These videos give an overview of the various Home and Community-Based Services (HCBS) available in Montana for providers who want to learn how to start or operate an HCBS agency in the state. Each video explains the purpose of the service, provider requirements, licensing process, and how the program functions. Use these videos to better understand the responsibilities, standards, and steps involved in becoming or working with approved HCBS providers in Montana. Explore each section to find the service that best matches your goals or area of interest.
Respite Care
RESPITE CARE SERVICES PROVIDER IN MONTANA
PROVIDING TEMPORARY RELIEF TO CAREGIVERS WHILE ENSURING SAFE, COMPASSIONATE SUPPORT FOR INDIVIDUALS WITH DISABILITIES OR COMPLEX NEEDS
Respite Care Services in Montana offer short-term, temporary relief to unpaid primary caregivers of individuals with disabilities, chronic conditions, or age-related needs. These services help maintain caregiver well-being while ensuring that the individual continues to receive quality care. Respite care can be provided in-home, in the community, or at licensed out-of-home facilities through Montana’s Home and Community-Based Services (HCBS) Waivers.
1. GOVERNING AGENCIES
Agency: Montana Department of Public Health and Human Services (DPHHS)
Role: Administers Medicaid and HCBS Waiver programs, including funding for respite care services
Agency: Montana Department of Labor and Industry (DLI)
Role: Oversees licensing and compliance for respite care providers
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and ensures waiver compliance
2. RESPITE CARE SERVICE OVERVIEW
Respite Care Services offer caregivers a temporary break while ensuring that individuals continue to receive appropriate care and supervision. Respite may be planned or offered during emergencies and is based on the needs defined in the Individual Service Plan (ISP) or Person-Centered Plan (PCP). Approved providers may deliver:
In-home respite (care provided in the individual’s home)
Out-of-home respite (licensed facility or community setting)
Supervision, personal care, and basic support during the caregiver’s absence
Short-term behavioral support or companionship
Documentation of service dates, hours, and individual well-being
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Montana Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Medicaid provider with the Montana Department of Public Health and Human Services
Obtain a Respite Care License from the Montana Department of Labor and Industry
Maintain liability insurance and documentation of staff qualifications
4. MEDICAID PROVIDER ENROLLMENT PROCESS
Step 1: Pre-Application Contact
Contact the Montana Department of Public Health and Human Services for respite care provider requirements
Step 2: Application Submission
Submit business registration, liability insurance, and service descriptions
Step 3: License Verification
Obtain and verify the Respite Care License
Step 4: Approval and Medicaid Number Assignment
Once approved, receive a Medicaid provider number and authorization to provide services
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business Name Registration
IRS EIN Letter
NPI confirmation
Respite Care License
Liability insurance certificate
Policy & procedure manual including:
Client intake and caregiver communication protocols
Daily service logs and emergency contact procedures
Medication reminder documentation (no medication administration unless licensed)
Client rights, grievance policy, and confidentiality protections
Staff qualifications, supervision logs, and training documentation
Service authorization and billing procedures
6. STAFFING REQUIREMENTS
Role: Respite Care Supervisor / Program Manager
Requirements: Background in caregiving, social services, or human development; experience in supervision preferred
Role: Respite Care Worker / In-Home Aide
Requirements:
High school diploma or equivalent
TB clearance, background check, and fingerprinting
CPR/First Aid certification
Training Requirements:
Client safety, abuse prevention, and emergency response
Confidentiality and cultural sensitivity
Documentation and communication with families
Annual refreshers on ethics, privacy, and client rights
7. MEDICAID WAIVER SERVICES
Respite Care Services in Montana are available through:
Big Sky Waiver (BSW)
Community First Choice/Personal Assistance Services (CFC/PAS)
Medicaid Home Health Services
Approved providers may deliver:
Scheduled or emergency respite care in the home or community
Supervision and support consistent with the individual’s PCP or ISP
Documentation and coordination with service coordinators
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Medicaid Provider Enrollment
Timeline: 60–90 days
Phase: Staff Hiring and Training
Timeline: 30–45 days
Phase: Facility/Equipment Setup
Timeline: 2–4 weeks
9. CONTACT INFORMATION
Montana Department of Public Health and Human Services (DPHHS)
Website: https://dphhs.mt.gov
Montana Department of Labor and Industry (DLI)
Website: https://dli.mt.gov
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — MONTANA RESPITE CARE SERVICES PROVIDER
We support agencies and entrepreneurs in launching compliant Respite Care Services across Montana under the HCBS Waiver models.
Scope of Work:
Business registration and licensing assistance
Medicaid provider enrollment
Policy & procedure manual for respite care operations
Templates for service logs, emergency plans, and family communication
Website, domain, and email setup
Staff credentialing trackers and supervision logs
Client intake packet and consent forms
Incident reporting systems and audit preparation tools
Referral networking with healthcare professionals and community agencies
Residential Support
RESIDENTIAL SUPPORT SERVICES PROVIDER IN MONTANA
CREATING SAFE, PERSON-CENTERED LIVING ENVIRONMENTS FOR INDIVIDUALS WITH DISABILITIES AND LONG-TERM SUPPORT NEEDS
Residential Support Services in Montana provide 24-hour or intermittent assistance in licensed or certified living environments for individuals with developmental disabilities, chronic medical conditions, or behavioral health needs. These services are designed to help individuals live as independently as possible while receiving the supervision, skill-building, and personal care they need. Residential supports are offered under Montana Medicaid’s Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: Montana Department of Public Health and Human Services (DPHHS)
Role: Oversees Medicaid waivers, provider enrollment, and residential services licensing through the Developmental Disabilities Program (DDP) and Senior & Long Term Care Division.
Agency: Montana Developmental Disabilities Program (DDP)
Role: Administers the 1915(c) DD waiver and authorizes residential support for individuals with intellectual and developmental disabilities (IDD).
Agency: Montana Senior and Long Term Care Division (SLTC)
Role: Oversees residential options for older adults and adults with physical disabilities through the Big Sky Waiver and Community First Choice (CFC).
Agency: Centers for Medicare & Medicaid Services (CMS)**
Role: Provides federal oversight for Medicaid-funded residential services and ensures HCBS compliance.
2. RESIDENTIAL SUPPORT SERVICES OVERVIEW
Residential Support Services help individuals live in their own homes, shared settings, or provider-managed group homes with necessary supports in place.
Approved providers may deliver:
24-Hour Residential Habilitation: Round-the-clock supervision and support in licensed group settings.
Supported Living: Scheduled, intermittent assistance in the individual's own apartment or home.
Intensive Behavioral Residential Support: Structured care environments for individuals with high behavioral needs.
Skill-Building and ADL Support: Help with cooking, cleaning, dressing, budgeting, and personal hygiene.
Health Monitoring and Medication Assistance: Administering or observing medication, managing medical appointments.
Community Integration: Encouraging participation in activities, work, and recreation.
Transportation Coordination: Assistance with transportation to services and activities.
Documentation: Service delivery logs, incident reports, care plans, and billing documentation.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business with the Montana Secretary of State.
Obtain an EIN from the IRS and NPI (Type 2).
Apply for provider enrollment through DPHHS (DDP or SLTC depending on target population).
Obtain licensure or certification as a Residential Habilitation or Community Services Provider.
Maintain liability insurance and worker’s compensation coverage.
Develop policy manuals covering supervision, personal care, medication management, and emergency protocols.
Ensure all staff complete background checks, CPR/First Aid, and required habilitation training.
4. MONTANA PROVIDER ENROLLMENT PROCESS
Initial Application:
Complete provider application and waiver service selection via the DPHHS Provider Services Portal.
Documentation Submission:
Submit articles of incorporation, service descriptions, policies, insurance, staff credentials, and program manuals.
Program Readiness Review:
DPHHS or regional offices conduct a review of site readiness, staff training, service capacity, and compliance procedures.
Licensing & Medicaid Approval:
Upon successful review, providers receive certification/licensure and Medicaid billing authorization.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN and NPI confirmation
Proof of liability and workers' compensation insurance
Residential Support Services Policy & Procedure Manual including:
Supervision and personal care protocols
Medication administration and health monitoring policies
Staff credentialing, training logs, and job descriptions
Incident reporting and behavior support plan guidelines
Fire and emergency preparedness plans
HIPAA and participant rights protections
Medicaid billing and documentation templates
Quality assurance and grievance handling protocols
6. STAFFING REQUIREMENTS
Role: Program Administrator
Requirements: Experience managing residential programs; knowledge of Montana Medicaid waiver services and DPHHS regulations.
Role: Direct Support Professionals (DSPs)
Requirements: High school diploma or GED; background check clearance; CPR/First Aid certification; completion of DDP or SLTC-required training.
Role: House Manager / Site Supervisor
Requirements: Leadership experience in residential settings; ability to oversee scheduling, documentation, and staffing.
