Medicaid Self-Directed Personal Assistance Services
(SDPAS) Program
Medicaid’s Self-Directed Personal Assistance Services Program (SDPAS) is designed especially for consumers who wish to manage their own services by developing a long-term supportive care program in a home setting.
Initial services may include recruiting, hiring, training and managing personal care attendants as needed by the consumer. The specific type of care authorized is dependent upon the consumer’s needs, living situation, the approval of a healthcare professional and Mountain Pacific Quality Health.
SDPAS services also include: help with bathing, dressing, grooming, toileting, eating, ambulation and exercising. Depending upon your personal situation, you may receive authorization for meal preparation, light housekeeping, laundry, and grocery shopping and medical escort.
In addition, your health care professional may allow self-management of your personal bowel program, catheter care, and medication administration and/or wound care.
Eligibility Under Medicaid:
To qualify for SDPAS, you must:
- Have a health condition that limits your ability to perform certain activities of daily living,
- Participate in the screening process, and
- Be eligible for Medicaid.
To remain eligible for SDPAS, you, the consumer, must follow the rules of the program, participate in your own self care as reasonably as possible and remain financially eligible for Medicaid. If your situation or needs change, adjustments in services or a potential discharge from the SDPAS program may occur.
The SDPAS program does not cover such tasks as: yard work, household repairs, major cleaning, shopping for non-essential items, escort to non-medical services, pet care or general transportation.
MILP’s services as your SDPAS liaison include serving as the fiscal agent for payroll and billing to Medicaid for service payments, as well as providing you with instruction on how to train and educate your own Personal Care Attendant (PCA).
How to Apply:
To apply for SDPAS services, contact the MILP office serving your county.
For Broadwater, Jefferson, Lewis & Clark, and Powell counties contact our Helena office at (406) 442-5755 or Toll Free at 1-800-735-6457.
For Beaverhead, Deer Lodge, Granite, Jefferson, Madison, and Silver Bow counties contact our Butte office at (406) 782-4834.
For Gallatin, Meagher, Park, Sweet Grass, and Wheatland counties contact our Bozeman office at (406) 522-7300.
Ask to speak to a member of a Self-Directed Team for more information. You may also contact Mountain Pacific Quality Health at 1-800-268-1145.
The Self-Direct program is made available through the Montana Department of Public Health and Human Services (DPHHS) and the Senior and Long-Term Care Division (SLTC).
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