HCBS Agency Direct Caregiver Workforce Recruitment/Retention Incentives
- Description - HCBS Agency Direct Caregiver Workforce Retention Incentive
- Description - HCBS Agency Direct Caregiver Workforce Recruitment Incentive
- FAQ - HCBS Agency Direct Caregiver Retention and Recruitment Incentives
Reports, Plans, and Studies
North Dakota Marketplace Navigator Program
The ND Navigator project is a grant-funded program at the ND Center for Persons with Disabilities that helps people apply for health care coverage through the federal Health Insurance Marketplace or Medicaid/CHIP. Applicants do not need to have a disability to get help. Call 1-800-233-1737 for more information or visit their website.
Access and Quality
- 2024 North Dakota Medicaid Quality Strategy Plan (Effective January 1, 2024)
- The summary of public comments received by North Dakota Health and Human Services and the responses are available here.
- North Dakota Medicaid Access Monitoring Plan 2019
- North Dakota Medicaid Access Monitoring Plan 2016
Home and Community Based Services
- CURRENT Medicaid Home and Community-Based Services Waiver (Effective April 1, 2023)
- North Dakota Plan for Implementation of ARPA of 2021 Section 9817 10% Enhanced Federal Medical Assistance Percentage (FMAP) for home and community-based services
- North Dakota's Home and Community Based Services (HCBS) Settings Rule Statewide Transition Plan
Medicaid Expansion
- 2024 North Dakota Medicaid Expansion Uniform Payment Schedule
- 2023 North Dakota Medicaid Expansion Uniform Payment Schedule
- Medicaid Expansion Annual Technical Reports
Studies
- North Dakota Long-Term Care Interim Study Final Report - July 1, 2014
- Study of Basic Care and Assisted Living in North Dakota
- Final Report (August 2024)
- Presentation (September 2024)
Other Documents
- Notice of Privacy Practices
- List - Licensed Assisted Living Facilities
- Quarterly Budget Insight: This report includes caseload and expenditure data for selected programs within North Dakota Health and Human Services.
Public Notices
2024
2023
- Medicaid State Plan Alternative Benefit Plan Updates (posted Nov. 14, 2023)
- ND Medicaid State Plan Changes for January 1, 2024
- ND Medicaid End of Primary Care Case Management Program for January 1, 2024
- ND Medicaid State Plan Changes for January 1, 2023
- ND Medicaid 1915(i) State Plan Amendment for April 1, 2023
- ND Medicaid State Plan Changes for July 1, 2023
- ND Medicaid State Plan Changes for October 1, 2023
- ND Medicaid State Plan Alternative Benefit Plan Updates for January 1, 2024
2022
- Aug. 16, 2022: Medicaid Rate and State Plan Changes for Sept. 1, 2022
- June 14, 2022: Medicaid Rate and State Plan Changes for July 1, 2022
- March 24, 2022: Medicaid Rate and State Plan Changes for April 1, 2022
2021
- Dec. 21, 2021: Medicaid Rate and State Plan Changes for Jan. 1, 2022
- Dec. 1, 2021: Public comment sought on the draft 1915(c) Medicaid Home and Community-Based Services waiver renewal application
- Nov. 30, 2021: Public comment sought on the draft 2022 Medicaid Expansion Quality Strategy Plan
- Sept. 23, 2021: North Dakota 1915(b) Waiver January 1, 2022
- June 23, 2021: North Dakota Medicaid Rate and State Plan Changes for July 1, 2021
- Feb. 23, 2021: Public comment sought on the draft 2021 Medicaid Expansion Quality Strategy Plan
- Jan. 27, 2021: Public comment sought on the five-year renewal of the Medicaid 1915(c) Children with Medically Fragile Needs Home and Community-Based Services (HCBS) Waiver
- Jan. 14, 2021: North Dakota Medicaid Rate and State Plan Changes for January 1, 2021
2020
- Sept. 18, 2020: Public comment sought on renewal of Medicaid 1915(c) Technology Dependent Waiver
- Sept. 16, 2020: North Dakota Medicaid Rate and State Plan Changes for October 1, 2020
- Aug. 28, 2020: North Dakota Medicaid Alternative Benefit Plan and 1915(b) Waiver Amendment Submission
- June 23, 2020: North Dakota Medicaid Rate and State Plan Changes for July 1, 2020
- April 2, 2020: North Dakota Medicaid disaster relief changes effective March 1, 2020
- March 23, 2020: North Dakota Medicaid program changes effective April 1, 2020
- Feb. 18, 2020: Draft Medicaid 1915(i) state plan amendment
Application
If you are under age 65, not disabled, and you want medical coverage ONLY, you may complete the Application for Health Care Coverage and Paying Costs (SFN 1909)
- Return completed application to the ND Health and Human Services, Medical Services Division, 600 E. Boulevard Avenue, Bismarck, ND 58505-0250, or to a human service zone office.
