Self-Directed CFCS / PCS Services

Choose Your Caregiver. We'll Handle the Rest.
Montana’s Self-Directed Community First Choice Services and Personal Care Services (CFCS/PCS) program empowers you to hire the caregiver you trust, often a friend or family member.
If you or a loved one:
- Are eligible for Montana Medicaid
- Need assistance with daily tasks like bathing, dressing, or meal prep
- Have a desire to stay at home instead of moving to a care facility
- Prefer control over when and how care is provided
Need Help Getting Started?
- Visit HERE to complete a Medicaid application
- Call 1-880-318-2596

Why Families Love It
- You pick the caregiver. A trusted friend, relative, or someone you already know!
- DPHHS covers the cost of personal care, medication reminders, mobility help, and more.
- Extra hours may include grocery shopping, housekeeping, and outdoor safety support.
Who Qualifies
- Must be a Montana Medicaid recipient.
- Must meet the state’s “institutional level of care” requirement; meaning care is needed to avoid nursing home placement.
- Must complete a state screening and meet availability rules.
Who Can Be a Caregiver
Chances are, if you’re here, it means you are already helping with a loved one’s care. Under the CFC program, many family members can be hired as paid caregivers. This allows you to continue providing care while receiving compensation for your time and effort.
How Express Healthcare Supports You
We make it easy to start — and even easier to keep going:
- Provide you guidance in order to apply for Medicaid & specifically the Self Direct CFC/PAS program.
- Train your chosen caregiver on hiring, timesheets, and state regulations.
- Handle all payroll, benefits and paperwork so you can focus on what matters most.
- We stay connected with you throughout your services. Our team visits you in your home two times a year and truthfully, it’s one of the best parts of what we do. We love seeing you in the place you feel most comfortable receiving the care you deserve. We’re always just a call away for check-ins, questions or anything else you need to keep things running smoothly.
Your Care. Your Choice.
Get peace of mind knowing care is in your hands but the cost isn’t.
Kindness can transform someone’s dark moment with a blaze of light. You’ll never know how much your caring matters. Make a difference for another today.
If you or anyone you know would benefit from utilizing in home health care services and you would like more information, give us a call and we will help you find the right program customized to your needs.

