Medicaid Provider Enrollment Overview

Montana offers 3 Medicaid waiver programs for home care agencies. The state Medicaid program is administered by Montana Department of Public Health and Human Services. Currently, Montana is actively enrolling new home care providers.

The average enrollment timeline is 60-90 days from initial application to receiving your first client. With low demand for home care services, Montana represents a niche opportunity for agencies looking to serve Medicaid clients.

Montana Medicaid Waiver Programs

Home care agencies in Montana can enroll in the following waiver programs. Each program serves different populations and has specific service requirements.

1

Big Sky Waiver

1915(c) Waiver

Services for elderly and adults with physical disabilities

2

Community First Choice

1915(k) Waiver

Personal assistance services

3

HCBS Waiver for Individuals with Developmental Disabilities

1915(c) Waiver

DD waiver services

Montana Provider Requirements

To become a Medicaid provider in Montana, your home care agency must meet the following requirements:

  • Montana business registration
  • Personal Assistance Services Agency certification
  • Criminal background checks
  • Professional liability insurance
  • DPHHS provider standards
  • Quality management

Step-by-Step Enrollment Process

Follow these steps to enroll as a Medicaid waiver provider in Montana:

1

Obtain Montana PAS agency certification

2

Apply for NPI

3

Complete Montana Medicaid Provider Enrollment

4

Submit through Conduent

5

Complete waiver provider requirements

6

Execute provider agreement