DDP 0371 Community Supports Waiver Overview
Montana’s Community Supports Waiver (0371) is a funding source under
the Developmental Disabilities Program (DDP) that was originally approved
by the Centers for Medicare and Medicaid (CMS) effective on 09/01/2001.
This Medicaid waiver was designed to serve individuals with developmental disabilities
who have waiver-funded service needs that can be met in a community setting for
$7,800 or less per year. The dollar cap for Community Supports services may be
exceeded in specific circumstances, which include situations in which a waiver
recipient’s needs include private duty nursing, one time only crisis supports
funds needed within a specific fiscal year, or exceptional transportation expenses
needed within a specific fiscal year. Persons who receive services under this
waiver often live in their family home and frequently their caregiving is provided
largely by unpaid family members. Other persons who receive the limited services
that this waiver provides are persons who have most of the skills to live alone
or with an unpaid roommate but who still require modest levels of support or
supervision.
Services provided to an individual under the Community Supports Waiver could include services from the following categories:
- homemaker
- personal care
- respite
- residential habilitation
- day habilitation
- supported employment
- environmental modifications/adaptive equipment
- transportation
- specialized medical equipment and supplies
- adult companion
- private duty nursing
- social/leisure/recreation
- health/health safety/health maintenance
- health safety
- health maintenance
- educational supports
Persons eligible for the Community Supports Waiver are placed on a waiting list for services until a service opening becomes available. In order to be eligible to receive services under this waiver, a person must be at least 18 years of age, must meet the Montana State Medicaid Plan definition of developmental disability, must have specialized services needs, and must be eligible for Medicaid.
Approximately 270 Montanans are served under the Community Supports waiver. Community Supports services are delivered by agencies with a DDP contract, or by qualified persons who subcontract with agencies with a DDP contract.


