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

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

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

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

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

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

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

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

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

Specify whether the service may be provided by (check each that applies):
Legally Responsible Person
 Relative
 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 workers serving as employees of persons self-directing respite with employer authority must complete the requirements of a first aid course, and pass a background check, if one is requested by their employer. 

Licensed adult day center settings with a DDP contract may be reimbursed directly by the DDP, or may be reimbursed via another agency with a DDP contract under the OHCDS provision. In this event, the respite reimbursement paid by the Department will not exceed the currently approved rate for the service. Administrative Rules of Montana governing the licensure of adult day care centers are found at ARM 37.106.2601 through ARM 37.106.2621. Licensure of these setting is the responsibility of the DPHHS Quality Assurance Division.

Provider type(s)
The respite worker is the employee of the person designated as the employer for persons self-directing services with employer authority

Other Standard:
*The person is subject to a background check at the request of the employer.
*The person must pass the requirements of a first aid course. 
*The person must be at least 16 years of age.

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

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

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

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

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

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

Provider type(s)
Agency with a DDP contract

Other Standard:
Education related goods and services will be purchased from and provided by legal entities or employees of legal entities or contracted providers. Reimbursement for education related goods and services will be made to agencies contracting with the DDP. 

Providers of educational services must be deemed qualified by the planning team and the specific services must be outlined in the plan of care. The provider will have the appropriate business license. Educational products will meet the appropriate product standards.

Provider type(s)
Person 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 services and supports, in accordance with the requirements outlined in the service definition, and receive reimbursement from the FMS.

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

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

Provider type(s)

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

Other Standard:

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

Provider type(s)

• 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
• Environmental modifications: Independent Contractor qualified to perform the required work, under subcontract with a contracted DDP service provider agency

Other Standard:
ARM 37.34.960 and 37.34.961

Provider type(s)
Person who self directs the service with employer authority

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

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

Specify whether the service may be provided by (check each that applies):
 Legally Responsible Person
 Relative
 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 who is 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 services and supports, in accordance with the requirements outlined in the service definition, and receive reimbursement from the FMS.

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

Specify whether the service may be provided by (check each that applies):
Legally Responsible Person
 Relative
 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 who is 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 services and supports, in accordance with the requirements outlined in the service definition, and receive reimbursement from the FMS.

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

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

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

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

Provider type(s)
Agency with a DDP contract

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.

If transportation is involved in the provision of services, the transportation requirements outlined in ARM 37.34.967 and 37.34.968 will apply. Person providing service must be 16 or older.

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

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

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

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

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.

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

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

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

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

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

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