The bill establishes a framework for presumptive eligibility under the Montana Medicaid program specifically for certain home and community-based services aimed at individuals with physical disabilities and the elderly. It outlines a screening process that must be completed to grant presumptive eligibility, which includes an application, self-attestation of income and residency requirements, and a functional assessment to create an in-home care plan. The bill specifies that eligible services include those necessary to prevent institutionalization or to facilitate a successful transition from a hospital or other institutional setting.

Additionally, the bill provides directions to the Department of Public Health and Human Services regarding the implementation of this presumptive eligibility program, including the requirement to submit necessary waiver applications to federal authorities. It also allows for time extensions in the application process and exceptions to the eligibility limits if deemed necessary to prevent health declines or hospitalizations. The effective date of the bill is contingent upon the approval of the relevant federal waivers.