It is possible to live at home longer with home and community-based services and support for older adults and individuals with physical disabilities. Learn more about HCBS programs below.


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 State Plan - Personal Care Services

Helps people with daily living activities such as bathing, dressing, transferring, toileting, preparing meals, housework and laundry so they can continue to live in their homes and communities.

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.

Program of All-Inclusive Care for the Elderly (PACE)

The Program of All-Inclusive Care for the Elderly (PACE) offers a full range of health care and in-home services to people age 55 and older to stay healthy and independent as long as possible.

VIDEO: Go on-the-job to learn about being a Qualified Service Provider by watching an 18-minute video called "A Realistic Job Preview." (112 MB wmv)

For more information or to apply for home and community-based services funded through the Department of Health and Human Services, contact:


Adult and Aging Services 
ND Department of Health and Human Services
1237 W. Divide Ave., Suite 6
Bismarck, ND 58501

Aging and Disability Resource-LINK (toll free): 1-855-462-5465 ;

Relay ND TTY: 711 (TTY)
Fax: (701) 328-8744