mILp Clients

Our services.

Information and Referral Services (I&Rs):

mILp maintains an information and referral database so we may best provide information to individuals and families. If we do not have the information you are looking for, we will find it or connect you with someone who can. I&Rs may include:

  • Accessibility concerns and resources;
  • The Americans with Disabilities Act (ADA) access and employment issues, and legal and legislative news and updates;
  • Medical, legal, social, and individualized information on understanding your disability;
  • Alternative resources and availability; and
  • Financial resource opportunities including assistance with pursuing grants and loans for acquiring necessary assistive and adaptive devices.

Our website also offers a comprehensive selection of online resources which can be found under ADA/Disability Resources under our Resources tab.

Independent Living (IL) Skills Training Services:

What is IL? At its core, IL simply means having equal access to the same opportunities as the rest of society and as specified by the ADA. mILp’s professional staff of IL Specialists provides people living with disabilities with instruction and training to assist in living independently. mILp offers the following IL skills training:

  • Daily Living Skills: mILp provides learning opportunities for: budgeting, menu and meal planning, meal preparation and cooking, and grocery shopping.
  • Community Resource Acquisition: Our staff assists consumers in researching and applying for community resources such as Medicaid services and waivers, Medicare benefits, food stamps, energy assistance and Meals on Wheels services.
  • Support and Recreational Groups: mILp sponsors recreational and support group activities as requested by our consumers.

Peer Counseling Services:

The purpose of Peer Support is to match individuals with similar disabilities to empower each other through encouragement and support. This service assists individuals adapting to life with a disability or transitioning through different life stages. mILp also encourages individuals to seek out new opportunities.

Individual and Systems Advocacy Services:

mILp works in the community to make a difference in the lives of individuals with disabilities by removing barriers and focusing efforts on accessibility to public services, education, and benefits. As an IL Center, we are at the forefront of advocating for access, choice, and self-determination for individuals with disabilities. mILp can help advocate for the rights of individuals living with any type of disability on both an individual and a systems level.

  • Self-advocacy: Self-advocacy services help individuals learn to advocate for their individual personal rights. These rights may include health care benefits, access to health care and housing, as well as many more essential services. Self-advocacy is one of the most important skills anyone can have in their tool kit. mILp is dedicated to helping individuals learn to advocate for themselves in order to best maximize their choices and live an independent life.
  • Systems Advocacy: Systems Advocacy involves working together to change policies and remove barriers people living with disabilities face in their everyday lives. mILp staff and consumers partner to facilitate system changes, including those related to government policies, transportation, public accommodation, and housing.

Transition Services:

mILp provides options for people living with disabilities and/or those who are aging to move from a nursing facility to a quality community setting that meets their needs and desires. The objectives of mILp transition services are:

  • to move people from a facility to the community of their choice;
  • identify and eliminate barriers that prevent people from being able to move to the community;
  • improve the ability of Montana Medicaid to provide in-home services; and
  • to ensure that there is continuous quality improvement of in-home services provided.

mILp also assists youth on an Individualized Education Program (IEP) program that are transitioning from secondary education to postsecondary life.

The Medicaid SDPAS program.

Medicaid’s Self-Directed Personal Assistance Services Program (SDPAS) is designed especially for consumers who wish to manage their own services by developing a long-term supportive care program in a home setting. Initial SPDAS services may include recruiting, hiring, training and managing personal care attendants as needed by the consumer. The specific type of care authorized is dependent upon the consumer’s needs, living situation, the approval of a healthcare professional, and Mountain Pacific Quality Health. Your health care professional may allow self-management of your personal bowel program, catheter care, and medication administration and/or wound care.

SDPAS services also include: help with bathing, dressing, grooming, toileting, eating, ambulation and exercising. Depending upon your personal situation, you may receive authorization for meal preparation, light housekeeping, laundry, and grocery shopping and medical escort. The SDPAS program does not cover such tasks as: yard work, household repairs, major cleaning, shopping for non-essential items, escort to non-medical services, pet care or general transportation.


To quality for the Medicaid SPDAS program, you must:

  1. Have a health condition that limits your ability to perform certain activities of daily living,
  2. Participate in the screening process, and
  3. Be eligible for Medicaid.

To remain eligible for SDPAS, you, the consumer, must follow the rules of the program, participate in your own self-care as reasonably as possible and remain financially eligible for Medicaid. If your situation or needs change, adjustments in services or a potential discharge from the SDPAS program may occur.

mILp will serve as your SDPAS liaison. Our services include serving as the fiscal agent for payroll and billing to Medicaid for service payments, as well as providing you with instruction on how to train and educate your own Personal Care Attendant (PCA).

