Home and Community-Based Long Term Care
Programs
- Service Payments for the Elderly and Disabled (SPED) Program
- Provides services for people who are older or physically disabled and who have difficulty completing tasks that enable them to live independently at home.
- Expanded Service Payments for the Elderly and Disabled (Ex-SPED) Program
- Pays for in-home and community-based services for people who would otherwise receive care in a licensed basic care facility.
- Medicaid Waiver for Home and Community Based Services
- This waiver from the federal government allows the state to use Medicaid funds to provide services enabling eligible individuals who would otherwise require nursing home services to remain in their homes or communities.
- Older Americans Act Services
- These services, which include health maintenance, home-delivered meals, transportation, and other services, enhance the ability of older individuals to maintain their independence and to remain in their own homes and communities.
For Information or to apply for home and community-based services funded through the Department of Human Services, contact your local County Social Service Office or the ND Senior Info-line at (800) 451-8693.

