Montana 1915(c) Home and Community Based Services (HCBS) Medicaid Waivers

& Concurrent 1915(b)(4) Selective Contracting Waivers

 

History and Background

Since the inception of the Medicaid program in 1965, care provided in Skilled Nursing Facilities has been a covered service.  With the addition of certain optional services in 1972, many states have covered services in other institutional settings such as Intermediate Care Facilities for Persons with Intellectual Disabilities (ICF/ID).  During this time, institutional care was often the only choice for persons with disabilities.  In 1981, Section 1915(c) of the Social Security Act was established, which allowed states the opportunity to provide optional Medicaid services to individuals with disabilities in their own homes and communities as an alternative to institutional care.

Since that time, HCBS has been provided in a wide variety of settings, many which are truly integrated in the community. Below are descriptions of Montana’s HCBS waivers.

1915(b) waivers that operate concurrently with 1915(c) waivers allow states to limit choice of providers when this is deemed more efficient.

Developmental Services Division

 

1915(c) HCBS Comprehensive Waiver for Individuals with Developmental Disabilities (DD)

No waiver amendment - pending CMS approval.

Current approved waiver:

Currently approved 1915(c) Comprehensive Waiver

 

1915(c) HCBS Children’s Autism Waiver

No waiver amendment - pending CMS approval.

Current approved waiver:

Currently approved 1915(c) Autism Waiver

 

1915(b)(4) Concurrent Autism Evaluation Services Review Waiver

No waiver amendment - pending CMS approval.

Current approved waiver:

Currently approved 1915(b)(4) Autism Evaluation Waiver

 

Addictive and Mental Disorders Division
 

1915(c) HCBS Waiver for Individuals with Severe Disabling Mental Illness (SDMI)

Currently pending waiver amendment:

Current approved waiver:

Currently approved 1915(c) SDMI Waiver

 

1915(b)(4) Concurrent Selective Contracting Waiver for Individuals with Severe Disabling Mental Illness (SDMI)

No waiver amendment - pending CMS approval.

Current approved waiver:

Currently approved 1915(b)(4) SDMI Selective Contracting Waiver

 

Senior and Long Term Care Division

 

1915(c) HCBS Big Sky Waiver for the Elderly and Individuals with Disabilities

Waiver amendment - pending CMS approval:

Current approved waiver:

Currently approved 1915(c) Big Sky Waiver

 

1915(b)(4) Big Sky Case Management Waiver for the Elderly and Individuals with Disabilities

No waiver amendment - pending CMS approval.

Current approved waiver:

Currently approved 1915(b)(4) Big Sky Case Management Waiver

 

Federal Policy Guidance

Requests for additional information on waivers can be submitted to:

Department of Public Health and Human Services, Director’s Office
111 North Sanders Street, PO Box 4210, Helena MT 59604
c/o Mary Eve Kulawik
Phone: (406) 444-2584
Fax: (406) 444-1970
Email: mkulawik@mt.gov