals who wish to become Board Certified Behavior Analysts (BCBA) must posses at least a Masters Degree, have 225 classroom hours of specific Graduate-level coursework, meet experience requirements, and pass the Behavior Analyst Certification Examination. BACB certificants must accumulate continuing education credit to maintain their credentials.
Other Standard:
A Montana Department of Justice background check is required. Individuals providing this service will have an NPI number, and will be an enrolled Montana Medicaid provider.

Provider type(s):
An agency with a DDP contract, with an agency employee certified as a BCBA
Certificate:
The Behavior Analyst Certification Board (BACB) is a nonprofit 501(c)(3) corporation established to meet professional credentialing needs identified by behavior analysts, governments, and consumers of behavior analysis services. The BACB adheres to the national standards for boards that grant professional credentials. The BACB certification procedure undergoes regular psychometric review and validation, pursuant to a job analysis survey of the profession and standards established by content experts in the field.

Individuals who wish to become Board Certified Behavior Analysts (BCBA) must posses at least a Masters Degree, have 225 classroom hours of specific Graduate-level coursework, meet experience requirements, and pass the Behavior Analyst Certification Examination. BACB certificants must accumulate continuing education credit to maintain their credentials.
Other Standard:
A Montana Department of Justice background check is required.

Caregiver Training and Support

Service Delivery Method (check each that applies):
checkbox Participant-directed as specified in Appendix E
checkbox Provider managed

Specify whether the service may be provided by (check each that applies):
checkbox Legally Responsible Person
checkbox Relative
checkbox Legal Guardian

Provider type(s):
Family Support Specialist (FSS). The FSS is employed by an agency under contract with the DDP
Certificate:
Certification in accordance with ARM 37.34.926 and DDP policies regarding the FSS certification.
Other Standard:
Other rules pertaining to staff competencies and requirements in accordance with ARM 37.34.925 and 37.34.2106

Provider type(s):
The CTS worker either subcontracts with the agency with a DDP contract or contracts directly with the DDP in the provision of services.
Other Standard:
This position requires a BA degree in a human services field and a minimum of 3 years of experience in the field of developmental disabilities services. The CTS worker who is not an employee of a provider agency would be responsible for meeting all the Department’s requirements otherwise associated with the delivery of this service through a contracted provider agency. The individual would need to have an NPI number, be an enrolled Medicaid provider, a legal business entity in accordance with Montana Department of Revenue law and would need to meet all the DDP, State, and Federal requirements associated with operating a legal business entity in the provision of this service in the State of Montana.
1. The individual CTS worker who receives a direct payment from the Department will have a contract with he Department.
2. The individual CTS worker who subcontracts with a Child and Family service provider will have an agreement with the service provider. The content of this agreement would include all the sections and components associated with a Department contract as in #1 above.

Provider type(s):
A Caregiver Training and Support (CTS) worker employed by an agency with a DDP contract
Other Standard:
This position requires a BA degree in a human services field and a minimum of 3 years of experience in the field of developmental disabilities services.

Provider type(s):
The Family Support Specialist either subcontracts with the agency with a DDP contract or contracts directly with the DDP in the provision of services.
Certificate:
Family Support Specialist certification in accordance with ARM 37.34.926 and DDP policies regarding the FSS certification.
Other Standard:
The Individual Family Support Specialist who is not an employee of a provider agency would be responsible for meeting all the Department’s requirements otherwise associated with the delivery of this service through a contracted provider agency. The individual would need to have an NPI number, be an enrolled Medicaid provider, a legal business entity in accordance with Montana Department of Revenue law and would need to meet all the DDP, State, and Federal requirements associated with operating a legal business entity in the provision of this service in the State of Montana.
1. The individual CTS worker who receives a direct payment from the Department will have a contract with he Department.
2. The individual CTS worker who subcontracts with a Child and Family service provider will have an agreement with the service provider. The content of this agreement would include all the sections and components associated with a Department contract as in #1 above.

