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Disability services in Teton County, Montana

30 listings serve Teton County: 7 Confirmed Profiles and 23 Registry Listings, plus 175 organizations that serve the whole country.

See them on a map See the full list

Search by area in Teton County

Listings that serve the county in each area. 5 more serve people with any disability.

How to get services in Teton County

Most long-term supports are paid for by Medicaid, often through a waiver program. Start with Medicaid, then get on the program that fits. Where a program uses local offices, the office for Teton County is shown.

Start here Montana Medicaid · Montana DPHHS, Office of Public Assistance

Apply online (opens in a new tab) · Call (888) 706-1535 · Visit your county Office of Public Assistance.

Montana is a 1634 state, so people who get SSI are usually enrolled in Medicaid based on the Social Security decision without a separate application.

Adults with disabilities who do not get SSI can apply under the aged, blind and disabled rules; the state may need to make its own disability decision.

For children: None confirmed (no Montana TEFRA or Katie Beckett option was found on state pages this run).

If you work: Not confirmed (a Montana Medicaid buy-in page could not be reached this run; ask the Public Assistance Help Line).

Steps

  1. Apply online at apply.mt.gov or call the Public Assistance Help Line at 1-888-706-1535
  2. You can also email hhssspapplicationcustomersupport@mt.gov to ask for a paper application
  3. Send any proof the state asks for
  4. Wait for your decision letter
  5. If you want home and community services, ask for a waiver screening after you apply

Have these ready

  • Photo ID or other proof of identity
  • Social Security numbers for everyone applying
  • Proof of income such as pay stubs or benefit letters
  • Bank statements and information about other assets
  • Medical or disability records
  • Health insurance or Medicare cards

Intellectual and developmental disabilities, and autism

Big Sky Waiver Has a waiting list

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.

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
Children's Autism Waiver No waiting list

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
Community First Choice (CFC) No waiting list

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.

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
Home and Community Based Waiver for Individuals with Developmental Disabilities, "0208 Comprehensive Waiver," MT 0208.R07.00 Has a waiting list

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.

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

Your local office for Teton County

DDP Region 2 Office (Great Falls)
(406) 454-6085 · Website (opens in a new tab) · 201 First St. S., Suite 3, Great Falls, 59405

Mental health

Severe and Disabling Mental Illness Waiver Has a waiting list

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.

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

Rules change. Check with the agency before you rely on this. Checked 2026-10-09.

How Montana pays for services

See how Montana ranks on disability funding, its waiver programs and rates, and its vocational rehabilitation agency in the Funding Atlas for Montana.

Other counties in Montana

Show all 56 counties