How to apply:

To apply for SDPAS services, contact the mILp office serving your county and ask to speak to a member of a Self-Directed Team for more information. Call the mILp office representing your county below. You may also contact Mountain Pacific Quality Health at 1-800-268-1145. The Self-Direct program is made available through the Montana Department of Public Health and Human Services (DPHHS) and the Senior and Long-Term Care Division (SLTC).

Helena Office Service Areas: Lewis & Clark County, Powell County, Jefferson County, and Broadwater County

Helena Office

825 Great Northern Blvd, STE 105

Helena, MT 59601


1.800.735.6457 (Toll-Free)

Butte Office Service Areas: Silver Bow County, Beaverhead County, Madison County, Deer Lodge County, Granite County, Jefferson County

Butte Office

3475 Monroe, STE 100

Butte, MT 59701


Bozeman Office

3825 Valley Commons Drive, STE 2

Bozeman, MT 59718


Orientation and Mobility (O&M) skills instruction.

O&M skill instruction teaches an individual with low vision or blindness identify where they are in a space and where they want to go (orientation and equips them to carry out a plan to get where they want to go (mobility). O&M skills should begin to be developed in infancy starting with basic body awareness and movement continuing on into adulthood.

At mILp, O&M skills are taught only by Certified O&M Specialists (COMS). mILp is the ONLY provider in the State of Montana that performs one-on-one instruction within someone's home, school, and community - thereby avoiding segregated schools and institutions. Through this program, individuals will learn skills that allow them to navigate the world efficiently, effectively, and safely.

What skills are taught through O&M?

O&M skill training is individualized and may include the following:

  1. Sensory Integration techniques to enhance sensory processing and promote adaptive responses to the environment.
  2. Sensory Awareness to help individuals gain information about the world through hearing, touch, smell, and proprioception.
  3. Spatial Concepts to develop an understanding of how objects relate in an environment and that objects exist even if not felt or heard.
  4. Searching Skills to locate items or places efficiently.
  5. Independent Movement including crawling, rolling, walking within an environment
  6. Sighted Guide Techniques in receiving assistance from another individual during travel.
  7. Cane Skills incorporating various cane techniques to identify a clear path of travel.

Additional O&M skill instruction may include Self-Care and Home Management training. Those tasks may include activities of daily living (ADLs), lighting assessments, as well as recommendation and instruction for effective use of assistive devices.

Where do O&M services take place?

O&M skill instruction is highly individualized and is intended to equip an individual with a skill set to live as independently as possible. Thus, instruction may take place within the home setting, in the community, in public spaces, or, if authorized, in school. COMS strongly encourages professionals involved with the individual to observe and learn the O&M skills and related language to support on-going use of learned skills.

What is a primary goal of O&M?

A primary goal of O&M is to equip an individual with a visual impairment with the ability to achieve independent movement to the greatest degree possible. Most individuals who have low vision or blindness are able to learn routes in familiar environments by utilizing various clues and landmarks to provide orientation. With O&M training, any individual has the potential to travel independently.

How are O&M services funded?

Effective July 1, 2013, Montana Medicaid will pay for O&M instruction for Medicaid eligible individuals aged birth through twenty (20) who have low vision or blindness. For veterans with vision loss from service or non-related circumstances, mILp is a contracted vendor with the U.S. Department of Veterans Affairs (VA) ensuring that O&M services are paid in full. For any other adult, O&M services can be provided for a fee for service arrangement directly with mILp.

How is an individual referred for O&M services?

Parents, legal guardians, early intervention family support specialists, medical providers, teachers, case managers, special education directors, Vision Outreach Consultants from Montana School for the Deaf and Blind, or any service provider may provide a referral directly to mILp.

What is the reimbursement process for O&M services?

Birth to Three (3) Years:

Children age birth to three are served under Medicaid's Early Periodic Screening, Diagnosis & Treatment (EPSDT) program. The referent or family member may contact mILp to provide O&M instruction. mILp will provide an agreement to establish a provision of services to be provided. mILp bills Medicaid directly for O&M instruction.

School Age through Twenty (20) Years:

Adult 21+ Years

An individual 21 years or older with low vision or blindness may be referred to mILp for O&M instruction. mILp will provide an assessment if necessary and then an agreement to define the provision of services to be provided. The agreement will include a fee for service arrangement. mILp bills the individual or family member/representative directly.

Veteran Services:

An eligible veteran may be referred to mILp for O&M instruction. mILp’s O&M Specialist makes arrangements with the veteran to provide services according to the authorization provided by the VA contract. mILp bills the VA directly.

What about confidentiality?

All information obtained from the referral, assessment, and provision of service delivery process is held in strict confidence. Information about the individual is important to the mutual planning for services. mILp employs COMS who adheres to a strict code of ethics. All individuals, and/or their representative, receiving services from MILP will be provided a copy of mILp’s Notice of Privacy Practices.

Who do I contact regarding O&M services?

Call Toll Free at 1.800.735.6457 or contact the mILp Helena office at 406.442.5755.