Montana Residential Habilitation Service Policy Manual

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The Residential Habilitation Service Provider Policy Manual establishes a comprehensive framework for agencies delivering residential habilitation services in Montana, ensuring compliance with state regulations, Medicaid requirements, and the principles of community integration. This manual aligns with the Montana Administrative Rules (e.g., Mont. Admin. r. 37.34.972), Department of Public Health and Human Services (DPHHS) standards, and Home and Community-Based Services (HCBS) waiver guidelines to support individuals with disabilities in achieving greater independence and quality of life.
The manual includes policies on:
Service Definition and Scope: Residential habilitation services are designed to assist individuals in acquiring, retaining, and improving self-help, social, and adaptive skills necessary for successful community living. Services include personal care, skill development, community inclusion, transportation, and protective oversight tailored to individual care plans.
Settings and Delivery Models: Services are provided in various settings such as group homes, assisted living facilities, foster care homes, or natural homes. 
Provider Requirements: Regulations regarding staffing levels, training, and facility standards. 
Individualized Habilitation Plans (IHPs): Each resident customized plan outlining their specific needs, goals, and services required to achieve greater independence. Plans include measurable objectives, timelines, and criteria for transitioning to less restrictive settings.
Client Rights: Emphasis is placed on respecting residents' rights to dignity, privacy, community integration, and the least restrictive environment necessary for habilitation. Facilities must implement the principle of normalization to help residents live as independently as possible.
Documentation and Reporting: Accurate records of service delivery, progress toward IHP goals, and compliance with Medicaid billing requirements. Annual inspections and unannounced audits ensure adherence to quality standards.
Quality Assurance: Policies for monitoring service effectiveness include regular reviews of client outcomes, satisfaction surveys, and compliance with HCBS setting rules. Providers must also address any deficiencies identified during inspections or audits.
This manual serves as a critical resource for providers to deliver high-quality residential habilitation services while meeting Montana’s regulatory requirements. It supports agencies in fostering independence and community participation for individuals with disabilities in a safe and supportive environment.