Provide presumptive eligibility for Medicaid coverage of home and community-based services

This bill establishes a presumptive eligibility process for Medicaid home and community-based services in Montana for individuals with physical disabilities and elderly persons. It allows qualified applicants to receive services such as personal care, meal delivery, and medical equipment without first completing full Medicaid eligibility determinations. The program requires a screening process conducted by trained staff at designated agencies, including hospitals, tribal entities, or aging service organizations, which includes a functional assessment and self-attestation of income and residency requirements. Coverage under this presumptive eligibility is limited to one 12-month period per applicant, and recipients must apply for full Medicaid coverage within 10 days of receiving services.