Get ready to apply
Montana Department of Public Health and Human Services
Pediatric Complex Care Assistant
What you get
Care at home for children with complex medical needs, based on a care assessment. Ask whether requests are open.
- Who starts it
- You
- How it’s sent
- Online, on their website
- Your time
- About 15 minutes
- Last checked
- Aug 27, 2026
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What their form asksA preview, so you can gather things first. Fill it in on their site.
Open their application ↗ Checked Aug 27, 2026What the form asks for
PCCA licensure and prior authorizationChild is enrolled in Montana MedicaidPCCA license applicationPrimary Care Provider AttestationPCCA Services Prior Authorization Request
After you send
Track DLI license issuance, agency onboarding, and the Medicaid prior-authorization decision before providing paid PCCA services. If you have not heard back in two weeks, write and ask whether it arrived.