Community Transition Services

Service Delivery Method (check each that applies):
checkbox Participant-directed as specified in Appendix E
checkbox Provider managed

Specify whether the service may be provided by (check each that applies):
checkbox Legally Responsible Person
checkbox Relative
checkbox Legal Guardian

Provider type(s):
DD service provider agency under contract with the DDP for the provision of adult residential supports
License:
Group home, assisted living and foster home licensure site references are listed elsewhere.
Other Standard:
Provider requirements for unlicensed residential sites would be found under the residential habilitation staffing requirements. This includes supports to persons in their natural homes, own apartments, or transitional living (supported living, congregate) apartments.

Provider type(s):
Person or a representative choosing to self direct with employer authority
Other Standard:
A service recipient (or the representative) choosing to self-direct with employer authority may elect to purchase community transition services and supports, in accordance with the requirements outlined in the service definition, and receive reimbursement from the FMS.

Dietician

Service Delivery Method(check each that applies):
checkbox Participant-directed as specified in Appendix E
checkbox Provider managed

Specify whether the service may be provided by (check each that applies):
checkbox Legally Responsible Person
checkbox Relative
checkbox Legal Guardian

Provider type(s):

  • DD service provider agency employing qualified nutritionists or dieticians as defined in the ARM and MCA sites in this section, under contract with the DDP
  • An agency providing nutritionist or dietician services and enrolled as a Montana Medicaid provider
  • Registered Dietician, enrolled as a Montana Medicaid provider

License:
MCA 37-21-101 through 37-21-406
Other Standard:
ARM 24.156.1301 through ARM 24.156.1308
ARM 37.34.978 and ARM 37.34.979

Provider type(s):
Licensed nutritionist, enrolled as a Montana Medicaid provider
License:
MCA 37-25-101 through 37-25-308
Other Standard:
ARM 24.156.1301 through ARM 24.156.1308
ARM 37.34.978 and ARM 37.34.979

Environmental Modifications/Adaptive Equipment

Service Delivery Method(check each that applies):
checkbox Participant-directed as specified in Appendix E
checkbox Provider managed

Specify whether the service may be provided by (check each that applies):
c Legally Responsible Person
checkbox Relative
checkbox Legal Guardian

Provider type(s):
Environmental modifications: A construction firm, qualified to perform the work
Environmental modifications: Independent Contractor qualified to perform the required work, under subcontract with a contracted DDP service provider agency
Environmental modifications: DD Service Provider contracting with the DDP, qualified to perform the work
Other Standard:
ARM 37.34.960 and 37.34.961

Provider type(s):

  • Adaptive Equipment: Independent Contractor, qualified to provide the required equipment
  • Adaptive Equipment: Enrolled Medicaid provider or legal entity capable of providing the adaptive equipment

Other Standard:
ARM 37.34.962 and 37.34.963 for services not available under the State Plan.

Provider type(s):
A person or a representative self-directing the service with employer authority
Other Standard:
A service recipient (or the representative) choosing to self-direct with employer authority may elect to purchase environmental modifications and adaptive equipment from an approved vendor, in accordance with the requirements outlined in the service definition, and receive reimbursement from the FMS.

Individual Goods and Services

Service Delivery Method (check each that applies):
checkbox Participant-directed as specified in Appendix E
checkbox Provider managed

Specify whether the service may be provided by (check each that applies):
checkbox Legally Responsible Person
checkbox Relative
checkbox Legal Guardian

Provider type(s):
Agency With a DDP Contract
Other Standard:
A qualified provider designated to either reimburse the individual for the procurement of individual goods and services, or for providing the requested goods and services is responsible for meeting all the requirements outlined in the DDP contract.

Provider type(s):
Person choosing to self-direct services with employer authority
Other Standard:
A service recipient (or the representative) choosing to self-direct with employer authority may elect to purchase goods and services, in accordance with the requirements outlined in the service definition, and receive reimbursement from the FMS.

Meals

Service Delivery Method (check each that applies):
checkbox Participant-directed as specified in Appendix E
checkbox Provider managed

Specify whether the service may be provided by (check each that applies):
checkbox Legally Responsible Person
checkbox Relative
checkbox Legal Guardian

Provider type(s):
Enrolled Medicaid provider agency licensed to deliver meals
Other Standard:
ARM 37.34.980 and 37.34.981
Program authorized as outlined in 42 USC 3030e Subpart b2, Sections 336 and 337

Provider type(s):
A person or representative self directing the service with employer authority
Other Standard:
A service recipient (or the representative) choosing to self-direct with employer authority may elect to purchase meals from an approved vendor for the service recipient, in accordance with the requirements outlined in the service definition, and receive reimbursement from the FMS.