Role: Licensed Nurse (if medication administration or skilled care required)**
Requirements: Montana RN or LPN license; supports delegated nursing tasks and health care coordination.
All staff must complete:
Individualized training based on participant needs and service plans
Rights-based education and HIPAA compliance
Annual training updates and performance evaluations
Crisis prevention, de-escalation, and emergency response training
7. MEDICAID WAIVER PROGRAMS
Residential Support Services in Montana are available through:
1915(c) DD Waiver – for individuals with intellectual or developmental disabilities
Big Sky Waiver (BSW) – for seniors and adults with physical disabilities
Community First Choice (CFC) – limited in-home residential assistance
State Plan Personal Assistance – supplemental support with ADLs
8. TIMELINE TO LAUNCH
Phase: Business Formation & Policy Development
Timeline: 1–2 months
Phase: Staff Hiring, Training & Licensing Prep
Timeline: 2–3 months
Phase: DPHHS Application & On-Site Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup & Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Montana Department of Public Health and Human Services (DPHHS)
Website: https://dphhs.mt.gov
Montana Developmental Disabilities Program (DDP)
Website: https://dphhs.mt.gov/dsd/developmentaldisabilities
Senior and Long Term Care Division (SLTC)
Website: https://dphhs.mt.gov/sltc
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — MONTANA RESIDENTIAL SUPPORT SERVICES PROVIDER
WCG supports agencies launching Medicaid-compliant Residential Support Services in Montana, including:
Scope of Work:
Business formation, DPHHS enrollment, and Medicaid certification
Policy manual creation tailored to residential habilitation and community integration
Staff credentialing tools, training resources, and compliance checklists
Medicaid billing setup, care plan documentation templates, and quality assurance systems
Branding, website design, and partnership-building with case managers and regional offices
Ongoing consulting for audit preparation, staff retention, and waiver compliance tracking
Personal Care
PERSONAL CARE SERVICES PROVIDER IN MONTANA
SUPPORTING INDEPENDENCE BY ASSISTING WITH DAILY LIVING ACTIVITIES FOR INDIVIDUALS WITH DISABILITIES OR CHRONIC CONDITIONS
Personal Care Services in Montana provide essential assistance to individuals who require help with activities of daily living (ADLs) and instrumental activities of daily living (IADLs) due to disabilities, chronic conditions, or aging. These services help individuals maintain independence and quality of life within their home environments. Personal Care Services are available under Montana’s Home and Community-Based Services (HCBS) Waivers.
1. GOVERNING AGENCIES
Agency: Montana Department of Public Health and Human Services (DPHHS)
Role: Administers Medicaid and HCBS Waiver programs, including personal care services
Agency: Montana Department of Labor and Industry (DLI)
Role: Oversees licensing and compliance for healthcare service providers
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and ensures waiver compliance
2. PERSONAL CARE SERVICE OVERVIEW
Personal Care Services help individuals with essential daily activities to ensure safety and comfort. Services are tailored according to the Individual Service Plan (ISP) or Person-Centered Plan (PCP) and may include:
Assistance with personal hygiene (bathing, grooming, dressing)
Mobility support and transfer assistance
Meal preparation and feeding support
Medication reminders (no medication administration)
Light housekeeping and laundry
Escort services to medical appointments
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Montana Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Medicaid provider with the Montana Department of Public Health and Human Services
Obtain a Personal Care Services License from the Montana Department of Labor and Industry
Maintain liability insurance and staff qualification documentation
4. MEDICAID PROVIDER ENROLLMENT PROCESS
Step 1: Pre-Application Contact
Contact the Montana Department of Public Health and Human Services for provider requirements
Step 2: Application Submission
Submit business registration, personal care license, liability insurance, and service descriptions
Step 3: License Verification
Obtain and verify the Personal Care Services License
Step 4: Approval and Medicaid Number Assignment
Once approved, receive a Medicaid provider number and authorization to provide services
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business Name Registration
IRS EIN Letter
NPI confirmation
Personal Care Services License
Liability insurance certificate
Policy & procedure manual including:
Client intake and assessment procedures
Personal care service planning and scheduling
Safety and hygiene protocols
Documentation and service logs
Staff training and supervision records
6. STAFFING REQUIREMENTS
Role: Personal Care Services Administrator
Requirements: Experience in healthcare administration or personal care management
Role: Personal Care Aide (PCA)
Requirements:
High school diploma or equivalent
CPR/First Aid certification
Background check and TB clearance
Training Requirements:
Personal care techniques and safety protocols
Infection control and hygiene practices
Client communication and support strategies
Emergency response and first aid
7. MEDICAID WAIVER SERVICES
Personal Care Services in Montana are available through:
Big Sky Waiver (BSW)
Community First Choice/Personal Assistance Services (CFC/PAS)
Medicaid Home Health Services
Approved providers may deliver:
Personal care assistance at home
Support with daily living activities
Mobility and safety monitoring
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Medicaid Provider Enrollment
Timeline: 60–90 days
Phase: Staff Hiring and Training
Timeline: 30–45 days
Phase: Facility Setup and Compliance Review
Timeline: 2–4 weeks
9. CONTACT INFORMATION
Montana Department of Public Health and Human Services (DPHHS)
Website: https://dphhs.mt.gov
Montana Department of Labor and Industry (DLI)
Website: https://dli.mt.gov
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — MONTANA PERSONAL CARE SERVICES PROVIDER
We support agencies and entrepreneurs in launching compliant Personal Care Services across Montana under the HCBS Waiver models.
Scope of Work:
Business registration and licensing assistance
Medicaid provider enrollment
Policy & procedure manual for personal care operations
Templates for client care plans and service logs
Website, domain, and email setup
Staff credentialing and training documentation
Client intake packet and service assessment forms
Risk management and safety protocols
Referral networking with healthcare providers and community organizations
Rehabilitation
REHABILITATION SERVICES PROVIDER IN MONTANA
SUPPORTING RECOVERY AND INDEPENDENCE THROUGH REHABILITATION SERVICES
Rehabilitation Services in Montana assist individuals with disabilities, injuries, or chronic conditions to improve their physical, cognitive, and social functioning. These services promote recovery, enhance independence, and support community integration. Rehabilitation Services are authorized under Montana Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: Montana Department of Public Health and Human Services (DPHHS)
Role: Administers Medicaid waiver funding for Rehabilitation Services and manages provider enrollment, service authorization, and reimbursement.
Agency: Developmental Disabilities Program (DDP) within DPHHS
Role: Oversees quality standards, service delivery, and compliance for Rehabilitation Services within HCBS waiver programs.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Rehabilitation Services meet HCBS quality, person-centered planning, and participant protection standards.
2. REHABILITATION SERVICES OVERVIEW
Rehabilitation Services support individuals recovering from injuries, living with disabilities, or managing chronic conditions by providing therapeutic interventions and skill development.
Approved providers may deliver:
Physical Rehabilitation: Therapy to improve mobility, strength, and physical function.
Occupational Therapy: Assistance with daily living skills and functional tasks.
Speech-Language Therapy: Improving communication, swallowing, and cognitive skills.
Behavioral Rehabilitation: Addressing behavioral challenges and promoting adaptive skills.
Social and Community Integration: Facilitating community participation and social engagement.
Cognitive Rehabilitation: Enhancing memory, problem-solving, and independent living skills.
All rehabilitation services are customized to the participant’s Individualized Service Plan (ISP) and adhere to Medicaid waiver guidelines.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business entity with the Montana Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Rehabilitation provider via the Montana Medicaid Provider Enrollment Portal.
Maintain general liability and professional liability insurance.
Obtain applicable professional licenses (e.g., Physical Therapist, Occupational Therapist) as required by Montana state law.
Develop policies for rehabilitation planning, progress tracking, and service documentation.
Ensure staff meet health screenings, background checks, and relevant training requirements.
4. MONTANA PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Complete the Provider Enrollment Application through the Montana Medicaid Provider Enrollment Portal for Rehabilitation Services under HCBS waivers.
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, professional licenses, insurance certificates, and staff qualifications.
Program Readiness Review:
DPHHS evaluates provider readiness, including staff credentials, therapeutic protocols, and safety procedures.
Approval & Medicaid Enrollment:
Upon approval, providers are authorized to bill Medicaid for Rehabilitation Services using designated billing codes.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Montana Secretary of State)
IRS EIN confirmation
NPI confirmation
Professional licenses (e.g., PT, OT, Speech Therapy certifications)
Proof of general and professional liability insurance
Rehabilitation Services Policy & Procedure Manual including:
Assessment and therapy planning protocols
Safety and risk management procedures
Documentation standards and progress tracking
Staff credentialing, training, and continuing education records
HIPAA compliance and participant rights policies
Medicaid billing practices and audit readiness
6. STAFFING REQUIREMENTS
Role: Rehabilitation Program Director
Requirements: Licensed therapist (PT, OT, or Speech Therapist); experience in program management preferred.
