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Public Medicaid 1915(c) Traditional Individuals with Intellectual Disabilities/Developmental Disability (IID/DD) Home and Community-Based Services (HCBS) Waiver Amendment Application
Public comment is sought on an amendment to the state’s Medicaid 1915(c) waiver for home and community-based (HCBS) services.
The Traditional Intellectual Disabilities/Developmental Disability (IID/DD) HCBS wavier includes an array of home and community-based services in the least restrictive environment.
The purpose of the amendment is to implement changes in services and programming to improve access to HCBS and update language changes related to internal processes. The anticipated effective date of the proposed renewal is expected to be Jan. 1, 2026.
Proposed changes to this waiver amendment:
Changes in services and programming.
- Adding a new service, Host Homes, which will assist biological families during time of crisis by providing a private home where their child can live in the interim with reunification with the biological family as the primary goal.
Language change for internal processes.
- Revised the sample for reviewing performance measure in Appendix G (G-6) on provider compliance with incident reporting requirements.
- Change in terminology: Human Service Centers to DD Units, Qualified Developmental Disabilities Professional (QDDP) to Qualified Intellectual Disabilities Professional (QIDP), Social Service Zone to Human Service Zone.
Comments will be accepted from Aug. 29, 2025, until Sept. 28, 2025.
Comments will be accepted in the following ways:
Email: hzander@nd.gov
Phone: (701) 328-8945 or ND Relay TTY (text telephone) (800)-366-6888 or 711
Mail: North Dakota Health and Human Services
Attn: Developmental Disabilities Section/Heidi Zander
1237 West Divide Avenue Suite 1A
Bismarck, ND 58501
View the draft waiver amendment document on the Medicaid waivers webpage. A copy will be provided upon request.
Date Posted: Aug. 29, 2025