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Home and Community Based Waiver Services

Home and Community Based Waiver Services allow spouses and parents to serve as paid caregivers providing community supports, personal assistance, respite care, and other services in home and community-based settings, capped at 40 hours per week.

Eligibility

  • Relationship: spouse, parent

Questions to ask the program

These are questions to ask the program, not a verdict on your eligibility. Confirm the current rules directly with the program.

  • Does the person receiving care live in Montana? — Residency is usually the first thing a program checks.
  • Does your relationship to the person — spouse or parent — count for this program?
  • Is there a caregiver-specific department, coordinator, or support line? Ask for it by name. — Many agencies have one that isn’t advertised on the website.
  • What documents do you need from us to start an application?
  • Is there a waitlist right now, and how long is it?

What this record does not yet say

  • a direct application link

How to apply

  • The family member must be an employee of a Medicaid provider and meet the caregiver qualification and training standards specified in the waiver for that service; if a spouse is chosen as caregiver, this must be documented in the member's plan of care.