Role: Rehabilitation Therapists (PT, OT, SLP)
Requirements: State licensure, CPR/First Aid certification, specialized training in rehabilitation techniques; background clearance.
All staff must complete:
Therapeutic interventions and safety training
HIPAA compliance and documentation training
Ongoing professional development and competency assessments
Annual safety and infection control training
7. MEDICAID WAIVER PROGRAMS
Rehabilitation Services are available under the following Montana Medicaid Waivers:
Comprehensive Waiver for Individuals with Developmental Disabilities
Big Sky Waiver (Aged and Disabled)
Traumatic Brain Injury (TBI) Waiver
Children's Autism Waiver
Community Supports Waiver for Adults with Physical Disabilities
Services may include:
Physical and occupational therapy to enhance mobility and function
Speech and language therapy to improve communication and cognition
Behavioral rehabilitation to develop adaptive skills
Social integration and community involvement activities
Ongoing evaluation and progress tracking
8. TIMELINE TO LAUNCH
Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: Montana Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Rehabilitation Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Montana Department of Public Health and Human Services (DPHHS)
Website: https://dphhs.mt.gov/
Developmental Disabilities Program (DDP) — DPHHS
Website: https://dphhs.mt.gov/dsd/developmentaldisabilities
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — MONTANA REHABILITATION SERVICES PROVIDER
WCG assists healthcare providers, rehabilitation centers, and community agencies in launching Medicaid-compliant Rehabilitation Services in Montana.
Scope of Work:
Business registration, Medicaid enrollment, and licensing assistance
Policy manual development for therapy and rehabilitation services
Staff credentialing support and training program templates
Medicaid billing system setup and audit-prepared claims management
Branding, website development, and outreach strategies
Quality assurance systems for compliance and documentation
Networking with healthcare providers for referral opportunities
Traumatic Brain Injury
TRAUMATIC BRAIN INJURY (TBI) SERVICES PROVIDER IN MONTANA
SUPPORTING RECOVERY AND INDEPENDENCE FOR INDIVIDUALS WITH BRAIN INJURIES THROUGH SPECIALIZED CARE
Traumatic Brain Injury (TBI) Services in Montana provide comprehensive support for individuals who have sustained brain injuries, focusing on rehabilitation, community integration, and enhancing daily functioning. These services aim to improve quality of life, promote independence, and support community engagement. TBI Services are authorized under Montana Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: Montana Department of Public Health and Human Services (DPHHS)
Role: Administers Medicaid waiver funding for TBI Services and manages provider enrollment, service authorization, and reimbursement.
Agency: Brain Injury Alliance of Montana (BIAMT)
Role: Supports providers with resources, advocacy, and training related to brain injury care and community integration.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded TBI Services meet HCBS quality, person-centered planning, and participant protection standards.
2. TBI SERVICES OVERVIEW
Traumatic Brain Injury Services assist individuals who have experienced brain trauma, helping them regain functional abilities and reintegrate into the community.
Approved providers may deliver:
Rehabilitation Therapy: Physical, occupational, and speech therapy to restore functional abilities.
Cognitive Rehabilitation: Addressing memory, problem-solving, and executive function challenges.
Behavioral Support: Managing changes in mood, behavior, and coping strategies.
Community Reintegration: Assisting with social skills, community access, and vocational training.
Personal Assistance: Support with daily activities, personal care, and health monitoring.
Family Education: Training family members to understand and support the individual’s needs.
All services are delivered in accordance with the Individualized Service Plan (ISP), emphasizing safety, autonomy, and rehabilitation.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business entity with the Montana Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver TBI Services provider via the Montana Medicaid Provider Enrollment Portal.
Obtain necessary professional licenses (e.g., Physical Therapist, Occupational Therapist, Behavioral Specialist).
Maintain general liability and professional liability insurance.
Develop comprehensive policies for safety, rehabilitation planning, and documentation.
Ensure staff meet background checks, health screenings, and specialized TBI care training.
4. MONTANA PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Complete the Provider Enrollment Application through the Montana Medicaid Provider Enrollment Portal for TBI Services under HCBS waivers.
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, professional licenses, insurance certificates, and staff qualifications.
Program Readiness Review:
DPHHS evaluates provider readiness, including therapeutic approaches, safety protocols, and staff qualifications.
Approval & Medicaid Enrollment:
Upon approval, providers are authorized to bill Medicaid for TBI Services using designated billing codes.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Montana Secretary of State)
IRS EIN confirmation
NPI confirmation
Professional licenses (e.g., PT, OT, Behavioral Specialist)
Proof of general and professional liability insurance
TBI Services Policy & Procedure Manual including:
Rehabilitation and therapy protocols
Cognitive support and behavioral intervention guidelines
Safety procedures and risk management
Documentation standards for progress tracking and Medicaid billing
Staff credentialing, background checks, and ongoing training records
HIPAA compliance, participant rights, and grievance handling
Emergency preparedness and crisis management policies
6. STAFFING REQUIREMENTS
Role: TBI Program Director
Requirements: Master’s degree in rehabilitation sciences, healthcare, or a related field; supervisory experience; specialized training in brain injury care.
Role: Rehabilitation Therapists (PT, OT, SLP)
Requirements: State licensure, professional certifications, CPR/First Aid certification; training in TBI care; background clearance.
Role: Behavioral Support Specialists
Requirements: Certification in behavioral health or psychology; experience with brain injury rehabilitation; background clearance.
All staff must complete:
TBI-specific rehabilitation and care training
HIPAA and participant rights education
Crisis intervention and behavioral management training
Annual competency evaluations and ongoing professional development
7. MEDICAID WAIVER PROGRAMS
TBI Services are available under the following Montana Medicaid Waivers:
Traumatic Brain Injury (TBI) Waiver
Big Sky Waiver (Aged and Disabled)
Comprehensive Waiver for Individuals with Developmental Disabilities
Community Supports Waiver for Adults with Physical Disabilities
Children's Autism Waiver (if applicable)
Services may include:
Physical and occupational therapy to enhance mobility and function
Cognitive therapy to support problem-solving and memory skills
Behavioral support to manage mood and coping challenges
Social skills training for community participation
Personal care assistance and health monitoring
8. TIMELINE TO LAUNCH
Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: Montana Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and TBI Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Montana Department of Public Health and Human Services (DPHHS)
Website: https://dphhs.mt.gov/
Brain Injury Alliance of Montana (BIAMT)
Website: https://www.biamt.org/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — MONTANA TBI SERVICES PROVIDER
WCG assists healthcare providers and rehabilitation centers in launching Medicaid-compliant TBI Services in Montana.
Scope of Work:
Business registration, Medicaid enrollment, and licensing support
Policy manual development for brain injury care and rehabilitation
Staff credentialing and training program templates
Medicaid billing system setup and audit-prepared financial management
Branding, website development, and outreach strategies
Quality assurance systems for safety monitoring and compliance
Collaboration with brain injury advocacy groups and community resources
Assistive Technology
ASSISTIVE TECHNOLOGY SERVICES PROVIDER IN MONTANA
ENHANCING INDEPENDENCE THROUGH TECHNOLOGICAL SOLUTIONS FOR DAILY LIVING AND COMMUNICATION
Assistive Technology Services in Montana provide individuals with disabilities access to specialized devices and technologies that support independence, communication, mobility, and safety. These services are designed to enhance quality of life and enable individuals to participate more fully in their communities. Assistive Technology Services are available under Montana’s Home and Community-Based Services (HCBS) Waivers.
