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)
• Technology Dependent Medicaid Waiver (Effective April 1, 2017)
• Autism Spectrum Disorder Birth through Age 11 Waiver (Effective Nov. 1, 2018)
  • For Public Comment - DRAFT amendments to the Medicaid Autism Spectrum Disorder Waiver. Comments accepted through Sept. 26, 2019 at 5 p.m. Central Time. Public Notice.
• LINK to CURRENT Home and Community-Based Services Waiver (Effective July 1, 2018)
  • NEW - For Public Comment - DRAFT amendments to the Home and Community-Based Services waiver Comments period extended until 5 p.m. Central Time on Oct. 3, 2019. Public Notice.
• Intellectual Disabilities and Developmental Disabilities Home and Community-Based Services Waiver (Effective April 1, 2019)
  • NEW - For Public Comment - DRAFT amendment to Traditional Individuals with Intellectual Disabilities and Developmental Disabilities (IID/DD) Home and Community-Based Services (HCBS) Waiver proposed effective April 1, 2020 Comments accepted from Oct. 21, 2019 until 5 p.m. Central Time on Nov. 20, 2019. Public Notice.
• 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)

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