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2025 Letters

August 29, 2025 - Tribal Consultation Letter for Home and Community-Based Services (HCBS) Waiver

Tribal Consultation Letter for Therapy Limits (effective Jan. 1, 2026)

August 15, 2025- Tribal Consultation Letter on Community Health Worker (CHW) Services and Community Paramedics and Emergency Medical Technician Services (effective Oct. 1. 2025) 

July 22, 2025 - Tribal Consultation Letter on Medicaid 1915(c) Home and Community-Based Services Waiver Amendments (effective Jan. 1, 2026)

June 27, 2025 - Tribal Consultation Letter Autism Spectrum Disorder and Medically Fragile Children Waiver Amendments (effective Nov. 1 2025)

May 28, 2025 - Tribal Consultation Letter, July 1, 2025, State Plan Amendments

March 21, 2025 - Tribal Consultation Letter "Four Walls Limitation" Changes (effective Jan. 1, 2025) 

  • CMS Template (to be filled out after the consultation period) 

Feb. 26, 2025 - Tribal Consultation Letter for Medicaid 1915(i) Five-Year Renewal and Traditional Healthcare Practices 

Past Letters

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Contact Information

Medical Services Division
North Dakota Health and Human Services
600 E. Boulevard Ave., Dept. 325
Bismarck, ND 58505-0250

Phone: (701) 328-7068
Toll-Free: (800) 755-2604
Fax: (701) 328-1544
711 (TTY)
Email: dhsmed@nd.gov