Personal Care

Service Delivery Method (check each that applies):
checkbox Participant-directed as specified in Appendix E
checkbox Provider managed

Specify whether the service may be provided by (check each that applies):
checkbox Legally Responsible Person
checkbox Relative
checkbox Legal Guardian

Provider type(s):
Home health agency employee
License:
Agencies are licensed, bonded and insured to deliver personal care services, and enrolled as a Medicaid provider.
Other Standard:
ARM 37.34.933, ARM 37.34.934
The employer will maintain documentation verifying the direct services worker has an acceptable criminal background check.

Provider type(s):
DD service provider agency
Other Standard:
In addition to the above standards, the employee must receive training within 30 days of hire encompassing abuse reporting, client rights, client confidentiality, first aid and CPR training, and any specialized training unique to the needs of the individual, as outlined in the plan of care. Persons assisting with meds will be med certified in accordance with ARM 37.34.114.

Private Duty Nursing

Service Delivery Method (check each that applies):
checkbox Participant-directed as specified in Appendix E
checkbox Provider managed

Specify whether the service may be provided by (check each that applies):
checkbox Legally Responsible Person
checkbox Relative
checkbox Legal Guardian

Provider type(s):

  • Licensed Practical Nurse, enrolled as a Montana Medicaid provider
  • Registered Nurse, enrolled as a Montana Medicaid provider
  • DD service provider agency providing qualified RN or LPN services, as  defined in the ARM and MCA sites in this section, under contract with the DDP
  • An agency providing qualified LPN or RN services and enrolled as a Montana Medicaid provider

License:
Registered in accordance with MCA 37-8-101 through 37-8-444
Other Standard:
ARM 37.34.973 and 37.34.974 apply, ARMS 8.32.101 through 8.32.507 apply

Respiratory Therapy

Service Delivery Method (check each that applies):
checkbox Participant-directed as specified in Appendix E
checkbox Provider managed

Specify whether the service may be provided by (check each that applies):
checkbox Legally Responsible Person
checkbox Relative
checkbox Legal Guardian

Provider type(s):

  • DD service provider agency providing qualified respiratory care services, as defined in the ARM and MCA sites in this section, under contract with the DDP
  • Licensed Respiratory Care Practitioner (therapist), enrolled as a Montana Medicaid provider
  • An agency providing qualified respiratory care services and enrolled as a Montana Medicaid provider

License:
Licensed in accordance with MCA 37-28-101 through 37-28-305
Other Standard:
ARM 37.34.987 and 37.34.988
ARM 24.213.101 through 24.213.421

Transportation

Service Delivery Method (check each that applies):
checkbox Participant-directed as specified in Appendix E
checkbox Provider managed

Specify whether the service may be provided by (check each that applies):
checkbox Legally Responsible Person
checkbox Relative
checkbox Legal Guardian

Provider type(s):

  • Transportation provider agency. This agency may or may not be a dedicated transportation provider
  • Individual with a written service agreement with an agency maintaining a DDP contract

License:
Operator will have a motor vehicle license, liability insurance and proof of vehicle registration, in accordance with state laws.
Other Standard:
ARM 37.34.967 and 37.34.968. The person providing the service must be 16 or older. Payment for escort services may not be made under the transportation category. Terms of minimum liability insurance are outlined in the provider contract, under Section 16.2.1 through 16.2.3, Automobile Liability Insurance Coverage.

Personal Emergency Response System (PERS)

Service Delivery Method (check each that applies):
checkbox Participant-directed as specified in Appendix E
checkbox Provider managed

Specify whether the service may be provided by (check each that applies):
checkbox Legally Responsible Person
checkbox Relative
checkbox Legal Guardian

Provider type(s):
Person choosing to self-direct services with employer authority
Other Standard:
A service recipient (or the representative) choosing to self-direct with employer authority may elect to purchase personal emergency response goods and services, in accordance with the requirements outlined in the service definition, and receive reimbursement from the FMS.