1. GOVERNING AGENCIES
Agency: Montana Department of Public Health and Human Services (DPHHS)
Role: Administers Medicaid and HCBS Waiver programs, including assistive technology services
Agency: Montana Department of Labor and Industry (DLI)
Role: Oversees licensing and compliance for healthcare and technology providers
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and ensures waiver compliance
2. ASSISTIVE TECHNOLOGY SERVICE OVERVIEW
Assistive Technology Services focus on providing and maintaining devices that assist individuals in their daily lives. Services are tailored according to the Individual Service Plan (ISP) or Person-Centered Plan (PCP) and may include:
Communication devices (e.g., speech-generating devices, text-to-speech systems)
Mobility aids (e.g., powered wheelchairs, stair lifts)
Sensory aids (e.g., hearing aids, visual assistance tools)
Environmental controls (e.g., smart home adaptations, adaptive switches)
Adaptive software and computer access tools
Training and support on device usage and maintenance
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Montana Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Medicaid provider with the Montana Department of Public Health and Human Services
Obtain Durable Medical Equipment (DME) Supplier License if applicable
Maintain liability insurance and documentation of device safety standards
4. MEDICAID PROVIDER ENROLLMENT PROCESS
Step 1: Pre-Application Contact
Contact the Montana Department of Public Health and Human Services to understand assistive technology provider requirements
Step 2: Application Submission
Submit business registration, DME license (if required), liability insurance, and service descriptions
Step 3: Compliance Verification
Ensure devices meet state and federal safety standards
Step 4: Approval and Medicaid Number Assignment
Once approved, receive a Medicaid provider number and authorization to deliver services
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business Name Registration
IRS EIN Letter
NPI confirmation
DME Supplier License (if applicable)
Liability insurance certificate
Policy & procedure manual including:
Client intake and assessment protocols
Device procurement and quality assurance procedures
User training and support documentation
Maintenance and repair logs
Staff training and certification records
6. STAFFING REQUIREMENTS
Role: Assistive Technology Coordinator
Requirements: Experience in rehabilitation technology or assistive device services
Role: Technician / Device Specialist
Requirements:
Technical training in device setup and maintenance
Background check and clean driving record
Training Requirements:
Safe installation and device configuration
Client training on usage and maintenance
Safety and risk management
Documentation and compliance protocols
7. MEDICAID WAIVER SERVICES
Assistive Technology Services in Montana are available through:
Big Sky Waiver (BSW)
Community First Choice/Personal Assistance Services (CFC/PAS)
Medicaid Home Health Services
Approved providers may deliver:
Assessment and customization of assistive devices
Training on device usage and maintenance
Ongoing support and equipment upgrades
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Medicaid Provider Enrollment
Timeline: 60–90 days
Phase: Staff Hiring and Training
Timeline: 30–45 days
Phase: Device Procurement and Safety Compliance
Timeline: 2–4 weeks
9. CONTACT INFORMATION
Montana Department of Public Health and Human Services (DPHHS)
Website: https://dphhs.mt.gov
Montana Department of Labor and Industry (DLI)
Website: https://dli.mt.gov
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — MONTANA ASSISTIVE TECHNOLOGY SERVICES PROVIDER
We support agencies and entrepreneurs in launching compliant Assistive Technology Services across Montana under the HCBS Waiver models.
Scope of Work:
Business registration and licensing assistance
Medicaid provider enrollment
Policy & procedure manual for assistive technology operations
Templates for client assessment forms and device usage logs
Website, domain, and email setup
Staff credentialing and training documentation
Client intake packet and assistive device planning forms
Risk management and safety monitoring
Referral networking with rehabilitation specialists and healthcare providers
Behavioral Health
BEHAVIORAL HEALTH SERVICES PROVIDER IN MONTANA
PROMOTING MENTAL WELLNESS AND SUPPORT THROUGH INDIVIDUALIZED CARE AND COMMUNITY-BASED PROGRAMS
Behavioral Health Services in Montana focus on providing mental health and support services for individuals facing emotional, behavioral, or mental health challenges. These services aim to enhance well-being, develop coping strategies, and foster community integration. Behavioral Health Services are available under Montana’s Home and Community-Based Services (HCBS) Waivers.
1. GOVERNING AGENCIES
Agency: Montana Department of Public Health and Human Services (DPHHS)
Role: Administers Medicaid and HCBS Waiver programs, including behavioral health services
Agency: Montana Board of Behavioral Health
Role: Regulates licensure and compliance for behavioral health professionals
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and ensures waiver compliance
2. BEHAVIORAL HEALTH SERVICE OVERVIEW
Behavioral Health Services focus on therapeutic support, crisis intervention, and skill development. Services are tailored according to the Individual Service Plan (ISP) or Person-Centered Plan (PCP) and may include:
Individual and group therapy
Crisis intervention and stabilization
Behavioral support and skill building
Substance use counseling and recovery support
Psychiatric evaluation and medication management
Family and caregiver support
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Montana Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Medicaid provider with the Montana Department of Public Health and Human Services
Obtain licensure from the Montana Board of Behavioral Health
Maintain liability insurance and staff qualification documentation
4. MEDICAID PROVIDER ENROLLMENT PROCESS
Step 1: Pre-Application Contact
Contact the Montana Department of Public Health and Human Services to understand behavioral health provider requirements
Step 2: Application Submission
Submit business registration, behavioral health license, liability insurance, and service descriptions
Step 3: License Verification
Obtain and verify the Behavioral Health License
Step 4: Approval and Medicaid Number Assignment
Once approved, receive a Medicaid provider number and authorization to deliver services
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business Name Registration
IRS EIN Letter
NPI confirmation
Behavioral Health License
Liability insurance certificate
Policy & procedure manual including:
Client intake and assessment protocols
Crisis response and safety planning
Therapeutic intervention strategies
Documentation and progress tracking
Staff training and clinical supervision records
6. STAFFING REQUIREMENTS
Role: Behavioral Health Program Manager
Requirements: Licensed Clinical Social Worker (LCSW) or Licensed Professional Counselor (LPC)
Role: Behavioral Health Specialist
Requirements:
Master’s degree in psychology, counseling, or social work
State licensure and certification
Background check and TB clearance
Training Requirements:
Crisis intervention and de-escalation techniques
Therapeutic approaches (CBT, DBT, etc.)
Client rights and confidentiality
Documentation and client interaction best practices
7. MEDICAID WAIVER SERVICES
Behavioral Health Services in Montana are available through:
Big Sky Waiver (BSW)
Community First Choice/Personal Assistance Services (CFC/PAS)
Medicaid Home Health Services
Approved providers may deliver:
Therapeutic and mental health support
Crisis management and stabilization
Behavioral coaching and skill development
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Medicaid Provider Enrollment
Timeline: 60–90 days
Phase: Staff Hiring and Training
Timeline: 30–45 days
Phase: Program Setup and Community Networking
Timeline: 2–4 weeks
9. CONTACT INFORMATION
Montana Department of Public Health and Human Services (DPHHS)
Website: https://dphhs.mt.gov
Montana Board of Behavioral Health
Website: https://boards.bsd.dli.mt.gov/behavioral-health
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — MONTANA BEHAVIORAL HEALTH SERVICES PROVIDER
We support agencies and entrepreneurs in launching compliant Behavioral Health Services across Montana under the HCBS Waiver models.
Scope of Work:
Business registration and licensing assistance
Medicaid provider enrollment
Policy & procedure manual for behavioral health operations
Templates for client care plans, crisis response protocols, and therapy logs
Website, domain, and email setup
Staff credentialing and training documentation
Client intake packet and mental health assessment forms
Risk management and client safety protocols
Referral networking with healthcare providers and community organizations
Home Modification
HOME MODIFICATIONS SERVICES PROVIDER IN MONTANA
ENHANCING ACCESSIBILITY AND INDEPENDENCE THROUGH HOME MODIFICATION SERVICES
Home Modifications Services in Montana help individuals with disabilities or chronic conditions to live safely and independently within their own homes. These services involve making structural changes and installing adaptive equipment to improve mobility, accessibility, and comfort. Home Modifications are authorized under Montana Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: Montana Department of Public Health and Human Services (DPHHS)
Role: Administers Medicaid waiver funding for Home Modifications Services and manages provider enrollment, service authorization, and reimbursement.
Agency: Developmental Disabilities Program (DDP) within DPHHS
Role: Oversees service quality, participant protections, and compliance for Home Modifications under HCBS waiver programs.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Home Modifications meet HCBS quality, person-centered planning, and participant protection standards.
2. HOME MODIFICATIONS SERVICES OVERVIEW
Home Modifications Services are designed to improve the safety and accessibility of the living environment for individuals with mobility or functional limitations.
Approved providers may deliver:
Accessibility Improvements: Installation of ramps, widened doorways, and handrails.
Bathroom Modifications: Roll-in showers, grab bars, raised toilet seats, and accessible sinks.
Kitchen Adjustments: Lowered countertops, accessible storage, and modified appliances.
Safety Enhancements: Installation of safety alarms, lighting improvements, and slip-resistant flooring.
Environmental Controls: Smart home technologies to control lighting, temperature, and security.
Structural Changes: Adjustments to doorframes, hallways, and room layouts to improve mobility.
All modifications must be in accordance with the Individualized Service Plan (ISP) and based on a professional assessment of the participant’s needs.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business entity with the Montana Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Home Modifications provider via the Montana Medicaid Provider Enrollment Portal.
Obtain necessary contractor licenses from the Montana Department of Labor and Industry if applicable.
Maintain general liability and professional liability insurance.
Develop comprehensive policies for project planning, safety management, and quality assurance.
Ensure contractors and subcontractors meet background checks and licensing requirements.
4. MONTANA PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Complete the Provider Enrollment Application through the Montana Medicaid Provider Enrollment Portal for Home Modifications Services under HCBS waivers.
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, contractor licenses, insurance certificates, and policy manuals.
Program Readiness Review:
DPHHS reviews provider readiness, including safety procedures, modification protocols, and contractor qualifications.
