1. Program Definition and Services Provided 

Personal Assistance Services (PAS) in Montana are designed to assist individuals with disabilities or seniors in performing daily living activities. Services include assistance with bathing, dressing, toileting, ambulation, meal preparation, light housekeeping, and medication reminders. PAS can be provided through agency-based or self-directed models, allowing participants to hire and manage their own caregivers. 

2. Regulations 

Key regulations governing PAS include: 

• Mont. Admin. r. 37.40.1116: This regulation outlines the general requirements for Self-Directed Personal Assistance Services. 

• Mont. Admin. r. 37.40.1126: This regulation specifies provider requirements for agency-based PAS, including staff qualifications and training. 

3. Licensing or Certification 

To provide PAS, agencies must enroll as Medicaid providers. While specific licensing for PAS is not required, providers must meet Medicaid enrollment criteria and adhere to state regulations. Certification may apply to specific staff roles, such as nurse supervisors and plan facilitators. 

4. Responsible State Agency 

The Montana Department of Public Health & Human Services (DPHHS), specifically the Senior and Long-Term Care Division, is responsible for overseeing PAS programs. 

5. Application Process 

The application process for becoming a PAS provider involves enrolling as a Medicaid provider. This typically requires submitting an application through the state's Medicaid enrollment process. Conduent acts as Montana's fiscal intermediary for provider enrollment, which includes an additional review by the Community Services Bureau. 

6. Required Documentation 

For agency-based PAS providers: 

• Completed Medicaid provider enrollment application 

• Proof of liability insurance 

• Staff training records (e.g., nurse supervisor and plan facilitator qualifications) 

• Documentation of agency policies and procedures 

• For self-directed PAS: 

• Participant must meet Medicaid eligibility and functional needs assessment requirements. 

• Documentation of caregiver selection and employment arrangements. 

7. Timeline for Approval 

The timeline for Medicaid provider enrollment can vary, depending on the completeness of the application and the review process. Once enrolled, providers can begin offering services. 

8. Pre-Application Process 

There is no specific pre-application process, but providers must ensure they meet all Medicaid enrollment criteria before applying. 

9. Pre-Application Training 

While there is no mandated pre-application training, PAS providers must ensure their staff complete required training. For agency-based PAS, personal care attendants must undergo a minimum of 16 hours of basic training, which includes topics such as body mechanics, personal assistance skills, and safety 

10. Additional Notes 

• PAS services are part of Montana's Medicaid program, aiming to support individuals living in their own homes. 

• Participants can choose between agency-based and self-directed models, allowing flexibility in caregiver selection and management.