Waivers are agreements between the Centers for Medicare and Medicaid Services (CMS) and a state's Medicaid agency and serve specific groups of people.
Waivers specify:
- Number of participants to be served
- Eligibility criteria
- Available services, including any limits on services
- Procedures for the evaluation and re-evaluation of the level of care
Waivers give eligible people options if their needs can be met in their homes, and if providing services in a home and community setting is cost neutral compared to institutional services.
North Dakota's current Medicaid 1915(c) Waivers
Home and Community-Based Services Waiver (Effective Jan. 1, 2025)
Children’s Hospice Home and Community-Based Services Waiver - (Effective July 1, 2023)
Children with Medically Fragile Needs Home and Community-Based Services Waiver (Effective Oct. 1, 2023)
- Public comment is now open until July 27, 2025 on amendments to this waiver. See public notice. Click to read the draft Children with Medically Fragile Needs Home and Community-Based Services Waiver
Autism Spectrum Disorder Birth through Age 17 Waiver (Effective Nov. 1, 2023)
- Public comment is now open until July 27, 2025 on amendments to this waiver. See public notice. Click to read the draft Autism Spectrum Disorder Birth through Age 17 Waiver
Approved 1915 (c) Traditional Individual with Intellectual Disabilities and Developmental Disabilities Home and Community-Based Services Waiver (Effective April 1, 2025)
To learn more about these Medicaid waivers, visit the Medicaid eligibility webpage.
Other Resources
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)
Home and Community-Based Services waiver and 1915(i) State Plan Amendment Comparison
(Revised January 2022) (190kb PDF)
ND Medicaid-Funded Community Transition Service Options - January 2022
Contact Information
North Dakota Health and Human Services
Medical Services Division
600 E. Boulevard Ave., Dept. 325
Bismarck, ND 58505-0250
Phone: (701) 328-7068, 711 (TTY)
Toll-Free: (800) 755-2604
Fax: (701) 328-1544
E-mail: dhsmed@nd.gov