1. Program Definition and Services Provided 

Community Integration services in Montana are designed to support individuals with disabilities in engaging with their communities, enhancing independence, and promoting personal choice. These services include habilitative activities, assistance with daily living tasks, health maintenance, and supervision. They aim to help individuals participate in community activities, such as joining clubs, volunteering, or attending social events. 

2. Regulations 

Key regulations governing Community Integration services include: 

• Mont. Admin. r. 37.40.1435: This regulation outlines requirements for habilitative services under Home and Community-Based Services (HCBS) programs. 

• General regulations for Medicaid-funded services, which often cover community integration activities. 

3. Licensing or Certification 

To provide Community Integration services, providers typically do not need a specific license. However, certification in areas like habilitation or social work can be beneficial for staff. Medicaid provider enrollment is necessary for reimbursement. 

4. Responsible State Agency 

The Montana Department of Public Health & Human Services (DPHHS), specifically the Senior and Long-Term Care Division, oversees community-based services, including those related to community integration. 

5. Application Process 

For providers interested in offering Medicaid-covered services, they must enroll as Medicaid providers. This involves submitting an application through the state's Medicaid enrollment process. 

6. Required Documentation 

For Medicaid provider enrollment: 

• Completed application form 

• Proof of certification (e.g., habilitation specialist) 

• Proof of liability insurance 

• Staff training records 

For clients seeking services: 

• Proof of Medicaid eligibility 

• Documentation of need for community integration services 

7. Timeline for Approval 

The timeline for Medicaid provider enrollment can vary, depending on the completeness of the application and compliance with state regulations. 

8. Pre-Application Process 

There is no specific pre-license application process, but providers must ensure they meet Medicaid enrollment criteria. 

9. Pre-Application Training 

While not mandated, training in habilitation and community integration strategies can enhance provider expertise. 

10. Additional Notes 

• Community Integration services are crucial for promoting independence and social inclusion among individuals with disabilities. 

• Programs like the Big Sky Waiver offer community-based services to support individuals in living independently.