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Self-Directed Services In Montana’s Developmental Disabilities Waivers. Is Self-DIRECTION for You?. Self-Directed Services. MORE CHOICES. MORE CONTROL. MY DECISIONS. Two Options to Self-Direction. Services can be Self-Directed with an Agency as Employer (aka - Agency with Choice).

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is self direction for you

Self-Directed Services

In Montana’s Developmental Disabilities Waivers

Is Self-DIRECTION for You?

self directed services
Self-Directed Services




working together using agency with choice

Working Together Using Agency with Choice

Individuals and families can work with their provider agency to hire staff they want to work with them.


The Agency is the employer of the staff and is responsible for all the duties of the employer. The Agency will recruit, hire, complete background checks, manage payroll, provide staff training, let people go when necessary , and schedule employees.


Self-Directed Services in

Employer Authority

personal supports services
Personal Supports Services

Assistance in carrying out daily living and other activities needed to be successful living in the community.

Includes Services -

  • Personal care
  • Homemaker
  • Adult Companion
respite services
Respite Services

Provides relief to the unpaid caregiver providing 24/7 care through

  • Respite workers
  • Recreation or

leisure activities

support broker
Support Broker
  • Trained and certified to help meet the challenges of self-directing services
  • Assists the person or family in arranging for, directing and managing self-directed services
  • Provides information and training when needed

Environmental Modifications/ Adaptive EquipmentChanges to the home and vehicle or specialized equipment needed to enable the person to function more independently or provide accessibility or safely.


Personal Emergency Response SystemElectronic devices that assist the person who may be alone for periods of time in obtaining help in emergencies


TransportationAllows payment of some costs of self-directed employees who provide transport not available from other sources for person to access needed services, activities and supports.

what knowledge and skills are important
What Knowledge and Skills Are Important?
  • Be proactive
  • Use good people skills
  • Be flexible when you schedule
  • Be willing to put time into the process
  • Have a good back-up plan
  • Have one point of contact as employer
  • Be an advocate
  • Be responsible for paperwork and follow through
more knowledge skills and abilities
More Knowledge, Skills and Abilities
  • Accommodate to needs, within the system
  • Understand that needs change
  • Don’t be afraid of challenges
  • Be clear about expectations
  • Communicate with employees and team
  • Know who to go to for help
  • Be sensitive to people
  • Being responsible for your decisions
  • Understanding and working within the Montana State system
  • Fulfilling your employer obligations
  • Identifying recruiting and

retaining good employees

  • Balancing your time and


who can help
Who Can help?

Case Manager/ QIS/State Staff




Support Broker

Fiscal Agent

talk to your case manager
Talk to your Case Manager

Your Case Manager can help you figure it out.

am i eligible

Am I Eligible???

If you have a cost plan and

If you live in your personal home


You are eligible for Self-

Direction of your services

lets review
Lets Review

Who is your Case Manager ? Do you know how to contact your Case Manager?

Who is the employer in Self-Direction with Employer Authority?

2. Who are some of the people who can help you with your Self-Directed services if you have a question or problem?

3. What are some of the choices that you can make with Self-Directed services?

Who is in charge of hiring, training, supervising, and letting go of your employee?


Share your thoughtswith us…

What other information about Self-Directed services would you like?

contact us

Contact Us

Kathy Zeeck, Self-Directed Services Coordinator

Developmental Disabilities Program

Montana Department of Public Health and Human Services


111 Sanders, Rm 305

Helena, MT 59604