Skip to main content


A woman in a wheelchair is talking to another woman in a living room.

Tailored with your needs in mind, the Self-Direct Program is an ideal solution for those seeking extra support at home while maintaining control over their care. Eligibility is open to individuals who desire personalized care on their terms. By opting for self-direct, you have the freedom to select and oversee your attendants, empowering you with greater control over your life. Through the Self-Direct Program, Ability Montana offers the opportunity to compensate personal care attendants, ensuring a flexible and individualized support system.


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 your own care.

Personal care and tasks of daily life can be an overwhelming challenge if you want to remain living at home. In-home care through our Self-Direct program assists with these daily tasks. This program empowers you 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, help you through the application process, and offer guidance about how to hire a personal care attendant.

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

Not sure where to start?

Contact us to find out which programs will best meet your goals.