1. Program Definition and Services
Personal Assistance 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 (Personal Care Assistance, Mobility Support, Meal Preparation, Housekeeping, and Medication Reminders)
- Residential Personal Care: Supervision and care in a licensed residential, community-based setting (Health Monitoring, Transportation Assistance, Companionship and Social Engagement, and Emergency Support)
2. Regulations
The program is governed by the following regulations:
- North Dakota Administrative Code, Title 75, Article 75-03 (Chapter 75-03-23 Provision of 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)
- Mental Hygiene Law (NC General Statutes Chapter 122C)
- Social Services Law (Protection of People with Special Needs)
- Child Protective Services Act (State Central Register Reporting)
3. Licensing or Certification
Providers must be certified by the North Dakota Department of Health and Human Services and follow all Home and Community-Based Services (HCBS) requirements.
4. Responsible State Agency
The Division of Mental Health, Developmental Disabilities, and Substance Abuse Services (DMH/DD/SAS) is responsible for reviewing applications and certifying personal assistance 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.
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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