Personal Assistance Services

The Self Directed Personal Assistance Services Program (SDPAS) is a program designed to allow fully Medicaid-eligible persons with a disability to manage their personal care.  The SDPAS program allows the consumer to stay in their home and be the manager of their own care.

Eligibility for SDPAS:

  • You must be fully eligible for Montana Medicaid.
  • You must require assistance with daily personal/health care needs you cannot provide yourself.
  • You must obtain your physician’s approval.
  • You must pass the screening capacity to administer your care.
  • You must be self-directing or identify a person willing to assume the responsibilities of the program on your behalf.

Services Covered:

Help with the following activities of daily living (ADL’s) are covered by the SDPAS program:

  • bathing
  • transferring
  • grooming
  • hygiene
  • toileting
  • dressing
  • exercise
  • medication reminders
  • medical escort
  • shopping
  • laundry
  • household tasks and cleaning
  • community integration
  • correspondence assistance
  • yard hazard removal

Skilled nursing tasks that are exempt from the Nurse Practice Act for the purpose of this program are:

  • medication administration
  • bowel treatment
  • urinary system management
  • wound care

Your SDPAS Responsibilities:

You are the boss: you find, you train, you schedule, and you supervise those who you want to work for you.

  • You must have a back-up worker
  • You must review and approve all time sheets for your workers
  • You must participate in compliance reviews conducted by NCILS and the Montana Department of Health and Human Services
  • You must obtain your physician’s approval.


NCILS’ Philosophy Regarding SDPAS:

NCILS’ philosophy is to empower Montanans with disabilities to promote self-direction, independence, inclusion, integration, and quality of life.  These goals are achieved through collaboration, cooperation, and providing beneficial information and education.  NCILS believes in motivating success through informed choices.

NCILS’ Mission Regarding SDPAS:

To address the activities of daily living needs for Medicaid eligible Montanans by:

  • providing education to consumers, promoting freedom of choice, and consumer control regarding their healthcare needs and options
  • meeting contractual obligations with the Montana Department of Health and Human Services
  • providing fiscal management and oversight of the services delivered
  • encouraging as much independence as possible

Benefits of the SDPAS Program:

  • You are the boss.
  • You decide who and when your worker(s) assist you in your own home.
  • You train your worker to your needs.
  • NCILS handles the payroll, taxes, Workmen’s Comp, and the unemployment taxes.