Disability services in Montana

Adults 65 and older and people with physical or other disabilities who are financially eligible for Medicaid and meet nursing facility level of care.

Start with: Mountain Pacific Quality Health (Big Sky Waiver referral and screening) · (800) 219-7035 · Website (opens in a new tab)

The state says the Big Sky Waiver currently has a waiting list managed by case management teams.

Apply for Medicaid first.

Steps

1. Apply for Montana Medicaid at apply.mt.gov or call 1-888-706-1535
2. Call Mountain Pacific at (800) 219-7035 or (406) 443-4020 to make a Big Sky Waiver referral
3. Complete the screening
4. If placed on the wait list, keep your contact information current
5. When a slot opens, work with your case management team to build a plan of care

Have these ready

• Medicaid number or application date
• Doctor's name and phone
• List of daily tasks you need help with
• List of medicines and diagnoses

Apply or start here (opens in a new tab) · About this program (opens in a new tab) · Providers in the Atlas

Closed. Children with autism can ask the DDP Regional Office about the 0208 Comprehensive Waiver or Medicaid autism services.

Start with: Program ended

This waiver is terminated and takes no new people.

Steps

1. This program is closed
2. Call your DDP Regional Office or (406) 444-2995 to ask about current services

Have these ready

• Records showing an autism diagnosis
• Medicaid number if you have one

Providers in the Atlas

Montana Medicaid members who need an institutional level of care and need help with daily tasks such as bathing and dressing.

Start with: Mountain Pacific Quality Health (CFC screening) · (406) 443-4020 · Website (opens in a new tab)

CFC is a Medicaid state plan benefit, so there is no enrollment cap or waitlist.

Apply for Medicaid first.

Steps

1. Apply for Montana Medicaid if you do not have it
2. Call Mountain Pacific at (406) 443-4020 or 1-800-497-8232 to ask for a screening
3. Complete the assessment
4. Choose an agency or self-directed option for your personal care

Have these ready

• Medicaid number
• Doctor's name and phone
• List of daily tasks you need help with

Apply or start here (opens in a new tab) · About this program (opens in a new tab) · Providers in the Atlas

People with intellectual or developmental disabilities who meet ICF/IID level of care; DDP eligibility for people 8 and older is set by a DDP Eligibility Specialist.

Start with: Montana DDP Regional Offices · (406) 444-2995 · Website (opens in a new tab)

People found eligible are added to the DDP waiting list automatically; children must be confirmed eligible before age 8 to stay on it.

Medicaid eligibility is decided as part of the waiver.

Steps

1. Call your DDP Regional Office or the Central Office at (406) 444-2995
2. Ask for the eligibility checklist
3. Send the required documents, including a recent psychological evaluation and Vineland
4. Once eligible, you are placed on the waiting list
5. When a slot opens, choose a case manager and providers

Have these ready

• Recent psychological evaluation
• Vineland adaptive behavior scores
• Part 1 of the Eligibility Determination Form
• School, medical or other assessments

Apply or start here (opens in a new tab) · About this program (opens in a new tab) · Providers in the Atlas

Adults 18 and older with a severe and disabling mental illness who meet nursing facility level of care.

Start with: Mountain Pacific Quality Health (SDMI Waiver screening) · (406) 443-4020 · Website (opens in a new tab)

Montana reported 650 people waiting for mental health home and community services (the SDMI waiver group) in KFF 2026 state data.

Apply for Medicaid first.

Steps

1. Apply for Montana Medicaid if you do not have it
2. Call Mountain Pacific at (406) 443-4020 or 1-800-497-8232 to ask for a waiver screening
3. Complete the assessment
4. Work with an SDMI waiver case manager on your plan

Have these ready

• Medicaid number
• Mental health treatment records
• Doctor's or therapist's name and phone

Apply or start here (opens in a new tab) · About this program (opens in a new tab) · Providers in the Atlas