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HCBS waivers · Montana

Montana Medicaid waivers

Montana runs 3 Medicaid home and community-based services (HCBS) waiver programs in our records; 3 have a state-published waiting list.

Verified Oct 6, 2026Sources: official state and federal agencies

Waiver programs
3
With a waiting list
3
On this page
Programs

Montana waiver programs

Montana runs 3 Medicaid home and community-based services (HCBS) waiver programs in our records; 3 have a state-published waiting list.

WaiverAuthorityWho it servesWaiting listApproved through
MT Big Sky Waiver (BSW)MT.0148Services: Adult day health, Big sky waiver personal assistance, Case management, Community adult group homes, Day habilitation, Homemaker, Prevocational services, Respite…1915(c)Adults 65+, People with physical disabilities or other disabilities, ages 0–64, Must meet nursing facility level of care—Jun 30, 2029
MT Home and Community Based Waiver for Individuals with Developmental DisabilitiesMT.0208Services: Day supports and activities, Homemaker, Residential habilitation, Respite, Nutritionist services, Occupational therapy, Physical therapy, Private duty nursing…1915(c)People with intellectual disabilities or developmental disabilities, all ages, Must meet ICF/IID level of care—Jun 30, 2028
MT Severe and Disabling Mental Illness Home and Community Based Services WaiverMT.0455Services: Adult day health, Case management, Residential habilitation, Respite, Supported employment, Behavioral intervention assistant, Community transition, Consultative clinical and therapeutic services…1915(c)People with mental illness, age 18+, Must meet nursing facility level of care—Jun 30, 2025

Waiting-list counts are the state's own published figures, as of the date shown; states count differently, so compare with care.

FAQ

Frequently asked questions

What Medicaid waivers does Montana have?

Montana runs 3 Medicaid home and community-based services (HCBS) waiver programs in our records; 3 have a state-published waiting list. They are: MT Big Sky Waiver (BSW); MT Home and Community Based Waiver for Individuals with Developmental Disabilities; MT Severe and Disabling Mental Illness Home and Community Based Services Waiver.