Approval & Medicaid Enrollment:
Upon approval, providers are authorized to bill Medicaid for Home Modifications Services using designated billing codes.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Montana Secretary of State)
IRS EIN confirmation
NPI confirmation
Contractor Licenses (if applicable)
Proof of general and professional liability insurance
Home Modifications Services Policy & Procedure Manual including:
Safety and risk assessment protocols
Home modification planning and approval procedures
Contractor vetting, background checks, and credential verification
Compliance with building codes, ADA standards, and safety regulations
Medicaid billing, project tracking, and audit readiness procedures
Documentation standards for project completion and client satisfaction
Emergency and risk management protocols
6. STAFFING REQUIREMENTS
Role: Home Modifications Program Director
Requirements: Bachelor’s degree in construction management, healthcare administration, or related field; experience in home accessibility projects preferred.
Role: Licensed Contractors
Requirements: State contractor license; experience in home modifications for accessibility; background clearance.
Role: Accessibility Specialists
Requirements: Certification in home accessibility modifications (e.g., CAPS - Certified Aging-in-Place Specialist); background clearance.
All staff must complete:
Safety training and risk management education
HIPAA and participant rights compliance training
Ongoing professional development and continuing education
Annual competency evaluations and safety protocol updates
7. MEDICAID WAIVER PROGRAMS
Home Modifications Services are available under the following Montana Medicaid Waivers:
Big Sky Waiver (Aged and Disabled)
Comprehensive Waiver for Individuals with Developmental Disabilities
Traumatic Brain Injury (TBI) Waiver
Community Supports Waiver for Adults with Physical Disabilities
Children's Autism Waiver
Services may include:
Modifying entryways for wheelchair accessibility
Installing adaptive bathroom fixtures
Enhancing kitchen usability with accessible designs
Improving in-home safety features
Creating barrier-free living spaces
8. TIMELINE TO LAUNCH
Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: Montana Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Home Modifications Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Montana Department of Public Health and Human Services (DPHHS)
Website: https://dphhs.mt.gov/
Montana Department of Labor and Industry
Website: https://dli.mt.gov/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — MONTANA HOME MODIFICATIONS SERVICES PROVIDER
WCG supports providers and contractors in launching Medicaid-compliant Home Modifications Services in Montana.
Scope of Work:
Business registration, Medicaid enrollment, and licensing assistance
Policy manual development for home modification planning and safety
Contractor credentialing and vetting support
Medicaid billing system setup and project documentation guidance
Branding, outreach, and partnership strategies
Quality assurance systems for safety monitoring and compliance
Collaboration with community organizations for referral networking
Autism-Specific Services
AUTISM-SPECIFIC SERVICES PROVIDER IN MONTANA
EMPOWERING INDIVIDUALS WITH AUTISM THROUGH PERSONALIZED SUPPORT AND INTEGRATED CARE
Autism-Specific Services in Montana provide targeted support for individuals with Autism Spectrum Disorder (ASD) to enhance their daily living skills, social interactions, and community engagement. These services focus on individualized, person-centered care that supports independence and quality of life. Autism-Specific Services are authorized under Montana Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: Montana Department of Public Health and Human Services (DPHHS)
Role: Administers Medicaid waiver funding for Autism-Specific Services and manages provider enrollment, service authorization, and reimbursement.
Agency: Children's Autism Waiver Program (CAWP) within DPHHS
Role: Oversees service quality, participant protections, and compliance specifically for autism-related services under HCBS waiver programs.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures federal oversight, compliance with Medicaid standards, and adherence to person-centered planning principles for autism care.
2. AUTISM-SPECIFIC SERVICES OVERVIEW
Autism-Specific Services are designed to support individuals with ASD by addressing challenges related to communication, social interaction, sensory processing, and daily living skills.
Approved providers may deliver:
Behavioral Therapy: Applied Behavior Analysis (ABA) to address behavioral challenges and develop adaptive skills.
Communication Support: Speech and language therapy to enhance verbal and non-verbal communication.
Social Skills Training: Guided activities that promote social interaction, teamwork, and community engagement.
Occupational Therapy: Sensory integration techniques to improve daily functioning and coordination.
Family Support and Training: Educating family members to better understand and support the individual's needs.
Individualized Skill Development: Enhancing personal care, self-regulation, and independent living skills.
All services are provided in alignment with the Individualized Service Plan (ISP) to meet the unique needs of each participant.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business entity with the Montana Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Autism Services provider via the Montana Medicaid Provider Enrollment Portal.
Obtain relevant professional licenses (e.g., Board Certified Behavior Analyst (BCBA), Speech-Language Pathologist).
Maintain general liability and professional liability insurance.
Develop comprehensive policies for behavior intervention, safety protocols, and participant rights.
Ensure staff meet background checks, health screenings, and specialized autism training requirements.
4. MONTANA PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Complete the Provider Enrollment Application through the Montana Medicaid Provider Enrollment Portal for Autism-Specific Services under HCBS waivers.
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, professional licenses, insurance certificates, and staff qualifications.
Program Readiness Review:
DPHHS evaluates provider readiness, including therapeutic approaches, safety protocols, and staff qualifications.
Approval & Medicaid Enrollment:
Upon approval, providers are authorized to bill Medicaid for Autism-Specific Services using designated billing codes.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Montana Secretary of State)
IRS EIN confirmation
NPI confirmation
Professional licenses (e.g., BCBA, Speech Therapist)
Proof of general and professional liability insurance
Autism-Specific Services Policy & Procedure Manual including:
Assessment and behavior intervention protocols
Communication and social skills development procedures
Sensory processing and occupational therapy guidelines
Family education and support strategies
Staff training, credentialing, and ongoing professional development
HIPAA compliance, participant rights, and grievance handling
Documentation standards for progress tracking and Medicaid billing
6. STAFFING REQUIREMENTS
Role: Autism Services Program Director
Requirements: Master’s degree in psychology, behavioral sciences, or a related field; BCBA certification preferred; experience in autism services supervision.
Role: Behavioral Therapists (BCBA, RBT)
Requirements: State licensure or certification; training in ABA and autism-specific interventions; background clearance.
Role: Speech-Language Pathologists
Requirements: State licensure, CCC-SLP certification; experience in working with individuals with ASD; background clearance.
All staff must complete:
Autism-specific behavioral training
HIPAA and participant rights education
Safety and emergency preparedness training
Annual competency evaluations and continuing education
7. MEDICAID WAIVER PROGRAMS
Autism-Specific Services are available under the following Montana Medicaid Waivers:
Children's Autism Waiver
Comprehensive Waiver for Individuals with Developmental Disabilities
Big Sky Waiver (Aged and Disabled)
Traumatic Brain Injury (TBI) Waiver
Community Supports Waiver for Adults with Physical Disabilities
Services may include:
ABA therapy to improve behavior and adaptive skills
Speech therapy for communication enhancement
Social skills training for community integration
Occupational therapy for sensory processing and motor skills
Family education and training for better at-home care
8. TIMELINE TO LAUNCH
Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: Montana Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Autism-Specific Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Montana Department of Public Health and Human Services (DPHHS)
Website: https://dphhs.mt.gov/
Children's Autism Waiver Program (CAWP) — DPHHS
Website: https://dphhs.mt.gov/dsd/developmentaldisabilities
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — MONTANA AUTISM-SPECIFIC SERVICES PROVIDER
WCG provides comprehensive support for launching Medicaid-compliant Autism-Specific Services in Montana.
Scope of Work:
Business registration, Medicaid enrollment, and licensure assistance
Policy manual development for autism care and behavioral interventions
Staff credentialing support and training program templates
Medicaid billing setup and claims management
Branding, outreach, and family engagement strategies
Quality assurance systems for behavioral data tracking and compliance
Community networking with autism support groups and healthcare providers
Community Integration
COMMUNITY INTEGRATION SERVICES PROVIDER IN MONTANA
SUPPORTING INDEPENDENCE AND COMMUNITY ENGAGEMENT THROUGH INTEGRATED SERVICES
Community Integration Services in Montana assist individuals with disabilities, chronic health conditions, or social challenges to actively participate in their communities. These services promote social engagement, life skills development, and community access while fostering independence and inclusion. Community Integration Services are authorized under Montana Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: Montana Department of Public Health and Human Services (DPHHS)
Role: Administers Medicaid waiver funding for Community Integration Services and manages provider enrollment, service authorization, and reimbursement.
Agency: Developmental Disabilities Program (DDP) within DPHHS
Role: Ensures compliance, quality standards, and effective service delivery for Community Integration Services within HCBS waiver programs.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Community Integration Services meet HCBS quality, person-centered planning, and participant protection standards.
2. COMMUNITY INTEGRATION SERVICES OVERVIEW
Community Integration Services promote social inclusion and active community participation for individuals with disabilities. These services focus on building skills necessary for independent living and increasing community involvement.
Approved providers may deliver:
Skill Development: Enhancing daily living skills, such as communication, social interactions, and personal safety.
Social and Recreational Activities: Facilitating group outings, community events, and social clubs.
Volunteer and Employment Support: Assisting with job readiness, vocational training, and community-based employment opportunities.
Access to Community Resources: Connecting individuals with local support systems, such as transportation services, community centers, and educational programs.
Peer Support and Advocacy: Promoting self-advocacy skills and connecting participants with peer networks.
