Admin. R. Mont. 37.40.1402
Home and Community-based Services for Elderly and Physically Disabled Person: Definitions
Effective Nov 22, 2025Authorizing statute(s): 53-2-201, 53-6-101, 53-6-111, 53-6-113, 53-6-402, MCA; Implementing statute(s): 53-2-201, 53-6-101, 53-6-111, 53-6-402, MCAState of Montana
- (1) "Adult residential care" means a residential habilitation option for consumers residing in an adult foster home, group home, or assisted living facility.
- (2) "Case management" means a service that provides the planning for, arranging for, implementation of, and monitoring of the delivery of services available through the program to a consumer.
- (3) "Community transitions services" means nonrecurring set-up expenses for individuals who are transitioning from an institutional or other provider-operated living arrangement to a living arrangement in a private residence where the person is directly responsible for his or her own living expenses.
- (4) "Consultative clinical and therapeutic services" means services that assist unpaid and/or paid caregivers in carrying out individual service plans and are necessary to improve the individual's independence and inclusion in the community.
- (5) "Consumer-directed goods and services" means services, supports, supplies, or goods not otherwise provided through this waiver or the Medicaid state plan.
- (6) "Family training and support" means a service that provides training to families and others who work or play with a child with a disability.
- (7) "Financial management services" means services provided by an individual called a financial manager who provides finance, employer, payroll, and related functions for the consumer or personal representative.
- (8) "Habilitation" means the provision of intervention services designed for assisting a consumer to acquire, retain, and improve the self-help, socialization, and adaptive skills necessary to reside successfully at home and in the community.
- (9) "Health and wellness" means services that assist consumers in acquiring, retaining, and improving self-help, socialization, and adaptive skills to reside successfully in the community.
- (10) "Homemaker chore" means services provided for individuals who are unable to manage their own home or when the consumer, normally responsible for homemaking, is absent.
- (11) "Independence advisor services" means services that provide an array of consumer-directed support activities to ensure the ability of consumers to direct their care successfully.
- (12) "Nonmedical transportation" means the provision to a consumer of transportation through common carrier or private vehicle for access to social or other nonmedical activities.
- (13) "Pain and symptom management" means a service that allows the provision of traditional and nontraditional methods of pain management.
- (14) "Participant direction" means an option available to individuals who elect to direct their own care and that participants, or their representatives, have decision-making authority over certain services and take direct responsibility to manage their services with the assistance of a system of available support.
- (15) "Personal assistant services"
- (PAS) is defined at 53-6-145, MCA and includes attendant PAS and socialization/supervision PAS.
- (16) "Post-acute rehabilitation services" means the provision of therapeutic intervention to a consumer with a brain injury or other related disability in a residential or nonresidential setting.
- (17) "Respite care" means the provision of supportive care to a consumer to relieve those unpaid persons normally caring for the consumer from that responsibility.
- (18) "Senior companion" means services directed at providing companionship and assistance.
- (19) "Serious occurrence" means a significant event which affects the health, welfare, and safety of an individual served in home and community-based services. The department has established a system of reporting and monitoring serious incidents that involve consumers served by the program in order to identify, manage, and mitigate overall risk to the individual.
- (20) "Service plans" means a written plan of supports and interventions based on an assessment of the status and needs of a consumer.
- (21) "Specialized child care for medically fragile children" means the provision of day care, respite care, and other direct and supportive care to a consumer under 18 years of age who is medically fragile and who, due to medical and other needs, cannot be served through traditional child care settings.
- (22) "Specially trained attendant care" means an option under personal assistance that is the provision of supportive services to a consumer residing in their own residence.
Authorizing statute(s): 53-2-201, 53-6-101, 53-6-111, 53-6-113, 53-6-402, MCA
Implementing statute(s): 53-2-201, 53-6-101, 53-6-111, 53-6-402, MCA
History: NEW, 2011 MAR p. 1722, Eff. 8/26/11; AMD, 2024 MAR p. 2273, Eff. 9/21/24; AMD, 2025 MAR, Notice No. 2025-524, Eff. 11/22/25.