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Developmental Disabilities Services

Developmental Disabilities provides support and training to individuals and families in order to maximize community and family inclusion, independence, and self-sufficiency; to prevent institutionalization; and to enable institutionalized individuals to return to the community. To achieve this goal, Developmental Disabilities contracts with private, nonprofit and for-profit organizations to provide an array of residential services, day services, and family support services.

DD Rate Payment Methology Changes

Since 2009, the department has been working with consultants, service providers, and the North Dakota Association of Community Providers to convert the state's retrospective, cost-based payment system to a prospective fee-for-service system. The new system featuring standardized rates by service type and staffing levels based on each client's unique needs is expected to be implemented next spring. The start date is contingent upon approval by the federal Centers for Medicare and Medicaid Services.

LINK: Training documents, policies, forms and other resources (Please check back regularly. New resources will be posted online as they are developed.)

Home and Community Based Services (HCBS) Changes

Information for DD Licensed Providers


Report to North Dakota - Eligibility, Service Array and Person-Centered Practices: Observations and Recommendations for Consideration (Summer 2017) (NOTE: This report is the result of the technical assistance North Dakota received.)

Powerpoint: Medicaid Waiver Technical Assistance (Presented at stakeholder meetings in June 2017, the presentation reviews Medicaid waivers and explains the technical assistance the state is receiving, which includes help identifying potential gaps in waiver services that help participants live in the community.)

For Public Comment - DRAFT amendment to the Medicaid 1915c Traditional Individual with Intellectual Disabilities \Developmental Disabilities (ID/DD) Home and Community-Based Services (HCBS) waiver (Posted July 12, 2017 for potential effective date April 1, 2018. See public notice for Public Comment Period details.)

For Public Information - North Dakota Revised Preliminary Statewide Transition Plan of the Home and Community-Based Services (HCBS) Settings under Medicaid 1915c Waivers (includes technical changes required by CMS for systemic approval granted on November 1, 2016.)

LINK to Archived News and Information

Contact Us

Developmental Disabilities Division
1237 W. Divide Ave., Suite 1A
Bismarck, ND 58501-1208
Phone: 701.328.8930
Toll Free: 800.755.8529
E-mail: dhsddreq@nd.gov


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