1. Program Definition and Services
Home Health Care Services in North Dakota provide short-term support to children and adults with intellectual/developmental disabilities and chronic conditions. The program aims to help maintain individuals with disabilities in the community, averting the need for long-term services and supports. Services include:
- In-Home Personal Care: Individual support in the individual/family home or community (Skilled Nursing Care, Physical Therapy, Occupational Therapy, Speech Therapy, and Home Health Aide Support)
- Residential Personal Care: Supervision and care in a licensed residential, community-based setting (Medical Social Services, Medication Management, Chronic Condition Monitoring, Post-Surgical Care, and Documentation)
2. Regulations
The program is governed by the following regulations:
- North Dakota Century Code, Chapter 23-17.3 (Home Health Agencies)
- North Dakota Administrative Code, Chapter 33-03-10.1 (Home Health Agencies Licensure Rules)
- North Dakota Administrative Code, Title 75, Article 75-03 (Home and Community-Based Services Under the Service Payments for Elderly and Disabled Program and the Medicaid Waiver)
- North Dakota Administrative Code, Title 75, Article 75-04 (Developmental Disabilities Operational Rules)
3. Licensing or Certification
Providers must be licensed as a Home Health Agency by the North Dakota Department of Health and Human Services (Health Facilities Section) and be certified to follow all Home and Community-Based Services (HCBS) requirements.
4. Responsible State Agency
The Department of Health and Human Services (HHS), Health Facilities Section is responsible for reviewing licensing applications, conducting onsite inspections, and certifying home health care services providers.
5. Application Process
The application process is conducted through the electronic North Dakota Medicaid Portal. Providers must submit forms online to initiate the application process after securing their state Home Health Agency license.
6. Required Documentation
While specific documentation requirements vary based on the target waiver, providers typically need to submit:
- Proof of compliance with state safety and operational rules
- Agency policies and procedures
- Staff qualifications and training records
- Proof of general and professional liability insurance
7. Timeline for Approval
The exact timeline for approval fluctuates based on agency capacity. Providers should contact their regional office for detailed information on current processing timeframes.
8. Pre-Application Process
Prospective providers must complete specific foundation tasks before applying. They must establish their business entity and secure necessary federal identification numbers.
9. Pre-Application Training
The state hosts mandatory administrative and compliance training sessions online. Access details are sent to qualified applicants once preliminary paperwork is reviewed.
10. Additional Notes
- Providers must ensure that intensive care settings meet all state accessibility and environmental safety guidelines
- In-Home Personal Care must be provided directly by the certified agency's employed personnel
- All direct care staff must conduct mandatory background clearances and fingerprinting screenings
- Providers must maintain detailed records of face-to-face services for Medicaid documentation and billing
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