- LINK: 2026 Calendar of Events
- The State of North Dakota and the U.S. Department of Justice (USDOJ) reached a settlement agreement that outlines actions the state will take to expand access to home and community-based care services and enable individuals with physical disabilities to live in the least restrictive setting possible.
- It also reflects that home and community-based services are the preferred form of care for disabled adults and the most cost-efficient form of services.
Health and Human Services Adult and Aging Services Section hosts quarterly virtual and in-person North Dakota Department of Justice stakeholder meetings to gather input and to develop a strategies for ongoing stakeholder involvement.
- 2025 Listening Sessions and ND DOJ Stakeholder Meeting Input Summary - (December 23, 2025)
- PRESENTATION: DOJ Settlement Agreement Summary - (February 2021)
- RECORDINGS:
- DOJ Settlement (Total Running Time 39:54) (February 2021)
- Informed Choice (Total Running Time 28:39) (February 2021)
- Aging and Disability Resource Link/Centralized Intake (Total Running Time 16:11) (February 2021)
- Money Follows the Person Program, Local Contact Agency Process and Section Q (Total Running Time 49:11) (February 2021)
- SURVEYS:
- NCI AD - Adult Consumer Survey State Results (October 28, 2024)
- QSP Hub 2025 Annual Survey Results (January 26, 2026)
- Settlement Agreement
- WRITTEN COPIES are available: The Settlement Agreement and other documents will be made available in writing upon request. Contact 855-462-5465, 711 (TTY), or email at CareChoice@ND.gov.
2026 PLAN: ND USDOJ SA Implementation Plan - Years 6-7 (August 1, 2026)
For the most recent Subject Matter Expert Compliance Report (October 2026) see the Archive section at the bottom of this page.
To view the most current ND DOJ Settlement Agreement Biannual Report for the reporting period of December 14, 2025 - June 13, 2024, click the plus sign next to ND USDOJ Settlement Agreement Biannual Report in the Archive section below.
- FACT SHEET: Benefits of Community Living and Finding Long-Term Services and Support Options (Revised June 2023)
- COMMUNICATION PLAN: North Dakota USDOJ Settlement Agreement Communication Plan
QSP Agency Quality Improvement Program Standards - Webinar Recording (45 min.), June 22, 2022
Related News
Contact
If you have questions or comments about the settlement agreement, or would like to file a complaint related to the provision of in-home and community-based long-term care services and supports, you can contact the North Dakota Aging and Disability Resource LINK toll-free at (855) 462-5465, 711 (TTY) and carechoice@nd.gov, or at the Aging Services Section, N.D. Department of Health and Human Services, 1237 W. Divide Ave., Suite 6, Bismarck N.D. 58501.
Archive
- 2024 PLAN: Updated ND and USDOJ Settlement Agreement Implementation Plan - Year 5 (December 23, 2024)
- 2023 PLAN: Updated ND and USDOJ Settlement Agreement Implementation Plan - Year 4 (December 14, 2023)
- 2022 PLAN: Updated ND and USDOJ Settlement Agreement Implementation Plan - Year 3 (June 14, 2022)
- 2021 PLAN: North Dakota & US Department of Justice Settlement Agreement Implementation Plan (September 21, 2021)
- SUMMARY OF KEY ELEMENTS: North Dakota & US DOJ Settlement Agreement Implementation Plan (September 28, 2021)
- REPORT: Subject Matter Expert State Compliance Report (October 2026)
- REPORT: Subject Matter Expert State Compliance Report (April 2026)
- REPORT: Subject Matter Expert State Compliance Report (November 2025)
- REPORT: Subject Matter Expert State Compliance Report (October 2024)
- REPORT: Subject Matter Expert State Compliance Report (April 2024)
- REPORT: Subject Matter Expert State Compliance Report (October 2023)
- REPORT: Subject Matter Expert State Compliance Report (April 2023)
- REPORT: Subject Matter Expert State Compliance Report (September 2022)
- REPORT: Subject Matter Expert State Compliance Report (March 2022)
- REPORT: Subject Matter Expert State Compliance Report (August 2021)
- REPORT: ND DOJ SA Report: 12/14/25 - 6/13/26 (September 14, 2026)
- REPORT: ND DOJ SA Report: 6/14/25-12/13/25 (March 26, 2016)
- COMPARISON DASHBOARD: ND USDOJ SA Report Comparison Dashboard (March 26, 2026)
- REPORT: ND DOJ SA Report:12/14/24 - 6/13/25 (September 17, 2025)
- DASHBOARD: ND DOJ SA Report Dashboard: 12/14/24 - 6/13/25 (September 17, 2025)