Individualized Planning: Tailoring activities and support based on the person’s preferences and Individualized Service Plan (ISP).
All services are designed to help individuals build connections, develop life skills, and actively participate in their communities.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business entity with the Montana Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Community Integration provider via the Montana Medicaid Provider Enrollment Portal.
Maintain general liability and professional liability insurance.
Develop policies for community participation, safety protocols, and participant rights.
Ensure staff meet health screenings, background checks, and relevant training requirements.
4. MONTANA PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Complete the Provider Enrollment Application through the Montana Medicaid Provider Enrollment Portal for Community Integration Services under HCBS waivers.
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, staff qualifications, and policy manuals.
Program Readiness Review:
DPHHS evaluates provider readiness, including staff credentials, community integration plans, and participant safety protocols.
Approval & Medicaid Enrollment:
Upon approval, providers are authorized to bill Medicaid for Community Integration Services using designated billing codes.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Montana Secretary of State)
IRS EIN confirmation
NPI confirmation
Proof of general and professional liability insurance
Community Integration Services Policy & Procedure Manual including:
Intake and assessment procedures
Community activity planning and safety management
Transportation and community access protocols
Staff training, credentialing, and continuing education records
HIPAA compliance, participant rights, and grievance handling
Documentation standards for service tracking and billing
Emergency preparedness and crisis management policies
6. STAFFING REQUIREMENTS
Role: Community Integration Program Director
Requirements: Bachelor’s degree in human services, social work, or a related field; supervisory experience preferred.
Role: Community Support Workers
Requirements: High school diploma or GED; experience in community outreach or direct support; background clearance; CPR/First Aid certification.
All staff must complete:
Community integration and life skills training
HIPAA and participant rights education
Safety, wellness, and crisis intervention training
Annual competency evaluations and ongoing professional development
7. MEDICAID WAIVER PROGRAMS
Community Integration Services are available under the following Montana Medicaid Waivers:
Comprehensive Waiver for Individuals with Developmental Disabilities
Big Sky Waiver (Aged and Disabled)
Traumatic Brain Injury (TBI) Waiver
Community Supports Waiver for Adults with Physical Disabilities
Children's Autism Waiver
Services may include:
Social and recreational support in community settings
Job readiness and vocational skill development
Access to peer mentoring and community advocacy programs
Educational support and skill-building workshops
Transportation coordination for community engagement
8. TIMELINE TO LAUNCH
Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: Montana Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Community Integration Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Montana Department of Public Health and Human Services (DPHHS)
Website: https://dphhs.mt.gov/
Developmental Disabilities Program (DDP) — DPHHS
Website: https://dphhs.mt.gov/dsd/developmentaldisabilities
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — MONTANA COMMUNITY INTEGRATION SERVICES PROVIDER
WCG supports providers in launching Medicaid-compliant Community Integration Services in Montana.
Scope of Work:
Business registration, Medicaid enrollment, and compliance setup
Policy manual development for community integration programs
Staff credentialing and ongoing training program templates
Medicaid billing system setup and claims management support
Branding, outreach, and community partnership strategies
Quality assurance systems for safety monitoring and community engagement tracking
Resource networking to connect clients with local support and integration opportunities
Homemaker Services
HOMEMAKER SERVICES PROVIDER IN MONTANA
SUPPORTING INDEPENDENT LIVING BY ASSISTING WITH HOUSEHOLD TASKS AND DAILY ROUTINES
Homemaker Services in Montana help individuals who need assistance with essential household tasks to maintain a clean, safe, and comfortable living environment. These services are particularly beneficial for individuals with disabilities, the elderly, or those recovering from illness. Homemaker Services are available under Montana’s Home and Community-Based Services (HCBS) Waivers.
1. GOVERNING AGENCIES
Agency: Montana Department of Public Health and Human Services (DPHHS)
Role: Administers Medicaid and HCBS Waiver programs, including homemaker services
Agency: Montana Department of Labor and Industry (DLI)
Role: Oversees licensing and compliance for healthcare and support services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and ensures waiver compliance
2. HOMEMAKER SERVICE OVERVIEW
Homemaker Services focus on assisting individuals with basic household tasks to ensure a safe and well-maintained living space. Services are tailored according to the Individual Service Plan (ISP) or Person-Centered Plan (PCP) and may include:
Light housekeeping (e.g., vacuuming, dusting, mopping)
Laundry and linen changes
Meal preparation and basic cooking assistance
Grocery shopping and errands
Organizing personal spaces and maintaining cleanliness
Assistance with planning and budgeting for household needs
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Montana Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Medicaid provider with the Montana Department of Public Health and Human Services
Obtain a Homemaker Services License from the Montana Department of Labor and Industry
Maintain liability insurance and documentation of staff qualifications
4. MEDICAID PROVIDER ENROLLMENT PROCESS
Step 1: Pre-Application Contact
Contact the Montana Department of Public Health and Human Services to understand homemaker service provider requirements
Step 2: Application Submission
Submit business registration, liability insurance, and service descriptions
Step 3: License Verification
Obtain and verify the Homemaker Services License
Step 4: Approval and Medicaid Number Assignment
Once approved, receive a Medicaid provider number and authorization to provide services
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business Name Registration
IRS EIN Letter
NPI confirmation
Homemaker Services License
Liability insurance certificate
Policy & procedure manual including:
Client intake and assessment protocols
Safety and hygiene procedures
Cleaning and household maintenance guidelines
Documentation of services and client feedback logs
Staff training and supervision records
6. STAFFING REQUIREMENTS
Role: Homemaker Program Manager
Requirements: Experience in home support services or social services management
Role: Homemaker / Household Support Aide
Requirements:
High school diploma or equivalent
Background check and TB clearance
Basic training in household safety and cleaning practices
Training Requirements:
Safety and infection control
Household management and task planning
Client communication and service documentation
Emergency response and risk management
7. MEDICAID WAIVER SERVICES
Homemaker Services in Montana are available through:
Big Sky Waiver (BSW)
Community First Choice/Personal Assistance Services (CFC/PAS)
Medicaid Home Health Services
Approved providers may deliver:
General housekeeping and cleaning support
Meal preparation and grocery assistance
Basic home organization and safety maintenance
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Medicaid Provider Enrollment
Timeline: 60–90 days
Phase: Staff Hiring and Training
Timeline: 30–45 days
Phase: Facility and Equipment Setup
Timeline: 2–4 weeks
9. CONTACT INFORMATION
Montana Department of Public Health and Human Services (DPHHS)
Website: https://dphhs.mt.gov
Montana Department of Labor and Industry (DLI)
Website: https://dli.mt.gov
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — MONTANA HOMEMAKER SERVICES PROVIDER
We support agencies and entrepreneurs in launching compliant Homemaker Services across Montana under the HCBS Waiver models.
Scope of Work:
Business registration and licensing assistance
Medicaid provider enrollment
Policy & procedure manual for homemaker service operations
Templates for cleaning logs and client feedback forms
Website, domain, and email setup
Staff credentialing and training documentation
Client intake packet and service plans
Risk management and safety protocols
Referral networking with community agencies and healthcare providers
Case Management
CASE MANAGEMENT SERVICES PROVIDER IN MONTANA
SUPPORTING INDIVIDUALS THROUGH COORDINATED CARE AND SERVICE PLANNING
Case Management Services in Montana facilitate coordinated care for individuals with disabilities, chronic illnesses, or complex health needs. These services help participants access needed healthcare, social, and support services, while fostering independence and well-being. Case Management is authorized under Montana Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: Montana Department of Public Health and Human Services (DPHHS)
Role: Administers Medicaid waiver funding for Case Management Services and manages provider enrollment, service authorization, and reimbursement.
Agency: Developmental Disabilities Program (DDP) within DPHHS
Role: Oversees service quality, participant protections, and compliance for Case Management Services under HCBS waiver programs.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Case Management Services meet HCBS quality, person-centered planning, and participant protection standards.
2. CASE MANAGEMENT SERVICES OVERVIEW
Case Management Services offer comprehensive care coordination and planning for individuals needing long-term support, helping them achieve and maintain their highest level of independence.
Approved providers may deliver:
Service Coordination: Linking individuals to medical, behavioral, and social services.
Care Planning: Developing and monitoring Individualized Service Plans (ISPs) to meet participants' needs and preferences.
Resource Access: Assisting with the application process for healthcare, housing, and community resources.
Advocacy: Ensuring individuals’ rights and preferences are respected during care planning and service delivery.
Crisis Intervention: Coordinating immediate care and support during emergencies.
Ongoing Monitoring: Regularly reviewing the effectiveness of services and making adjustments as needed.
All case management must be delivered according to the participant’s ISP and comply with Medicaid waiver guidelines.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business entity with the Montana Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Case Management provider via the Montana Medicaid Provider Enrollment Portal.
Maintain general liability and professional liability insurance.
Develop policies for care planning, documentation, participant rights, and emergency response.
