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.

Advocacy Organizations in North Dakota:

Last updated 10/13/23

Programs in North Dakota

  • Target Population: Children who are medically fragile or technology dependent.
  • Ages: 3-17
  • Levels of Care: Nursing Facility
  • Income Waiver: Yes, the waiver is based on the child’s income only. Parent income is not counted.
  • Waiver Type: 1915(c)
  • Spots: 25
  • Expiration Date: 5/31/2026
  • 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.
  • Waiting List: North Dakota has 17 children who are medically fragile on its waiting list.
  • Target Population: Children who are medically fragile or technology dependent on hospice.
  • Ages: 0-21
  • Levels of Care: Nursing Facility
  • Income Waiver: Yes, the waiver is based on the child’s income only. Parent income is not counted.
  • Waiver Type: 1915(c)
  • Spots: 30
  • Expiration Date: 6/30/2028
  • 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.
  • Waiting List: North Dakota has 17 children who are medically fragile on its waiting list.
  • Target Population: Young children with autism.
  • Ages: 0-15
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: Yes, the waiver is based on the child’s income only. Parent income is not counted.
  • Waiver Type: 1915(c)
  • Spots: 96
  • Expiration Date: 10/31/2023
  • 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.
  • Waiting List: North Dakota has 102 people with autism on its waiting list.
  • Target Population: Children and adults with developmental or intellectual disabilities.
  • Ages: all ages
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: Yes, the waiver is based on the child’s income only. Parent income is not counted.
  • Waiver Type: 1915(c)
  • Spots: 6430
  • Expiration Date: 3/31/2024
  • 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.
  • Waiting List: North Dakota has 119 people with autism on its waiting list.

Additional Information

  • North Dakota created a Family Paid Caregiver Pilot Program beginning 4/1/2024. This program allows for caregivers to be paid a lump sum five days per week for care. Those who qualify include: Autism Spectrum Disorder Birth Through 17 Waiver, Children with Medically Fragile Needs Home and Community-Based Services Waiver, Children’s Hospice Home and Community-Based Services Waiver, and Traditional Individual with Intellectual Disabilities and Developmental Disabilities Home and Community-Based Services Waiver. Eligible participants ages 0 through 17 will receive an authorization for $77.45 per day and participants ages 18 and older for $154.89 per day. More information is available on ND’s Family Paid Caregiver Pilot page.