- REPORT: ND DOJ SA Report: 12/14/23 - 12/13/24 (March 6, 2025)
- DASHBOARD: ND DOJ SA Report Dashboard: 12/14/2023 - 12/13/2024 (February 24, 2025)
- COMPARISON DASHBOARD: ND DOJ SA Report Comparison Dashboard (February 24, 2025)
- DASHBOARD: ND DOJ SA Report Dashboard: 12/14/23 - 6/13/24 (August 7, 2024)
- REPORT: ND DOJ SA Report 6/14/23 - 12/13/23 (March 25, 2024)
- DASHBOARD: ND DOJ SA Report Dashboard: 6/14/23 - 12/13/23 (March 25, 2024)
- COMPARISON DASHBOARD: ND DOJ SA Report Comparison Dashboard (March 25, 2024)
- REPORT: ND DOJ SA Report 12/14/22 - 6/13/23 (September 20, 2023)
- DASHBOARD: ND DOJ SA Report Dashboard: 12/14/2022 - 6/13/2023 (September 20, 2023)
- REPORT: ND DOJ SA Report 6/14/22 - 12/13/22 (April 4, 2023)
- DASHBOARD: ND DOJ SA Report Dashboard 6/14/22 - 12/13/22 (March 3, 2023)
- COMPARISON DASHBOARD: ND DOJ SA Report Comparison Dashboard (March 3, 2023)
- REPORT: ND DOJ SA Report 12/15/21 - 6/14/22 (Aug. 26, 2022)
- DASHBOARD: ND DOJ SA Report Dashboard: 12/15/21 - 6/14/22 (Aug. 26, 2022)
- REPORT: ND DOJ SA Report: 6/15/21 - 12/14/21 (March 9, 2022)
- DASHBOARD: ND DOJ SA Report Dashboard: 6/15/21 - 12/14/21 (March 9, 2022)
For Nursing Homes and Hospitals: DOJ Settlement, NEW Informed Choice Process and Making Referrals for in-Home and Community-Based Services
- PRESENTATION: DOJ SA Summary for Skilled Nursing Facilities and Hospital Discharge Planners (Nov. 5, 2021)
- PRESENTATION: Home & Community-Based Services (Nov. 2021)
- PRESENTATION: Long-Term Services and Support Referral & Process (Nov. 5 & 19, 2021)
Looking for in-home services and care options? Watch these informational 30-min. WEBINARS.
HHS funds services that give older adults and individuals with disabilities options beyond nursing home care.
These recorded webinars spotlight current in-home and community-based care and support services that enable North Dakotans to live more independently at home in their communities.
- Community Support and Residential Habilitation Services (can include 24-hour daily support) (WEBINAR RECORDING) Nov. 24, 2021
- Aging and Disability Resource Link Services - Helping people find services and support (WEBINAR RECORDING) Dec. 9, 2021
- Overview of in-Home and Community-Based Services programs including financial and functional eligibility criteria (WEBINAR RECORDING) Dec. 16, 2021
- Program for All-Inclusive Care for the Elderly (PACE) (WEBINAR RECORDING) (NEWS RELEASE) Jan. 13, 2022
- Case Management/Care Coordination Services (WEBINAR RECORDING) (NEWS RELEASE) Jan. 27, 2022
- Homemaker, Non-Medical Transportation and Personal Care Services (WEBINAR RECORDING) (NEWS RELEASE) Feb. 3, 2022
- Home-Delivered Meals, Congregate Meals and Health Maintenance (WEBINAR RECORDING) (NEWS RELEASE) Feb. 24, 2022
- Respite Services (short break for caregivers) (WEBINAR RECORDING) (NEWS RELEASE) March 10, 2022
- Community Transition Services (WEBINAR RECORDING) (NEWS RELEASE) March 24, 2022
- Extended Personal Care, Nurse Education, (WEBINAR RECORDING) (NEWS RELEASE) April 14, 2022
- Chore Service, Specialized Equipment and Supplies, Environmental Modification (WEBINAR RECORDING) (NEWS RELEASE) April 28, 2022
- Dementia Care Services (WEBINAR RECORDING) (NEWS RELEASE) May 19, 2022
- Companionship Services, Emergency Response System and Supervision Services (WEBINAR RECORDING) (NEWS RELEASE), May 26, 2022
- Family Personal Care and Family Home Care Services (WEBINAR RECORDING) (NEWS RELEASE), June 2, 2022
- Supported Employment Services, Transitional Living Services and Adult Residential Services, June 23, 2022 (WEBINAR RECORDING) (NEWS RELEASE)
- Other Webinars - SEE 2022 Event Calendar
QSP Rate Study Documents
- 1.0 Current Methodology
- 2.1.1 Current Process Flows
- 2.1.2 Authorization Processes
- 2.2.1 Review Alignment of Policy Goals and Rate Methodology
- 2.2.2 Review Direct Support Professional Compensation by Setting
- 3.0 Summary - Demographic and Utilization Data
- 4.1.1 Develop Comprehensive Service Array for Current ND HCBS Service Options
- 4.1.2 Examine Rate Methodology, Service Structure and Felxibility to Serve Individuals of Varying Acuity
- 4.1.3 Document Processes and Capacity for Addressing Emergency Needs and Decompensation
- 5.0 Memo Deliverable
- 5.1 Discrepancies in Pay to QSPs
- 5.1 QSP Cost Survey Results
- 6.0 Report on Findings on Initial HCBS Rate Methodology Analysis
- Initial Budget Model
- Appendix 3
- Appendix 6