What Programs Are Available To Assist People With Disabilities in North Dakota?

Is there a Medicaid waiver program in North Dakota? North Dakota has several waivers including:

  • Medicaid Waiver HCBS;
  • Children's Hospice;
  • Autism Spectrum Disorder Birth through Four;
  • Self-Directed Supports (ended 03/31/2011) ;
  • Traditional MR DD HCBS;
  • Technology Dependent Medicaid Waiver;
  • Medicaid Waiver for Fragile Children

What state department handles the Medicaid waiver program in North Dakota? The North Dakota Department of Human Services funds and administers Home and Community Based services for elderly people and people with various disabilities.

What programs assist people who have developmental disabilities in North Dakota? North Dakota has several waivers for persons with disabilities including: Medicaid Waiver HCBS; Autism Spectrum Disorder Birth through Four; and the Traditional MR DD HCBS Waiver

What is the best number to call to get started? Call 800-755-8529 or (701) 328-2310.

Is there a website?http://www.nd.gov/dhs/

Who Qualifies For Assistance?

What is considered a developmental disability in North Dakota? Developmental Disability Refers to a severe chronic condition that constitutes a lifelong mental or physical impairment, which became apparent during childhood and has hampered an individual's ability to participate in mainstream society, either socially or vocationally. Refer to the Developmental Disabilities Act (Pub.L.106- 402) for the legal definition.

Are there income limits to receive services? Yes, 100% of FPL

How old do you have to be to start receiving waiver services in North Dakota? Traditional MR DD HCBS has no age restrictions; Medicaid Waiver HCBS serves persons with disabilities aged 18-64 and individuals aged 65 and up; ND Autism Spectrum Disorder Birth through Four serves ages 0-4

Is There a Waiting List For Services?

How long is the waiting list? North Dakota does not have a waiting list.

How many people are on the waiting list? The North Dakota does not have a waiting list for the Medicaid Waiver program.

How many people are currently receiving services? Currently the Traditional DD Waiver can serve 4365 individuals (currently serving 4302) and the ASD waiver serves 30 (currently serving 22).

Is there priority preference for people who are in crisis? North Dakota reserves slots for emergency situations in which potentially eligible participants are in need of supports to ensure health and welfare.

What Services Are Offered & What Are The Service Limitations?

What services does the Medicaid waiver program offer in North Dakota? North Dakota's Medicaid Home and Community Based Services Waiver offers the following services: Adult Day Care; Adult Family Foster Care; Case Management; Chore Service; Emergency Response System; Environmental Modification; Homemaker Service; Non-Medical Transportation; Residential Care; Respite Care; Specialized Equipment; Supported Employment Services; and Transitional Living Service.

Does North Dakota offer community group homes? Yes, North Dakota offers Residential Care Services provided in a facility in which at least five (5) unrelated adults reside, and in which personal care, therapeutic, social, and recreational programming are provided in conjunction with shelter. This service includes 24-hour on-site response staff to meet scheduled and unpredictable needs and to provide supervision, safety, and security. Room and board rates are established by providers according to the provisions of NDAC 75-04-05. Those costs are not allowable in costs claimed by the provider for waiver services. The provider collects the room and board costs directly from individuals receiving services.

Does North Dakota offer supported living? Yes, North Dakota offers Transitional Living Service - Services that train people to live with greater independence in their own homes. This includes training, supervision, or assistance to the individual with self-care, communication skills, socialization, sensory/motor development, reduction/elimination of maladaptive behavior, community living, and mobility

Are there still state owned institutions in North Dakota? North Dakota has one large state facility housing 115 Americans. Life Skills & Transition Center (formerly the Developmental Center) is a state-operated, comprehensive support agency for people with intellectual and developmental disabilities, located in Grafton, N.D. The center provides specialized services and is a safety net for people whose needs exceed community resources.

How Do You Select A Provider?

Do providers work for the state? QSP's or Quality Service Providers are dividable and agency providers. They do not work for the state, but are contracted.

About how many providers are there in the North Dakota? There are about 50 Medicaid waiver providers in North Dakota.

Do you have a choice in providers? Yes, North Dakota utilizes "Free Choice of Provider". In accordance with 42 CFR §431.151, a participant may select any willing and qualified provider to furnish waiver services included in the service plan unless the State has received approval to limit the number of providers under the provisions of §1915(b) or another provision of the Act.

How Do You Become A Provider?

For information about becoming a North Dakota provider, call Provider Enrollment at (800) 755-2604 or (701) 328-4033.

Additional Information

North Dakota's Home and Community-Based Waiver for Individuals with Intellectual Disabilities (IID) and related conditions provides an array of provider managed and participant directed services in order for individuals of all ages to have the opportunity to receive community alternatives to institutional placement. The waiver is an integral part of the North Dakota’s Money Follows the Person 3 Grant and the state’s goal to reduce the number of individuals residing in the state operated ICF/ID.

HCBS 1915 (c) Medicaid Waiver – An agreement between DHS and the Center for Medicaid Services (CMS) which provides options for a continuum of home and community based services in the least restrictive environment. The waiver allows states to use funds that would have been used to pay for institutional care, for a wide variety of home and community-based services for individual who were living in institutions or at risk of entering institutions.

* The Self-Directed Supports waiver ended 03/31/2011. At that time the Self-Directed Supports waiver combined with the Traditional DD waiver.

ND Providers

North Dakota Providers


Success Unlimited, Inc 701.775.3356
Serving North Dakota
Provides community based job training & support for people with all types of disabilities.

Community Living Services 701-232-3133
Serving North Dakota
Provides a range of training & supportive services designed to assist people to live independently in their own homes.