RESPITE CARE SERVICES PROVIDER IN NORTH DAKOTA

PROVIDING TEMPORARY RELIEF FOR CAREGIVERS THROUGH COMPASSIONATE AND SAFE SUPPORT

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Respite Care Services in North Dakota provide temporary relief for primary caregivers of individuals with disabilities, chronic illnesses, or age-related conditions. These services ensure the well-being of the care recipient while giving caregivers a break from their duties. Respite Care Services are authorized under North Dakota Medicaid Home and Community-Based Services (HCBS) Waiver programs.

1. GOVERNING AGENCIES

Agency: North Dakota Department of Human Services (NDDHS)
Role: Administers Medicaid waiver funding for Respite Care Services and oversees provider enrollment, service authorization, and reimbursement.

Agency: North Dakota Medical Services Division (MSD)
Role: Manages Medicaid waiver services and oversees Medicaid provider participation.

Agency: North Dakota Division of Aging Services
Role: Provides oversight for respite care services targeting elderly individuals and adults with disabilities.

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight to ensure Medicaid-funded Respite Care Services meet quality, safety, and person-centered care standards.

2. RESPITE CARE SERVICES OVERVIEW

Respite Care Services provide temporary relief to primary caregivers by offering short-term care for individuals with physical, developmental, or mental health needs.

Approved providers may deliver:

In-Home Respite Care: Care provided within the individual’s home environment.

Out-of-Home Respite Care: Temporary care in a licensed facility or community setting.

Emergency Respite: Immediate care during unexpected caregiver absences.

Planned Respite: Scheduled care for routine caregiver breaks or planned absences.

Overnight Respite: Providing care during nighttime hours.

Personal Care Assistance: Helping with bathing, grooming, meal preparation, and mobility.

Social and Recreational Activities: Engaging individuals in safe, enjoyable interactions.

Health Monitoring: Administering medication and tracking vital signs when needed.

Behavioral Support: Managing challenging behaviors with positive intervention techniques.

Documentation: Maintaining accurate records of care provided and individual progress.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register the business entity with the North Dakota Secretary of State.

Obtain EIN from the IRS and NPI (Type 2).

Enroll as a Medicaid Waiver Respite Care provider via the North Dakota Medicaid Management Information System (MMIS).

Maintain general liability and professional liability insurance.

Develop policies for respite care planning, safety management, and caregiver support.

Ensure staff complete required background checks, health screenings, and respite care training.

4. NORTH DAKOTA PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

Complete the Provider Enrollment Application via the North Dakota MMIS for Respite Care Services under HCBS waivers.

Application and Documentation Submission:

Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, respite care policies, and staff training documentation.

Program Readiness Review:

NDDHS and MSD evaluate provider readiness, including care protocols, safety standards, and staff qualifications.

Approval & Medicaid Enrollment:

Upon approval, providers are authorized to bill Medicaid for Respite Care Services using designated billing codes.

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Business License (North Dakota Secretary of State)

IRS EIN confirmation

NPI confirmation

Proof of general and professional liability insurance

Respite Care Policy & Procedure Manual including:

Care planning, emergency respite, and caregiver relief protocols

Personal care and safety management procedures

Staff credentialing, background checks, and ongoing training records

Documentation standards for care tracking and Medicaid billing

HIPAA compliance, participant rights, and grievance handling

Safety, infection control, and hygiene practices

Quality assurance and compliance monitoring

6. STAFFING REQUIREMENTS

Role: Respite Care Program Director
Requirements: Bachelor’s or Master’s degree in social work, human services, or healthcare administration; experience in respite care program management.

Role: Respite Care Workers
Requirements: Certification in direct care or caregiving; experience with individuals with disabilities or chronic conditions; background clearance.

Role: Personal Care Aides (PCAs)
Requirements: Completion of an approved PCA training program; experience in personal care and direct support.

All staff must complete:

Training in respite care techniques, client safety, and caregiver interaction

HIPAA compliance and participant rights education

Annual competency evaluations and ongoing professional development

Safety, emergency response, and infection control training

Documentation and record-keeping best practices

7. MEDICAID WAIVER PROGRAMS

Respite Care Services are available under the following North Dakota Medicaid Waivers:

Aged and Disabled Waiver

Technology Dependent Waiver

Developmental Disabilities Waiver

Home and Community-Based Services (HCBS) Waiver

8. TIMELINE TO LAUNCH

Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months

Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months

Phase: North Dakota Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days

Phase: Medicaid Billing Setup and Respite Care Service Launch
Timeline: 30–45 days

9. CONTACT INFORMATION

North Dakota Department of Human Services (NDDHS)
Website: https://www.nd.gov/dhs/

