1. Program Definition and Services Provided 

Traumatic Brain Injury (TBI) services in Montana are designed to support individuals who have experienced a severe brain injury. These services focus on rehabilitation and include a range of interventions aimed at restoring functional abilities, managing behavioral challenges, and promoting independence. Services may be provided in various settings, including inpatient rehabilitation facilities, outpatient clinics, and community-based programs. 

2. Regulations 

Key regulations governing TBI services include: 

• Montana Utilization and Treatment Guidelines for Traumatic Brain Injury: These guidelines outline best practices for the diagnosis, treatment, and management of TBI, emphasizing early intervention and interdisciplinary care 

• General regulations for healthcare services in Montana, such as those related to Medicaid provider enrollment and facility licensing. 

3. Licensing or Certification 

To provide TBI services, facilities must be licensed by the State of Montana. Licensing ensures compliance with state standards for healthcare facilities. Certification for staff, such as the Certified Brain Injury Specialist (CBIS) credential, is beneficial but not mandatory for all roles 

4. Responsible State Agency 

The Montana Department of Public Health & Human Services (DPHHS) is responsible for overseeing TBI services, including licensing facilities and ensuring compliance with state regulations. 

5. Application Process 

The application process for becoming a TBI service provider involves enrolling as a Medicaid provider if services are to be reimbursed through Medicaid. This typically requires submitting an application through the state's Medicaid enrollment process. For facility licensing, applications are submitted to DPHHS. 

6. Required Documentation 

For Medicaid provider enrollment: 

• Completed application form 

• Proof of liability insurance 

• Staff training records (e.g., qualifications for licensed mental health professionals) 

• Documentation of agency policies and procedures 

For facility licensing: 

• Completed facility license application 

• Proof of compliance with state regulations 

• Staff qualifications and training records 

7. Timeline for Approval 

The timeline for Medicaid provider enrollment and facility licensing approval 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 all state requirements before applying. 

9. Pre-Application Training 

While there is no mandated pre-application training, staff in specialized TBI settings may benefit from advanced training, such as the Certified Brain Injury Specialist (CBIS) certification 

10. Additional Notes 

• TBI services are often part of broader rehabilitation programs, emphasizing interdisciplinary care and community integration. 

• The Traumatic Brain Injury Advisory Council in Montana advises on improving services for individuals with TBI and their families