Medium

Outlier Policy

Medically Involved Rate Policy

Medically Intensive Rate Policy

Approved 1915(c) Traditional Individuals with Intellectual Disabilities and Developmental Disabilities (IID/DD) Home and Community-Based Services Waiver addendum (Effective Jan. 1, 2021)

Public comment - (DRAFT) 1915(c) Traditional Individuals with Intellectual Disabilities and Developmental Disabilities (IID/DD) Home and Community-Based Services Waiver addendum Comments and public input on the proposed changes will be accepted from April 13, 2023, until 8 a.m. CT, on May 15, 2023. View public notice.

Public Meeting 4/27/23 - Unwinding from the Federal Public Health Emergency and Waiver Amendment (PowerPoint)

Vaccine Information Sheet - Client/Caregiver (Posted April 19, 2021)

Vaccine Information Sheet - DD Program Manager (Posted April 19, 2021)

COVID-19 Vaccine Information from the State Council on Developmental Disabilities

Guidance: DD Provider COVID-19 Guidance (Revised July 8, 2020)

Guidance: DD Provider COVID-19 Preparedness Checklist (March 31, 2020)

Guidance: Infection Control and Prevention of COVID-19 in Intermediate Care Facilities for Individuals with Intellectual Disabilities and Psychiatric Residential Treatment Facilities (QSO-20-23-ICF/IID & PRTF (March 31, 2020)

Guidance: DD Program Management during COVID-19 (March 27, 2020)

Guidance: March 19 Protection & Advocacy Communication to DD Providers (March 27, 2020)

Updated North Dakota FFY 2021 Application under Part C of the Individuals with Disabilities Education Act

North Dakota FFY 2021 Application under Part C of the Individuals with Disabilities Education Act

Combined Cost Allocation Plan for FFY 2021

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 Jan. 1, 2021 (Posted Aug. 31, 2020) Public Notice. Comments accepted through Sept. 29, 2020, at 5 p.m. CT

News Release: Agency seeks input on amendment to the Medicaid waiver on in-home and community services for individuals with developmental disabilities (Posted Oct. 21. 2019)

DRAFT: North Dakota Approved Statewide Transition Plan For Home and Community-Based Services (HCBS) Settings under 1915c Waivers (Jan. 31, 2019)

Public Comment Notice: Draft amendment to the Medicaid 1915(c) Traditional Individuals with Intellectual Disabilities/Developmental Disability (IID/DD) Home and Community-Based Services (HCBS) Waiver Application (Comments accepted from Oct. 21, 2019, until 5 p.m., Central Time, on Nov. 20, 2019)

Approved 1915(c) Traditional Individuals with Intellectual Disabilities and Developmental Disabilities (IID/DD) Home and Community-Based Services Waiver addendum (Effective April 1, 2020)

Draft Amendment 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 (Posted Oct. 21, 2019)

PowerPoint Presentation: Overview of draft amendments to Traditional Individuals with Intellectual Disabilities and Developmental Disabilities (IID/DD) Home and Community-Based Services (HCBS) Waiver proposed effective April 1, 2020. (Posted Oct. 21, 2019)

FAQ Payment System Methodology and Service Changes effective 4/1/18 - for providers and developmental disability program managers (Updated May 23, 2018) 

Slides: ND Statewide Transition Plan for Home and Community-Based Services (HCBS) Settings under Medicaid 1915c Waivers - revised to seek final federal approval (Sept. 28, 2018)

Presentation - Electronic Visit Verification (EVV) System Public Input Meetings 2018 (Spring 2018)

Press Release - Agency seeks public input on Medicaid waiver serving people with intellectual or developmental disabilities (Posted May 18, 2018)

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.)

Traditional Individuals with Intellectual Disabilities and Developmental Disabilities (IID/DD) Home and Community-Based Services (HCBS) Waiver (Effective April 1, 2019)

Draft Intellectual Disabilities and Developmental Disabilities Home and Community-Based Services Waiver Renewal

Draft waiver document (Posted Oct. 30, 2018) Slides explaining proposed changes to IID/DD HCBS Waiver Renewal 2019 (Posted Oct. 30, 2018) Public Notice of public comment opportunity (Deadline to comment is 5 p.m. CT, Nov. 29, 2018)

Traditional Individuals with Intellectual Disabilities and Developmental Disabilities (IID/DD) Home and Community-Based Services (HCBS) Waiver (Effective April 1, 2018 - March 31, 2019)

News Release:  North Dakota changes how it pays for services for people with developmental disabilities (March 23, 2018)

For Public Information - 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)

For Public Information - North Dakota Revised Initial Statewide Transition Plan for Home and Community-Based Services (HCBS) Settings under Medicaid 1915c Waivers (The document includes technical changes required by CMS to seek final approval. Public comment will be accepted through Oct. 28, 2018.) Posted Sept. 28, 2018

Public Comment Notice (Includes information about were to submit comments.)