Supports Brokerage

Service Delivery Method (check each that applies):
checkbox Participant-directed as specified in Appendix E
checkbox Provider managed

Specify whether the service may be provided by (check each that applies):
checkbox Legally Responsible Person
checkbox Relative
checkbox Legal Guardian

Provider type(s):
A person employed by the service recipient, family member or representative as specified in Appendix E
Certificate:
Persons serving as support brokers must achieve initial support broker certification. Initial support broker certification includes the demonstration of competence in abuse reporting, incident reporting, client rights, client confidentiality, fiscal management service forms and billing procedures, scheduling of direct support workers, on call and emergency back up support models, person centered planning, individualized budgeting, recruitment, hiring and firing of direct support workers, the grievance/fair hearing process, negotiating service rates, DDP funded service options and other skills and competencies as required by the Department.  

Ongoing maintenance of certification in accordance with Department requirements.

Other Standard:
Persons excluded from being employed a supports broker include parents, spouses or legal guardians of the service recipient, persons who work for agencies providing other DDP-funded supports to the service recipient and persons who function as the conservator, payee, or who have any other fiduciary responsibilities for the service recipient.

Person must be 18 years of age and pass a background check prior to employment.

Provider type(s):
A support broker employed by an agency with a DDP contract
Certificate:
Persons serving as support brokers must achieve initial support broker certification. Initial support broker certification includes the demonstration of competence in abuse reporting, incident reporting, client rights, client confidentiality, fiscal management service forms and billing procedures, scheduling of direct support workers, on call and emergency back up support models, person centered planning, individualized budgeting, recruitment, hiring and firing of direct support workers, the grievance/fair hearing process, negotiating service rates, DDP funded service options and other skills and competencies as required by the Department.  

Ongoing maintenance of certification in accordance with Department requirements.

Persons excluded from serving as a supports broker include parents, spouses or legal guardians of the service recipient, persons who work for agencies providing other (non-support broker) DDP-funded supports to the service recipient and persons who function as the conservator, payee, or who have any other fiduciary responsibilities for the service recipient.

Other Standard:
Persons excluded from serving as a supports broker include parents, spouses or legal guardians of the service recipient, persons who work for agencies providing other DDP-funded supports to the service recipient and persons who function as the conservator, payee, or who have any other fiduciary responsibilities for the service recipient.

Person must be 18 years of age and pass a background check prior to employment.

Personal Supports

Service Delivery Method (check each that applies):
checkbox Participant-directed as specified in Appendix E
checkbox Provider managed

Specify whether the service may be provided by (check each that applies):
checkbox Legally Responsible Person
checkbox Relative
checkbox Legal Guardian

Provider type(s):
A person employed by the service recipient, family member or representative as specified in Appendix E
Other Standard:
Prior to hire:
*Be 18 years of age. 
*Pass a background check.
Within 30 days of hire:
Receive training in abuse reporting, incident reporting, client rights, client confidentiality, service documentation requirements and other competencies as required by the department.
*medication certification (if required).
*completion of a first aid course.  
*training in areas specific to the needs of the individual, as outlined in the plan of care.     
*any other training requirements as outlined by the Department.

Live-in Caregiver (42 CFR §441.303(f)(8))

Service Delivery Method (check each that applies):
checkbox Participant-directed as specified in Appendix E
checkbox Provider managed

Specify whether the service may be provided by (check each that applies):
checkbox Legally Responsible Person
checkbox Relative
checkbox Legal Guardian

Provider type(s):
DD service provider agency under contract with the DDP
Other Standard:
The service requirements outlined in ARM 37.34.937 through 37.34.942 shall apply. The staffing rule as outlined in ARM 37.34.2107. The individual will receive training within 30 days of hire including:  abuse reporting, incident reporting, client rights, client confidentiality and first aid training, College of Direct Support training, CPR training and any specialty training relating to the need of the individual served, as outlined in the plan of care. Persons assisting with meds will be certified in accordance with ARM 37.34.114. In addition, the employer will maintain documentation verifying the person providing direct client services has an acceptable criminal background check. Persons providing residential habilitation as a live in caregiver must be at least 18 years of age.

Page last updated 02/27/2012