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MONTANA · CARE PROGRAM

Big Sky Waiver and Adult Day Care

Agency and self-directed workers under the Big Sky Waiver (HCBS for elderly and physically disabled people) and staff of licensed adult day care centers. The waiver's only worker screening rule is the LEIE check the financial management service runs on self-directed workers; agency staff and adult day care (ARM 37.40.14, 37.106.26) have none, so they share these checks.

BIG SKY / ADC · ON FILE
Registries named
5
Required
1
Expected
4
Screened by ezOIG
3 of 5
Rules checked
October 16, 2026

Required checks

Named by a regulation, a statute or the state's Medicaid agency

  1. List of Excluded Individuals/Entities

    HHS Office of Inspector General

    SCREENED BY EZOIG Federal exclusion check against the HHS-OIG list
    WHEN
    MONTHLY Before a self-directed worker is employed, the financial management service confirms they are not on the LEIE; agency staff and adult day care staff at hire and monthly (standard practice, no rule names it for them)
    BASIS
    Big Sky Waiver MT.0148.R07.00 (effective July 1, 2024), Appendix E-1-i, financial management services contractor duties (unchanged in the June 2026 draft amendment); agency staff: 42 CFR 1001.1901 and CMS SMDL #09-001

    ensure staff and employees of members self-directing pass Medicaid required background investigations, including but not limited to the List of Excluded Individuals and Entities (LEIE) and Medicare Exclusion Database (MED).

    Read the source dphhs.mt.gov

Expected checks

Standard practice, or implied by a provider's enrollment duties; no rule names them outright

  1. Excluded or Terminated Montana Medicaid Providers

    DPHHS, Montana Healthcare Programs (Program Integrity / SURS)

    SCREENED BY EZOIG State Medicaid exclusion list check
    WHEN
    MONTHLY At hire and monthly (standard practice; DPHHS updates the list irregularly)
    BASIS
    ARM 37.85.506(3) bars Medicaid claims for services by a person suspended or terminated from Montana Medicaid; DPHHS posts the list as notice under ARM 37.85.507

    In accordance with Administrative Rules of Montana (ARM) 37.85.507, 42 CFR 1001.2005 and 42 CFR 1001.2006 this web site serves as notice to the state licensing agencies and others regarding these excluded and or terminated providers.

    Read the source dphhs.mt.gov

  2. Criminal History Online Public Record Search (CHOPRS)

    Montana Department of Justice, Division of Criminal Investigation, Criminal Records and Identification Services Section

    NOT SCREENED YET Paid access
    WHEN
    AT HIRE At hire, agency staff; self-directed workers only if the member asks
    BASIS
    Standard practice for agency employers; for self-directed workers the financial manager runs it only if the member requests it (ARM 37.40.1423(3)(e))

    complete criminal background checks on prospective consumer-referred worker and maintain results on file, if requested by the consumer

    Read the source law.cornell.edu

  3. Licensee Lookup System

    Montana Department of Labor and Industry, Business Standards Division

    NOT SCREENED YET The registry blocks automated access
    WHEN
    AT HIRE At hire, licensed staff (nurses, therapists)
    BASIS
    Standard practice for licensed waiver staff; no Big Sky Waiver or adult day care rule names a licence check by the provider

  4. SAM.gov exclusions

    General Services Administration

    SCREENED BY EZOIG Federal exclusion check against SAM.gov
    WHEN
    MONTHLY At hire and monthly (standard practice)
    BASIS
    DPHHS's excluded-provider page points to SAM to determine provider status; no Montana rule names it for these services

    Please check the following web sites to determine provider status

    Read the source dphhs.mt.gov

Also required

Not registry lookups; ezOIG doesn't run these
  • Adult day care: documented orientation for every employee and a personnel record for each (ARM 37.106.2602(13), 37.106.2620(3))
  • Self-directed Big Sky Waiver workers: the financial manager processes the employment packet as employer of record (ARM 37.40.1423)
  • Self-directed workers: the financial management service also checks the Medicare Exclusion Database, which is not public (Big Sky Waiver Appendix E-1-i)

Why some registries are not screened yet

The registry blocks automated access
The registry's website turns away automated lookups. We don't work around that, so for now your staff search it themselves.
Paid access
The agency charges for access, and ezOIG doesn't include it yet.

Guidance, not legal advice

This page summarizes ezOIG's research into Montana's rules for this program, checked against the regulations as of October 16, 2026. Rules change, and an agency's own contract or license can add to them. Confirm what applies to you with Montana Department of Public Health and Human Services (DPHHS), Montana Healthcare Programs or your own counsel before relying on it.

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