Ensure staff meet background checks, health screenings, and relevant training requirements.
4. MONTANA PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Complete the Provider Enrollment Application through the Montana Medicaid Provider Enrollment Portal for Case Management Services under HCBS waivers.
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, staff qualifications, and service policy manuals.
Program Readiness Review:
DPHHS reviews provider readiness, including staff qualifications, care coordination protocols, and documentation systems.
Approval & Medicaid Enrollment:
Upon approval, providers are authorized to bill Medicaid for Case Management Services using assigned billing codes.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Montana Secretary of State)
IRS EIN confirmation
NPI confirmation
Proof of general and professional liability insurance
Case Management Services Policy & Procedure Manual including:
Intake, assessment, and service planning procedures
Crisis intervention and emergency response protocols
Advocacy, resource linkage, and care coordination guidelines
Documentation standards, HIPAA compliance, and participant rights policies
Staff credentialing, background checks, and continuing education records
Medicaid billing procedures and audit readiness
6. STAFFING REQUIREMENTS
Role: Case Management Program Director
Requirements: Bachelor’s degree in social work, human services, or healthcare; experience in care coordination preferred; supervisory experience beneficial.
Role: Case Managers
Requirements: Bachelor’s degree in social services or related field; training in care planning, crisis intervention, and Medicaid service coordination; background clearance.
All staff must complete:
Training in person-centered planning and service coordination
HIPAA and confidentiality training
Crisis management and advocacy training
Annual continuing education and competency evaluations
7. MEDICAID WAIVER PROGRAMS
Case Management Services are available under the following Montana Medicaid Waivers:
Comprehensive Waiver for Individuals with Developmental Disabilities
Community Supports Waiver for Adults with Physical Disabilities
Big Sky Waiver (Aged and Disabled)
Traumatic Brain Injury (TBI) Waiver
Children's Autism Waiver
Services may include:
Service planning and coordination
Advocacy and resource linkage
Crisis intervention and follow-up
Ongoing service monitoring and evaluation
8. TIMELINE TO LAUNCH
Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: Montana Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Case Management Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Montana Department of Public Health and Human Services (DPHHS)
Website: https://dphhs.mt.gov/
Developmental Disabilities Program (DDP) — DPHHS
Website: https://dphhs.mt.gov/dsd/developmentaldisabilities
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — MONTANA CASE MANAGEMENT SERVICES PROVIDER
WCG supports agencies in launching Medicaid-compliant Case Management Services in Montana, offering:
Scope of Work:
Business registration, Medicaid enrollment, and compliance preparation
Policy manual development tailored to case management practices
Staff training programs, credentialing templates, and care coordination protocols
Medicaid billing system setup and claims management
Website, branding, and outreach strategies
Incident reporting, documentation standards, and quality assurance measures
Networking strategies to connect with healthcare and community resources
Transportation Services
TRANSPORTATION SERVICES PROVIDER IN MONTANA
PROVIDING RELIABLE, SAFE, AND ACCESSIBLE TRANSPORTATION FOR INDIVIDUALS WITH DISABILITIES OR MOBILITY CHALLENGES
Transportation Services in Montana ensure that individuals with disabilities, chronic health conditions, or mobility challenges have access to essential services, healthcare, and community involvement. These services are designed to promote independence and improve quality of life. Transportation Services are available under Montana’s Home and Community-Based Services (HCBS) Waivers.
1. GOVERNING AGENCIES
Agency: Montana Department of Public Health and Human Services (DPHHS)
Role: Administers Medicaid and HCBS Waiver programs, including transportation services
Agency: Montana Department of Transportation (MDT)
Role: Regulates passenger transportation providers and safety standards
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and ensures waiver compliance
2. TRANSPORTATION SERVICE OVERVIEW
Transportation Services focus on providing safe and reliable mobility for individuals who require assistance getting to medical appointments, community events, or other essential destinations. Services are tailored according to the Individual Service Plan (ISP) or Person-Centered Plan (PCP) and may include:
Non-emergency medical transportation (NEMT)
Community-based transportation for social and recreational activities
Wheelchair-accessible and ADA-compliant vehicles
Driver assistance and escort services
Trip scheduling, route planning, and coordination
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Montana Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Medicaid provider with the Montana Department of Public Health and Human Services
Obtain a Passenger Transportation License from the Montana Department of Transportation (MDT)
Maintain liability insurance and vehicle safety documentation
4. MEDICAID PROVIDER ENROLLMENT PROCESS
Step 1: Pre-Application Contact
Contact the Montana Department of Public Health and Human Services to understand transportation service provider requirements
Step 2: Application Submission
Submit business registration, transportation license, liability insurance, and service descriptions
Step 3: Compliance Verification
Ensure that the Passenger Transportation License meets state and federal safety standards
Step 4: Approval and Medicaid Number Assignment
Once approved, receive a Medicaid provider number and authorization to deliver services
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business Name Registration
IRS EIN Letter
NPI confirmation
Passenger Transportation License
Vehicle insurance certificate
Policy & procedure manual including:
Driver training and safety protocols
Vehicle maintenance and inspection logs
Client intake and transportation need assessments
Scheduling and trip coordination procedures
Emergency response and incident reporting protocols
6. STAFFING REQUIREMENTS
Role: Transportation Program Manager
Requirements: Experience in logistics, transportation coordination, or community mobility planning
Role: Driver / Transportation Aide
Requirements:
Valid driver’s license with passenger endorsement
CPR/First Aid certification
Background check and clean driving record
Training Requirements:
Defensive driving and vehicle safety practices
Client mobility assistance and ADA compliance
Emergency procedures and first aid
Documentation and client interaction protocols
7. MEDICAID WAIVER SERVICES
Transportation Services in Montana are available through:
Big Sky Waiver (BSW)
Community First Choice/Personal Assistance Services (CFC/PAS)
Medicaid Home Health Services
Approved providers may deliver:
Non-emergency medical transportation (NEMT) to healthcare facilities
Community mobility services for social and recreational needs
Accessible vehicle services with driver assistance
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Medicaid Provider Enrollment
Timeline: 60–90 days
Phase: Staff Hiring and Training
Timeline: 30–45 days
Phase: Vehicle Inspection and Safety Compliance
Timeline: 2–4 weeks
9. CONTACT INFORMATION
Montana Department of Public Health and Human Services (DPHHS)
Website: https://dphhs.mt.gov
Montana Department of Transportation (MDT)
Website: https://www.mdt.mt.gov
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — MONTANA TRANSPORTATION SERVICES PROVIDER
We support agencies and entrepreneurs in launching compliant Transportation Services across Montana under the HCBS Waiver models.
Scope of Work:
Business registration and licensing assistance
Medicaid provider enrollment
Policy & procedure manual for transportation operations
Templates for trip logs, vehicle maintenance records, and safety protocols
Website, domain, and email setup
Staff credentialing and driver training documentation
Client intake packet and transportation assessment forms
Vehicle safety tracking and compliance logs
Referral networking with healthcare providers and community organizations
Home Health
HOME HEALTH SERVICES PROVIDER IN MONTANA
PROMOTING HEALTH AND INDEPENDENCE THROUGH IN-HOME CARE SERVICES
Home Health Services in Montana provide medical and personal care to individuals in their own homes. These services support individuals with chronic illnesses, disabilities, or post-acute care needs, enabling them to maintain independence and improve quality of life. Home Health Services are authorized under Montana Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: Montana Department of Public Health and Human Services (DPHHS)
Role: Administers Medicaid waiver funding for Home Health Services and manages provider enrollment, service authorization, and reimbursement.
Agency: Developmental Disabilities Program (DDP) within DPHHS
Role: Ensures quality standards, service delivery, and compliance for Home Health Services within HCBS waiver programs.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Home Health Services meet HCBS quality, person-centered planning, and participant protection standards.
2. HOME HEALTH SERVICES OVERVIEW
Home Health Services deliver medical, rehabilitative, and personal care to individuals at home, tailored to their health and functional needs.
Approved providers may deliver:
Skilled Nursing Care: Health monitoring, medication administration, wound care, and chronic disease management.
Therapeutic Services: Physical, occupational, and speech therapy to restore and maintain functional abilities.
Personal Care Assistance: Support with Activities of Daily Living (ADLs) such as bathing, grooming, dressing, and mobility.
Medical Social Services: Counseling, resource coordination, and support for emotional well-being.
Home Health Aide Services: Basic care assistance under the supervision of a nurse or therapist.
Chronic Disease Management: Education and support for conditions such as diabetes, heart disease, or COPD.
All services are based on the Individualized Service Plan (ISP) and ordered by a physician to meet the participant’s medical and personal care needs.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business entity with the Montana Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Home Health provider via the Montana Medicaid Provider Enrollment Portal.
Obtain licensure as a Home Health Agency from the Montana Department of Public Health and Human Services (DPHHS).
Maintain general liability and professional liability insurance.
Develop comprehensive policies for patient care, health monitoring, safety, and compliance.
