Self-Directed Personal Care Services

The Self-Directed Community First Choice Services/Personal Care Service Program (SD-CFCS/PCS) is a Medicaid program which allows persona with disabilities to be able to stay in their home and direct their own care.

Eligibility for SD-CFCS/PCS:

  • You must have standard Montana Medicaid.
  • You must have a medical need for personal care.
  • 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 SD-CFCS/PCS 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 SD-CFCS/PCS Responsibilities:

You are the employer: you recruite, train, schedule, and supervise those who you want to work for you. You are responsible for setting the hiring requirements for your particular medical and care needs. 

  • You must have a back-up worker
  • You must review and approve all time tracked 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.cked

NCILS Mission Regarding SD-CFCS/PCS

NCILS’ mission is to provide access to a more independent lifestyle for persons with disabilities through advocacy, education, coordination of services and information as diretced by the consumer need. The SD-CFCS/PCS program is a key component towards accomplishing that goal by providing access to PCAs of their choice who care provide essential services to individuals with disabilities so that they can stay in their homes and community. Rather than going into a care facility or institution.

Shared Employment Responsibility:

  • NCILS acts as the employer of record.
  • Member/PR are the employer
  • Member/PR decides who and when your PCAs are in your home.
  • You train your worker to your needs. You are responsible for setting the requirements and necessary qualifications for your hires.