Sept. 28, 2018 Public Comment Meeting NoticeNorth Dakota Department of Human Services' Initial Statewide Transition Plan to align services for people receiving Medicaid waiver services with the Home and Community-Based Services Rule issued by the Centers for Medicare and Medicaid Services

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 Nov. 1, 2016.) - Revised and Posted Nov. 1, 2016

For Public Information - North Dakota Revised Preliminary Statewide Transition Plan of the Home and Community-Based Services (HCBS) Settings under Medicaid 1915c Waivers (includes public comments received from February 19 to March 20, 2016.) - Posted March 31, 2016

July 12, 2017: 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 (See public notice for Public Comment Period details.)

Aug. 9, 2016: For Public Comment: Proposed Developmental Disabilities and Medical Services Administrative Rule Changes (694kb pdf) Notice of Intent to Amend Administrative Rules

July 29, 2016: News Release: Agency offers training on new survey to monitor developmental disability services

June 30, 2016: Public Notice about public comment period on amendment to the Medicaid 1915(c) Traditional Individual with Intellectual Disabilities/Developmental Disabilities (IID/DD) Home and Community-Based Services (HCBS) Waiver

Tribal Consultation Letter - Public comment on amendment to Medicaid 1915(c) IID/DD HCBS services waiver (June 30, 2016)

June 30, 2016: Draft amendment to the Medicaid 1915(c) Traditional Individual with Intellectual Disabilities/Developmental Disabilities (IID/DD) Home and Community-Based Services (HCBS) Waiver (for January 1, 2017)

See Public Notice (above) for details on providing public comment on the draft waiver amendment.

New Slide Presentation describing the draft waiver amendment changes

Handout Format (Two slides per page)

June 20, 2016: News Release: Public information meeting scheduled to discuss proposed changes to the home and community-based services waiver that serves people with developmental disabilities

March 2016: Developmental Disabilities Awareness Month Proclamation

March 1, 2016: Public Notice: Public comment sought on Amendments to the following Medicaid 1915(c) Medicaid Waivers: Children’s Hospice Waiver, Medicaid Waiver for Home and Community-Based Services, Technology Dependent Medicaid Waiver and Traditional Individuals with Intellectual Disabilities and Developmental Disabilities Services Waiver (Posted March 1, 2016. Comment Period Ends March 30, 2016, at 5 p.m. CT). Public Notice.

Overall Service Plan Instructions for the CMS Final Rule Requirements (March 2016)

CMS Final Rule Statewide Training Presentation Slides (4.35MB PDF) (October 2015)

Nov. 27, 2015: Public Notice: Public comment sought on Amendment to Medicaid 1915c HCBS waiver for individuals with intellectual disabilities - Broken link (Waiver Amendment document)

Sept. 24, 2015: Public Meeting Notice - Developmental Disabilities Eligibility Workgroup Meeting 

Overall Service Plan Instructions for CMS Final Rule (October 2015)

Aug. 25, 2015 - Training offered on new federal requirements for developmental disability services

June 23, 2015 - Public Meeting Notice - September 2015 Training on CMS Home and Community Based Services Final Rule - Broken link

Provider-owned Settings Letter (June 2015)

DD Provider Door Tracking Spreadsheet (June 2015)

Consumer and Guardian Letter (May 2015)

Intermediate Care Facilities (ICF) Day Supports Provider Guidance (May 2015)

North Dakota Developmental Disabilities Division On-Site Visits Summary (November 2014)

Draft Statewide Transition Plan submitted for Public Comment (October 2014)

Provider Survey

Consumer Survey

Feb. 25, 2015 - The North Dakota Department of Human Services Developmental Disabilities (DD) Division received approval from the Centers for Medicare and Medicaid Services (CMS) to increase capacity of the Traditional Individual with Intellectual Disabilities /Developmental Disabilities waiver, and the division's plan to comply with the new Home and Community-Based Services (HCBS) rule.

North Dakota Statewide Preliminary Transition Plan including public comments submitted to CMS (November 2014)

North Dakota Developmental Disabilities Division Presentation (Slides for Public Meeting) (September 2014)

North Dakota Department of Human Services Presentation (Slides for Public Comment Meeting) (October 2014)

Nov. 26, 2014 - The North Dakota Department of Human Services Developmental Disabilities (DD) Division has submitted an amendment to increase capacity of the Traditional Individual with Intellectual Disabilities/Developmental Disabilities waiver, and the division's plan to comply with the new Home and Community-Based Services (HCBS) rule to the Centers for Medicare and Medicaid Services (CMS). See Public Notice.

Oct. 22, 2014 - The Division sought public comments on amending the Traditional Individual with Intellectual Disabilities/Developmental Disabilities (IID/DD) Waiver to increase capacity and to comply with the new Home and Community-Based Services (HCBS) rule that includes HCBS settings and person-centered planning. See Public Notice.