- Questions? Call 1 (877) KIDSNOW (1 (877) 543-7669)
Health Care Application for the Elderly and Disabled - Used to determine if individuals who are elderly or who have disabilities quality for Medicaid, the Aid to the Blind Remedial Program, Basic Care Assistance Program, and/or Medicare Savings Programs
Online Application for Economic Assistance Programs - Used to apply online for Medicaid, Healthy Steps Children's Health Insurance Plan, Basic Care Assistance, Medicare Savings programs, and other assistance such as Child Care Assistance, Supplemental Nutrition Assistance Program (SNAP) (Food Stamps), and Temporary Assistance for Needy Families (TANF).
- For IMPORTANT information about these programs and client rights, see the Application for Assistance Guidebook.
- Complete this Application for Assistance (SFN 405) if you prefer to print, complete, and return it manually to a human service zone office.
Brochures
- Children's Hospice Waiver Program (487kb pdf) (September 2019)
- Children with Medically Fragile Needs (Medicaid Waiver) (66 kb pdf) (March 2020)
- Health Tracks - preventive health care program for newborns to young adults through age 20 enrolled in Medicaid.
- Notice of Right to Claim Good Cause - This form is to be completed by Medicaid applicants who believe they have "good cause" not to cooperate with the state's effort to establish paternity or collect child support or medical support.
- Coordinated Services Program (453kb pdf) (October 2019)
Fact Sheets
Children with disabilities often have health care needs that may require services that exceed coverage from private health insurance. Children with Disabilities Medicaid Coverage allows families to “buy-into” the Medicaid program by paying a monthly premium based on the household’s income.
Parents can apply online at www.applyforhelp.nd.gov or at a Human Service Zone office.
To Qualify
- A child must be under the age 19. If an eligible child turns 19 during a portion of a month, he or she could be covered through the end of that month.
- The child must be disabled, which means he or she must meet the Social Security Administration's definition of disability.
- The household’s total countable income cannot be more than 250% of the Federal Poverty Level.
- There is no asset limit for this coverage. Children can qualify even if their family owns a home, more than one car or other assets.
- If an employer of either parent offers medical coverage for the child, and the employer pays at least half of the premium, the child must be enrolled in the private health insurance plan.
- A family can have private health care insurance and still qualify for the Children with Disabilities Medicaid Coverage.
Effective April 1, 2024
Family Size | Monthly Income |
1 | $3,138 |
2 | $4,259 |
3 | $5,380 |
4 | $6,500 |
Add $1,121 for each additional person.
Premiums
Families with a child who qualifies, pays a monthly premium equal to five percent of the household’s gross countable income. If the child is covered by other private health insurance, the Children with Disabilities premium will be reduced by the amount the family pays for the private health insurance premium.
Frequently Asked Questions
Q – Are children who are eligible under the Children with Disabilities Medicaid Coverage required to have a primary care provider?
A – No. Children who qualify for the coverage do not have to name a primary care provider.
Q – If a child qualifies for Children with Disabilities Medicaid Coverage, does the human service zone office make a referral to Child Support?
A – Yes. If one parent is out of the household, a referral is made to the department’s Child Support Section to establish paternity and to help secure health insurance and other supports for the child.
Q – How much is the enrollment fee for a child who qualifies for the Children with Disabilities Medicaid Coverage?
A – There is no enrollment fee for this coverage.
Q – What is the earliest day my child can be covered under the Children with Disabilities Medicaid Coverage?
A – Coverage can start up to three months before the month the family applies for coverage. (Example: If the application is received in June, and the child is eligible, coverage could go back three months to March).
Q – What services are covered under the Children with Disabilities Medicaid Coverage?
A – Children who qualify are eligible to receive all services covered by North Dakota Medicaid. Some services are subject to prior authorization requirements and benefit limits.
Q – Does the Children with Disabilities Medicaid Coverage have other out-of-pocket costs besides the premium?
A – No. The monthly premium is the only cost for covered services. Medicaid rules related to service authorizations and limits need to be followed to ensure there are no other out-of-pocket costs.
For more information, contact a human service zone office.
Updated April 2024
- Medical Claims Processing for County Jail Inmates (77kb pdf) (December 2018)
- Long-Term Care Partnership Program and Medicaid (53kb pdf) (July 2008)
- Medicaid Asset Assessment: Protecting Assets for the Spouse Still Living in the Community (April 2024)
- Medicaid Burial Policy (July 2024)
- Medicaid Client Share (Recipient Liability) (October 2024)
- Medicaid Disqualifying Transfers of Assets and Income (April 2024)
- Medicaid Disqualifying Transfer Hardship Provision (April 2024)
- Medicaid Estate Recovery (378kb pdf) (May 2021)
- Medicaid Long-Term Care Application Checklist (October 2024)
- Medicaid and Spousal Impoverishment Protection (April 2024)
- Medicare Savings Program - Helps qualified individuals with Medicare Part B premiums and other cost-sharing elements (April 2024)
- State Long Term Care Subsidy Program - Provides funds for personal needs such as clothing, health and beauty supplies, snacks and related items. (April 2024)
- Program for All-Inclusive Care for the Elderly (PACE) (April 2024)
- Workers with Disabilities Medicaid Coverage (April 2024)