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Community Services

Montana Big Sky Home and Community Based Services Program

(aka Medicaid Waiver Program)

The Home and Community Based Services program allows people, who would otherwise be institutionalized, to live in their own home and community. The services are made available through the Department of Public Health & Human Services (DPHHS) and the Senior and Long Term Care Division (SLTC).

Copy of the Federally Approved Waiver MT.0148.R05.00

HCBS Services

Case Management Team's (CMT) consist of a nurse and social worker and provide a holistic approach to care planning. They look at each individual’s medical and psychosocial needs and then develop a plan of care based on the person’s needs and choices. Each Case Management Team has a fixed number of individuals they can serve per year. The following are examples of services that may be available through HCBS:

  • Adult Residential Living 
  • Adult Day Health
  • Case Management
  • Chemical Dependency Counseling 
  • Dietician
  • Environmental Adaptations
  • Habilitation Services
  • Homemaker Services 
  • Nutrition
  • Personal Assistance
  • PERS
  • Private Duty Nursing
  • Psychosocial Consultation
  • Respiratory Therapy
  • Respite Care
  • Special Child Care 
  • Transportation 
  • Therapies (OT, PT, Speech)
  • Specially Trained Attendant
  • Specialized medical equipment and supplies
  • Services for Individuals with Traumatic Brain Injury 

Eligibility for Home and Community Based Services

To qualify for the HCBS Program, a recipient must be financially eligible for Medicaid and meet the minimum level of care requirements for nursing facility placement. Individuals must have an unmet need that can only be resolved through a home & community based service in order to qualify for the program. Currently, there are waiting lists for HCBS Services.

Where do I find assisted living and other health care facilities ?

Regulated Health Care Facilities These facility lists has been compiled by the Licensure Bureau of the Quality Assurance Division. Because the information herein contained is otherwise open to public inspection, dissemination of this list does not violate the provisions of 2-6-109, Montana Code Annotated, which prohibits state agencies from distributing any mailing list without first securing the permission of those who are a part of the list. It is not the intent of the Licensure Bureau that this list be used for any unsolicited commercial activity.

How to apply for HCBS?

To make a referral for Home & Community Based Services contact the Mountain Pacific Quality Health Foundation at 1-800-219-7035.

Eligibility specialists at your County Office of Public Assistance (OPA office) can determine Medicaid eligibility.