North Dakota Medicaid Management Information System (MMIS)
Website: https://www.nd.gov/dhs/services/medicalserv/medicaid/

North Dakota Division of Health Benefits (NC Medicaid)
Website: https://www.nd.gov/dhs/services/medicalserv/medicaid/

Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/

​

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NORTH DAKOTA RESPITE CARE SERVICES PROVIDER

WCG supports agencies in launching Medicaid-compliant Respite Care Services in North Dakota, offering:

​

Scope of Work:

Business registration, Medicaid enrollment, and licensing assistance

Policy manual development for respite care and caregiver support

Staff credentialing, training program templates, and compliance documentation

Medicaid billing setup and audit-prepared financial management

Branding, website development, and client outreach strategies

Quality assurance systems for care coordination and compliance monitoring

Collaboration with healthcare providers, family caregivers, and community organizations

SUPPORTED EMPLOYMENT SERVICES PROVIDER IN NORTH DAKOTA

EMPOWERING INDIVIDUALS WITH DISABILITIES THROUGH WORKPLACE INTEGRATION AND CAREER SUPPORT

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Supported Employment Services in North Dakota assist individuals with disabilities in finding, maintaining, and succeeding in competitive employment within their communities. These services provide job coaching, skill development, and long-term support to help individuals thrive in the workforce. Supported Employment Services are authorized under North Dakota Medicaid Home and Community-Based Services (HCBS) Waiver programs.

1. GOVERNING AGENCIES

Agency: North Dakota Department of Human Services (NDDHS)
Role: Administers Medicaid waiver funding for Supported Employment Services and oversees provider enrollment, service authorization, and reimbursement.

Agency: North Dakota Medical Services Division (MSD)
Role: Manages Medicaid waiver services and oversees Medicaid provider participation.

Agency: North Dakota Division of Vocational Rehabilitation (DVR)
Role: Supports employment training and vocational assistance for individuals with disabilities.

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight to ensure Medicaid-funded Supported Employment Services meet quality, safety, and person-centered care standards.

2. SUPPORTED EMPLOYMENT SERVICES OVERVIEW

Supported Employment Services help individuals with disabilities enter or re-enter the workforce by providing assistance tailored to their specific needs and goals.

Approved providers may deliver:

Job Development: Identifying potential job opportunities based on skills and interests.

Job Coaching: Providing on-the-job support to enhance performance and adaptation.

Workplace Accommodation: Assisting with adaptive tools and environmental modifications.

Career Planning: Creating individualized employment plans with achievable goals.

Skill Development: Teaching workplace etiquette, task management, and social skills.

Job Retention Support: Monitoring job satisfaction and performance, offering guidance as needed.

Vocational Assessment: Evaluating job readiness and identifying strengths.

Follow-Along Support: Ongoing assistance to maintain employment stability.

Peer Mentoring: Pairing individuals with experienced employees for guidance.

Documentation: Maintaining records of employment plans, progress tracking, and follow-up services.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register the business entity with the North Dakota Secretary of State.

Obtain EIN from the IRS and NPI (Type 2).

Enroll as a Medicaid Waiver Supported Employment provider via the North Dakota Medicaid Management Information System (MMIS).

Maintain general liability and professional liability insurance.

Develop policies for employment support, job coaching, and client advocacy.

Ensure staff complete required background checks, health screenings, and training in employment support practices.

4. NORTH DAKOTA PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

Complete the Provider Enrollment Application via the North Dakota MMIS for Supported Employment Services under HCBS waivers.

Application and Documentation Submission:

Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, employment support policies, and staff training documentation.

Program Readiness Review:

NDDHS and DVR evaluate provider readiness, including vocational support protocols, safety standards, and staff qualifications.

Approval & Medicaid Enrollment:

Upon approval, providers are authorized to bill Medicaid for Supported Employment Services using designated billing codes.

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Business License (North Dakota Secretary of State)

IRS EIN confirmation

NPI confirmation

Proof of general and professional liability insurance

Supported Employment Policy & Procedure Manual including:

Vocational assessment and career planning procedures

Job coaching, retention, and accommodation support guidelines

Staff credentialing, background checks, and ongoing training records

Documentation standards for service tracking and Medicaid billing

HIPAA compliance, participant rights, and grievance handling

Safety, hygiene, and workplace adaptation practices

Quality assurance and compliance monitoring

6. STAFFING REQUIREMENTS

Role: Employment Program Director
Requirements: Bachelor’s or Master’s degree in vocational rehabilitation, social work, or human services; experience in employment support and program management.

Role: Job Coaches
Requirements: Experience in workforce development, career coaching, or rehabilitation services; background clearance.