Ensure healthcare staff meet background checks, licensure, and certification requirements.
4. MONTANA PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Complete the Provider Enrollment Application through the Montana Medicaid Provider Enrollment Portal for Home Health Services under HCBS waivers.
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, healthcare staff credentials, and policy manuals.
Program Readiness Review:
DPHHS evaluates provider readiness, including healthcare protocols, staff qualifications, and patient safety procedures.
Approval & Medicaid Enrollment:
Upon approval, providers are authorized to bill Medicaid for Home Health Services using designated billing codes.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Montana Secretary of State)
IRS EIN confirmation
NPI confirmation
Home Health Agency License
Proof of general and professional liability insurance
Home Health Services Policy & Procedure Manual including:
Patient assessment, care planning, and physician order documentation
Skilled nursing and therapeutic service protocols
Health and safety monitoring, medication management, and emergency procedures
Staff credentialing, background checks, and continuing education records
HIPAA compliance, patient rights, and grievance handling
Billing, documentation, and audit readiness procedures
Infection control, hygiene, and wellness monitoring practices
6. STAFFING REQUIREMENTS
Role: Home Health Program Director
Requirements: Bachelor’s or Master’s degree in nursing or healthcare administration; licensed Registered Nurse (RN); supervisory experience preferred.
Role: Registered Nurses (RNs)
Requirements: Active RN license in Montana, CPR/First Aid certification, clinical experience in home healthcare.
Role: Licensed Practical Nurses (LPNs)
Requirements: Active LPN license, supervised by an RN, experience in providing in-home nursing care.
Role: Home Health Aides (HHAs)
Requirements: State certification, basic caregiving skills, supervised by an RN or therapist.
Role: Physical, Occupational, and Speech Therapists
Requirements: State licensure, professional certifications, experience in home health settings.
All staff must complete:
Healthcare safety, infection control, and emergency response training
HIPAA and patient rights education
Ongoing professional development and competency evaluations
Annual performance reviews and skills assessments
7. MEDICAID WAIVER PROGRAMS
Home Health Services are available under the following Montana Medicaid Waivers:
Big Sky Waiver (Aged and Disabled)
Comprehensive Waiver for Individuals with Developmental Disabilities
Traumatic Brain Injury (TBI) Waiver
Community Supports Waiver for Adults with Physical Disabilities
Children's Autism Waiver
Services may include:
Skilled nursing care and chronic disease management
Therapy services for mobility, communication, and self-care skills
Personal care and assistance with daily living
Emotional and social support through medical social services
Regular health monitoring and preventive care
8. TIMELINE TO LAUNCH
Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: Montana Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Home Health Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Montana Department of Public Health and Human Services (DPHHS)
Website: https://dphhs.mt.gov/
Developmental Disabilities Program (DDP) — DPHHS
Website: https://dphhs.mt.gov/dsd/developmentaldisabilities
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — MONTANA HOME HEALTH SERVICES PROVIDER
WCG provides comprehensive support for launching Medicaid-compliant Home Health Services in Montana.
Scope of Work:
Business registration, Medicaid enrollment, and licensure assistance
Policy manual development tailored to home healthcare and patient safety
Staff credentialing, training program templates, and healthcare documentation guidance
Medicaid billing setup and audit-prepared claims management
Branding, outreach, and patient engagement strategies
Quality assurance systems for infection control, patient safety, and compliance
Coordination with healthcare providers for comprehensive care planning
Meal & Nutrition
MEAL AND NUTRITION SERVICES PROVIDER IN MONTANA
SUPPORTING HEALTH AND WELL-BEING THROUGH NUTRITIONAL ASSISTANCE AND MEAL PREPARATION
Meal and Nutrition Services in Montana ensure that individuals with disabilities, chronic illnesses, or age-related conditions receive nutritious meals that meet their dietary needs. These services promote health, prevent malnutrition, and enhance quality of life by delivering balanced meals and providing nutritional education. Meal and Nutrition Services are authorized under Montana Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: Montana Department of Public Health and Human Services (DPHHS)
Role: Administers Medicaid waiver funding for Meal and Nutrition Services and manages provider enrollment, service authorization, and reimbursement.
Agency: Developmental Disabilities Program (DDP) within DPHHS
Role: Ensures quality standards, dietary compliance, and safe meal delivery for Meal and Nutrition Services within HCBS waiver programs.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Meal and Nutrition Services meet HCBS quality, person-centered planning, and participant protection standards.
2. MEAL AND NUTRITION SERVICES OVERVIEW
Meal and Nutrition Services support individuals in maintaining adequate nutrition and dietary management, tailored to their health and functional needs.
Approved providers may deliver:
Meal Preparation: Daily or weekly meal preparation services to accommodate dietary restrictions and preferences.
Meal Delivery: Providing prepared meals directly to the individual’s residence.
Dietary Planning: Creating customized meal plans that align with medical or nutritional requirements.
Nutritional Counseling: Educating individuals and caregivers on maintaining a balanced diet.
Specialized Diets: Preparing meals for individuals with diabetes, hypertension, celiac disease, or other dietary conditions.
Group Meals: Community-based meal programs that encourage social interaction and nutritional support.
All services are delivered in accordance with the Individualized Service Plan (ISP) to meet dietary and nutritional needs.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business entity with the Montana Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Meal and Nutrition Services provider via the Montana Medicaid Provider Enrollment Portal.
Maintain general liability and professional liability insurance.
Obtain any required food service licenses from the Montana Department of Public Health and Human Services (DPHHS).
Develop policies for meal preparation, dietary compliance, food safety, and delivery protocols.
Ensure staff meet background checks, health screenings, and relevant food safety training.
4. MONTANA PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Complete the Provider Enrollment Application through the Montana Medicaid Provider Enrollment Portal for Meal and Nutrition Services under HCBS waivers.
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, food safety licenses, insurance certificates, and policy manuals.
Program Readiness Review:
DPHHS reviews provider readiness, including dietary planning, food safety protocols, and meal delivery procedures.
Approval & Medicaid Enrollment:
Upon approval, providers are authorized to bill Medicaid for Meal and Nutrition Services using designated billing codes.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Montana Secretary of State)
IRS EIN confirmation
NPI confirmation
Food Service License (if applicable)
Proof of general and professional liability insurance
Meal and Nutrition Services Policy & Procedure Manual including:
Meal planning, preparation, and dietary compliance protocols
Food safety and hygiene standards
Meal delivery procedures and client intake protocols
Staff training, background checks, and health screenings
HIPAA compliance, participant rights, and grievance handling
Billing, meal tracking, and audit readiness procedures
Emergency food safety and incident reporting protocols
6. STAFFING REQUIREMENTS
Role: Meal Services Program Director
Requirements: Bachelor’s degree in nutrition, dietetics, or a related field; food safety certification (e.g., ServSafe); supervisory experience preferred.
Role: Registered Dietitians (RD)
Requirements: State licensure, nutrition planning expertise, training in specialized diets; background clearance.
Role: Cooks and Meal Preparation Staff
Requirements: Food handling certification; experience in preparing meals for individuals with dietary restrictions; background clearance.
Role: Delivery Personnel
Requirements: Valid driver’s license, training in meal safety and handling; background clearance.
All staff must complete:
Food safety, hygiene, and sanitation training
HIPAA and participant rights education
Ongoing professional development and training in dietary planning
Annual competency evaluations and health inspections
7. MEDICAID WAIVER PROGRAMS
Meal and Nutrition Services are available under the following Montana Medicaid Waivers:
Big Sky Waiver (Aged and Disabled)
Comprehensive Waiver for Individuals with Developmental Disabilities
Traumatic Brain Injury (TBI) Waiver
Community Supports Waiver for Adults with Physical Disabilities
Children's Autism Waiver
Services may include:
Meal planning and preparation for specialized diets
Delivery of hot, cold, or frozen meals to the residence
Nutritional counseling and dietary education
Group meals or community-based nutritional programs
Health monitoring through dietary assessments
8. TIMELINE TO LAUNCH
Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: Montana Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Meal and Nutrition Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Montana Department of Public Health and Human Services (DPHHS)
Website: https://dphhs.mt.gov/
Montana Department of Public Health and Human Services (DPHHS) - Food and Consumer Safety
Website: https://dphhs.mt.gov/publichealth/FCSS
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — MONTANA MEAL AND NUTRITION SERVICES PROVIDER
WCG supports agencies in launching Medicaid-compliant Meal and Nutrition Services in Montana, offering:
Scope of Work:
Business registration, Medicaid enrollment, and licensing support
Policy manual development for meal planning and dietary compliance
Staff credentialing, training program templates, and food safety guidance
Medicaid billing setup and audit-prepared financial management
Branding, website development, and community outreach strategies
Quality assurance systems for food safety, hygiene, and meal tracking
Partnership development with local food suppliers and community organizations
Our Client Portal offers a wealth of resources that you can explore related to various programs and state requirements.