Medicaid Waiver Guide – North Dakota

Understanding North Dakota Medicaid

North Dakota currently has four home and community based 1915(c) waivers that serve children. Three serve children only, while the other serves people of all ages. All waive parent income. See North Dakota’s page on waivers for general information.

North Dakota also has a 1915(i) Program for those with Behavioral Health Diagnoses that provides care coordination, training and support, respite, transportation, and several other services for children and adults.

Types of Programs

Medicaid Waiver for Medically Fragile Children

• Description from medicaid.gov: Provides institutional respite, program management or case management, dietary supplements, environmental modifications, equipment and supplies, in-home supports, individual and family counseling, and transportation for individuals who are medically fragile, ages 3-17.
• Online State Information: Medically Fragile Waiver Brochure
• Official Federal Information
• How to Apply: To apply, call 701-328-4630.

Children’s Hospice Waiver

• Description from medicaid.gov: Provides case management, respite, hospice, skilled nursing, bereavement counseling, equipment and supplies, expressive therapy, and palliative services to individuals who are medically fragile ages 0-21 years who meet a nursing facility level of care.
• Online State Information: Hospice Waiver Brochure
• Official Federal Information
• How to Apply: To apply, call 701-328-4630.

Autism Spectrum Disorder (ASD) Birth through Fifteen Waiver

• Description from medicaid.gov: Provides respite, service management, and assistive technology for individuals with autism, ages 0 – 11.
• Online State Information: North Dakota Autism page
• Official Federal Information
• How to Apply: To apply, call 701-328-4630.

Traditional Intellectual Disabilities and Developmental Disabilities HCBS Waiver

• Description from medicaid.gov: Provides day habilitation, homemaker, independent habilitation, individual employment support, prevocational services, residential habilitation, extended home health care, adult foster care, behavioral consultation, community transition services, environmental modifications, equipment and supplies, family care option, in-home supports, infant development, parenting support, small group employment support for individual with ID or DD, ages 0 – no max age.
• Online State Information: North Dakota Developmental Disabilities page
• Official Federal Information
• How to Apply: Contact (701) 328-8930 or your local regional office.

Other online resources for North Dakota:

• Family Voices of North Dakota can help you navigate the state’s healthcare system.
• North Dakota Autism Center can help you find care, therapy, advocacy, and support.

Telephone Resources

Developmental Disability Regional Offices

Ordering Goally with a Medicaid Waiver

Talk with your case manager to see if the waiver program you have will cover Goally. If so, have your case manager email us at: [email protected] to place an order on your behalf.