Short answer
Yes, but only in limited cases
Only in limited cases. A spouse can be paid only under Montana's rules for legally responsible individuals, and parents or a spouse may not provide more than 40 hours in a 7-day period (DPHHS Big Sky Waiver policy 604-1; CFC guide).
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The programs to ask about, documents to gather, and who to call in Montana. Print it now, no email needed.
Programs to ask about in Montana
1
Community First Choice / Personal Care – self-directed
Self-directed option in which the member chooses their attendant; a provider agency handles payroll, taxes and required checks.
2
Big Sky Waiver
HCBS waiver with a policy on payments to legally responsible individuals (BSW 604-1).
How to apply
See DPHHS 'Accessing Community First Choice Services'.
Before you act: rules change and individual eligibility depends on your assessment. Confirm with the program. This page summarizes official sources and does not promise eligibility or pay.