Medicaid & SD-CFC/PAS Program

Helping Montana Families Navigate Medicaid In-Home Support

Medicaid-Funded Care Programs in Montana

Montana offers several Medicaid-funded programs designed to help medically fragile, elderly, or disabled individuals receive care and support. These programs can help eligible individuals receive support services at home while maintaining greater independence, comfort, and quality of life.

At Alpenglow Homecare of Montana, we help families understand available care options and navigate the process with greater clarity and support.

Programs may include:

Self-Directed Community First Choice (SD-CFC/PAS)

Big Sky Waiver (BSW)

Severe and Disabling Mental Illness (SDMI) Waiver

Developmental Disabilities Program (DDP)

We help families explore which programs may best fit their loved one’s medical, functional, and daily support needs.

What Is SD-CFC/PAS?

Self-Directed Community First Choice (SD-CFC) / Personal Assistance Services (PAS) is a Montana Medicaid program. The program is intended for individuals who require assistance with daily activities due to aging, disability, chronic illness, or medically fragile conditions. 

What “Self-Directed” Care Means

“Self-directed” means the individual or family caregiver may have a more active role in managing care services based on approved support needs. Some families choose to handle much of the caregiving themselves, while others combine family caregiving with additional approved support services.

Who May Qualify for SD-CFC/PAS?

A person may qualify for the SD-CFC/PAS program if they:

Without these services, a person may otherwise require placement in a nursing home or similar care facility.

While Alpenglow Homecare of Montana does not directly handle Medicaid or SD-CFC/PAS applications, our team helps families better understand the process and navigate available program options based on their situation.

How the SD-CFC/PAS Program Supports Families

The SD-CFC/PAS program can provide important support for families caring for elderly, disabled, or medically fragile loved ones at home.

Financial Assistance for In-Home Care

The program may help cover the cost of approved in-home support services, helping reduce some of the financial strain associated with long-term caregiving. This can allow families to focus resources on other essential needs while helping loved ones remain safely at home.

Ongoing Guidance for Caregivers

Families often feel overwhelmed navigating Medicaid programs alone. Alpenglow Homecare of Montana provides ongoing support and caregiver guidance throughout the process.

We also offer training resources designed to help caregivers feel more prepared and confident in their role.

Self-Directed Care & Greater Choice

A key benefit of the SD-CFC/PAS program is self-direction. This means you have a say in the type and schedule of care your loved one receives. You can choose to:

  • Manage all aspects of care yourself
  • Hire qualified professionals for specific tasks
  • Supplement your own caregiving efforts with additional support

Families may choose to provide care themselves or work alongside qualified care professionals, depending on their needs.

Other Medicaid Programs Available in Montana

We also help families understand other Medicaid programs available in Montana that may better fit their individual care needs.

Big Sky Waiver (BSW)

Big Sky Waiver (BSW) is designed to support elderly or disabled Montana residents who may be at risk of institutionalization. The program helps prevent unnecessary nursing home placements by offering long-term care and support services that allow loved ones to continue living at home or in a community setting.

To qualify, your loved one must:

  • Be financially eligible for standard Medicaid
  • Be age 65 or older, or
  • Meet the Social Security Administration’s physical disability criteria

Depending on eligibility and authorization, services may include:

Adult day care

Home modifications

Vehicle modifications

Personal care services

Homemaker services

Skilled nursing support

Personal emergency response systems

Respite care

Severe & Disabling Mental Illness (SDMI) Waiver

The Severe and Disabling Mental Illness (SDMI) Waiver program supports Medicaid members living with severe mental health conditions. This program is designed to support the independence and overall well-being of individuals who require long-term mental health support services.

SDMI Waiver services may include:

Residential habilitation
Homemaker assistance
Transportation support
Emergency assistance
Specialized nursing-related support

Since mental health care needs can vary significantly between people, services are tailored based on the person’s condition and level of support needed.

Developmental Disabilities Program (DDP)

The Developmental Disabilities Program (DDP) helps individuals with developmental disabilities access services and support designed to improve independence and participation in daily life.

Support services are individualized based on the person’s needs, age, diagnosis, and functional challenges.

The program offers a variety of services tailored to meet individual needs.

Applied Behavior Analysis (ABA) Services

ABA is a type of therapy focused on improving social, communication, and learning skills through positive reinforcement techniques. These services may benefit individuals with:

Autism Spectrum Disorder (ASD)

Serious Emotional Disturbance (SED)

Intellectual or developmental disabilities

Medicaid DDP Waiver Services (0208 Waiver)

The DDP 0208 Waiver helps support individuals experiencing significant developmental delays due to their conditions or injuries that occurred before the age of 18. 

Targeted Case Management (TCM)

TCM services are immediately available, without a waiting list, to people aged 16 and older who receive or are eligible for DDP 0208 Waiver. TCM services focus on:

  • Personalized care planning
  • Ongoing assessments
  • Coordination of support services
  • Access to community resources

Montana DDP offers support through community-based providers or self-directed service options at no cost. Eligibility requirements vary depending on the specific DDP service involved. 

The program is designed to help individuals with developmental disabilities overcome barriers and thrive in their daily lives.

Speak With Us About Medicaid Care Planning Support

Alpenglow Homecare of Montana, we understand the challenges of caring for a loved one and the importance of finding the right resources. We work with families across Montana who are trying to better understand Medicaid-funded in-home support options and navigate the care planning process.

If you have questions about SD-CFC/PAS, Medicaid assessments, caregiver support options, or ongoing care planning requirements, our team can help explain the next steps.

To speak with our office in Missoula, MT, please call us or request an appointment online.

712 W Spruce St, Suite 101
Missoula, MT 59802

721 Central Ave
Great Falls, MT 59401

2345 King Ave W, Ste A
Billings, MT 59102

Monday - Friday
9:00 AM - 5:00 PM

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