The Self-Direct Program is designed for people who are aging or have a disability and require additional support in their homes from a personal care attendant. When people choose to self-direct, they can hire and manage attendants that they choose and gain greater control over their own lives. Ability Montana can compensate personal care attendants through the Self-Direct Program. 


To qualify for the Self-Direct Program, a person must:

  • Have standard Medicaid insurance.
  • Need assistance with daily living tasks.
  • Be willing to hire a personal care attendant and self-direct their own care

Personal care and tasks of daily life can be an overwhelming challenge to people with disabilities who want to remain living at home. In-home care through our Self-Direct program provides assistance with these daily tasks. This empowers people to make choices about how, when, and by whom these personal care tasks are performed.


Personal care attendants can help with:

Bathing, Dressing, Grooming, Toileting, Eating, Exercising, Meal preparation, Light housekeeping, Grocery shopping, and Medical escort. 

More Information

Contact Ability Montana to see if the Self-Direct Program is right for you. We can check your Medicaid status and offer guidance about how to hire a personal care attendant.

Visit our Resources Guide for more information.

The Self-Direct Program is made available through the Montana Department of Public Health and Human Services (DPHHS).

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