Medicaid Waivers

Waivers are agreements between the Centers for Medicare and Medicaid Services (CMS) and a state's Medicaid agency and serve specific groups of people.

Waivers specify:

• Number of participants to be served
• Eligibility criteria
• Available services, including any limits on services
• Procedures for the evaluation and re-evaluation of level of care

Waivers give eligible people options if their needs can be met in their homes, and if providing services in a home and community setting is cost neutral compared to institutional services.

North Dakota's current Medicaid 1915(c) Waivers

• Children’s Hospice Home and Community-Based Services Waiver (Effective July 1, 2018)
• Children with Medically Fragile Needs Home and Community-Based Services Waiver (Effective June 1, 2018)
  • DRAFT Medicaid 1915(c) Children with Medically Fragile Needs Home and Community-Based Services (HCBS) Waiver - Effective June 1, 2021. (Posted Jan. 27, 2021). Public Notice. Comments accepted through Feb. 25, 2021 at 5 p.m. CT.
• CURRENT Technology Dependent Medicaid Waiver (Effective April 1, 2017)
• Autism Spectrum Disorder Birth through Age 13 Waiver (Effective Jan. 1, 2020)
  • Public comment is being accepted on DRAFT amendments to the Medicaid Autism Spectrum Disorder Birth through Age 13 Waiver. Public Notice. Comments accepted through July 30, 2021, at 5 p.m.
• CURRENT Home and Community-Based Services Waiver (Effective Jan. 1, 2021)
• Approved 1915 (c) Traditional Individual with Intellectual Disabilities and Developmental Disabilities Home and Community-Based Services Waiver addendum (Effective Jan. 1, 2021)
• North Dakota Revised Statewide Transition Plan For Home and Community-Based Services (HCBS) Settings under 1915c Waivers Submitted for Center for Medicare and Medicaid Services (CMS) Final Approval (Revised to address CMS requirements and revised to seek CMS Final Approval Nov. 1, 2018)

Home and Community-Based Services waiver and 1915(i) State Plan Amendment Comparison (Posted Nov. 16, 2020) (190kb PDF)

Contact Information

Medical Services Division
North Dakota Department of Human Services
600 E Boulevard Ave, Dept 325
Bismarck, ND 58505-0250
Telephone: (701) 328-7068
Toll-free: 1-800-755-2604
Fax: (701) 328-1544
E-mail: dhsmed@nd.gov