Medicaid Waivers & Residential Care Funding in Montana

Montana has 3 Medicaid funding programs on Capacity Track, and 3 of them can pay for care in a licensed residential setting. Below is what each program covers, who it serves, and where to find licensed providers — 90 locations statewide.

Waiver services in Montana are coordinated by a case manager or support coordinator. Every provider listed here comes from state licensing records — never pay-to-play.

Waiver Programs in Montana

• Big Sky Waiver (0148, 1915(c))

  Pays Residential

  Serves: Aged, blind, physically disabled adults (incl. brain injury)

  Big Sky Waiver (0148, 1915(c)) can pay for services in licensed residential settings in Montana, so it is a funding path for residential placements.

  Program Details & Providers

• HCBS Waiver for Individuals with Developmental Disabilities (0208, 1915(c))

  Pays Residential

  Serves: Adults/children with IDD

  HCBS Waiver for Individuals with Developmental Disabilities (0208, 1915(c)) can pay for services in licensed residential settings in Montana, so it is a funding path for residential placements.

  Program Details & Providers

• SDMI HCBS Waiver (0455, 1915(c))

  Pays Residential

  Serves: Adults with severe and disabling mental illness

  SDMI HCBS Waiver (0455, 1915(c)) can pay for services in licensed residential settings in Montana, so it is a funding path for residential placements.

  Program Details & Providers