Home and Community Based Services (HCBS)

A program that OFFERS CHOICES, enables self-determination and provides a complete service plan.

In 1983, Community Medical Center’s Home & Community Based Services (HCBS) became the first Medicaid Waiver program in Montana with the mission to assist western Montanans with physical disabilities to live in the least restrictive setting by providing case management, education, advocacy and coordination of in-home services. Case managers also monitor quality of services while ensuring that community resources are used in the most cost- effective manner.

Each HCBS individual is assigned a social worker and nurse who meet with them as needed -- at least every six months -- to develop and review a service plan. The social work case manager, along with the individual, requests input from that person’s family, physicians, therapists, caregivers and advocates concerning home care needs.

Individuals Served by CMC/ HCBS Program:

  • People with physical disabilities – deemed disabled by Social Security
  • People with traumatic brain injuries
  • Financially eligible for Medicaid
  • Meet level of care (LOC) criteria
  • Reside in service area Missoula Ravalli and Mineral Co.
  • Can be served in the community at reasonable cost

Our case management team views people with disabilities as individuals, their disabilities being just one facet of their lives. We use a holistic approach, addressing all aspects including the social, psychological, physical, financial, spiritual and community needs of a person. And we greatly value self-determination: each individual has the right to choose how to live and how to be treated. We rely on and follow the lead of the individual in developing a service plan and creating a community support team that works together to achieve the goals, needs and wishes of that person.

Services available through HCBS include:

  • Case management
  • Homemaker
  • Respite
  • Transportation
  • Meals
  • Nutritional consultation
  • Specially trained attendant
  • Nursing
  • Socialization
  • Specialized brain injury services
  • Emergency response systems
  • Home modifications
  • Adult residential services
  • Specialized medical equipment and supplies

Home and Community Based Services is a program overseen by the Montana Department of Public Health and Human Services Senior and Long Term Care Division. To receive services, an individual needs to be eligible for Medicaid, determined by the Social Security Administration to have a disability, and require a level of care that puts them at risk of being institutionalized in a nursing home or other facility. We also accept private pay clients.

To refer yourself or someone you know for services, please call Mountain Pacific Quality Health at (800) 219-7035. For questions about our organization, please call us at:

(406) 327-4585

or visit us at:

2685 Palmer Street, Suite D, Missoula MT