N.D. – The North Dakota Department of Human Services’
Developmental Disabilities Division is accepting public comments on
proposed changes to the state’s Medicaid waiver that funds in-home
and community-based services for qualifying individuals with
intellectual and developmental disabilities.
division wants to amend the Medicaid 1915(c) Traditional Individuals
with Intellectual Disabilities and Developmental Disabilities Home
and Community-Based Services (HCBS) Waiver.
draft amendment removes the service referred to as “extended
services,” and replaces it with prevocational, small group
employment and individual employment services. Other changes include
a new rate methodology for some services, which was outlined by
legislation, and revisions to the service plan section due to the
addition of new services.
can view the draft waiver amendment application at
and can also obtain a copy by contacting the division. A summary of
changes is listed on page one.
department is anticipating an April 1, 2018, state date for this
waiver amendment, but the start date is contingent upon federal
department will accept comments until August 10, 2017, at 5 p.m.
comments to the Department of Human Services’ Developmental
Disabilities Division, Attn: Marella Krein, at 1237 W. Divide Ave.,
Suite 1A, Bismarck, N.D., 58501, firstname.lastname@example.org,
701-328-8977, or ND Relay TTY 800-366-6888.
are agreements between the federal Center for Medicare and Medicaid
Services (CMS) and a state's Medicaid agency and serve specific
groups of people. Waivers specify the number of participants to be
served, eligibility criteria, available services, including any
limits on services; and procedures for the evaluation and
reevaluation of level of care.
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.