Role: Vocational Specialists
Requirements: Certification in career development or vocational rehabilitation; experience in job placement and support services.

Role: Employment Support Coordinators
Requirements: Knowledge of workplace accommodations, ADA compliance, and client advocacy.

All staff must complete:

Training in job coaching, career planning, and client advocacy

HIPAA compliance and participant rights education

Annual competency evaluations and ongoing professional development

Safety, emergency response, and workplace safety training

Documentation and record-keeping best practices

7. MEDICAID WAIVER PROGRAMS

Supported Employment Services are available under the following North Dakota Medicaid Waivers:

Aged and Disabled Waiver

Technology Dependent Waiver

Developmental Disabilities Waiver

Home and Community-Based Services (HCBS) Waiver

8. TIMELINE TO LAUNCH

Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months

Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months

Phase: North Dakota Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days

Phase: Medicaid Billing Setup and Supported Employment Service Launch
Timeline: 30–45 days

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9. CONTACT INFORMATION

North Dakota Department of Human Services (NDDHS)
Website: https://www.nd.gov/dhs/

North Dakota Medicaid Management Information System (MMIS)
Website: https://www.nd.gov/dhs/services/medicalserv/medicaid/

North Dakota Division of Vocational Rehabilitation (DVR)
Website: https://www.nd.gov/dhs/dvr/

Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/

​

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NORTH DAKOTA SUPPORTED EMPLOYMENT SERVICES PROVIDER

WCG supports agencies in launching Medicaid-compliant Supported Employment Services in North Dakota, offering:

​

Scope of Work:

Business registration, Medicaid enrollment, and licensing assistance

Policy manual development for job coaching and employment support

Staff credentialing, training program templates, and compliance documentation

Medicaid billing setup and audit-prepared financial management

Branding, website development, and community outreach strategies

Quality assurance systems for employment support and compliance monitoring

Collaboration with vocational rehabilitation programs and local businesses

PERSONAL ASSISTANCE SERVICES PROVIDER IN NORTH DAKOTA

SUPPORTING INDEPENDENCE THROUGH PERSONALIZED ASSISTANCE IN DAILY LIVING ACTIVITIES

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Personal Assistance Services in North Dakota help individuals with disabilities, chronic illnesses, or age-related challenges maintain independence by providing support with daily living tasks. These services enhance quality of life and promote safety within the home and community. Personal Assistance Services are authorized under North Dakota Medicaid Home and Community-Based Services (HCBS) Waiver programs.

1. GOVERNING AGENCIES

Agency: North Dakota Department of Human Services (NDDHS)
Role: Administers Medicaid waiver funding for Personal Assistance Services and oversees provider enrollment, service authorization, and reimbursement.

Agency: North Dakota Medical Services Division (MSD)
Role: Manages Medicaid waiver services and oversees Medicaid provider participation.

Agency: North Dakota Division of Aging Services
Role: Provides oversight for services targeting elderly individuals and adults with disabilities.

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight to ensure Medicaid-funded Personal Assistance Services meet quality, safety, and person-centered care standards.

2. PERSONAL ASSISTANCE SERVICES OVERVIEW

Personal Assistance Services support individuals by assisting with everyday tasks that are necessary for maintaining independence and well-being.

Approved providers may deliver:

Personal Care Assistance: Bathing, grooming, dressing, and hygiene maintenance.

Mobility Support: Assistance with walking, transferring, and positioning.

Meal Preparation: Cooking and meal planning to meet dietary needs.

Housekeeping: Cleaning, laundry, and maintaining a safe living environment.

Medication Reminders: Assisting with medication schedules and adherence.

Health Monitoring: Observing changes in health status and reporting to healthcare providers.

Transportation Assistance: Escorting to medical appointments, social engagements, and errands.

Companionship and Social Engagement: Providing social interaction to reduce isolation.

Emergency Support: Assisting during health crises or unexpected events.

Documentation: Maintaining accurate logs of assistance provided and progress notes.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register the business entity with the North Dakota Secretary of State.

Obtain EIN from the IRS and NPI (Type 2).

Enroll as a Medicaid Waiver Personal Assistance provider via the North Dakota Medicaid Management Information System (MMIS).

Maintain general liability and professional liability insurance.

Develop policies for personal care, safety, and emergency response.

Ensure staff complete required background checks, health screenings, and training in personal assistance.

4. NORTH DAKOTA PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

Complete the Provider Enrollment Application via the North Dakota MMIS for Personal Assistance Services under HCBS waivers.

Application and Documentation Submission:

Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, personal care policies, and staff training documentation.

Program Readiness Review:

NDDHS and MSD evaluate provider readiness, including care protocols, safety measures, and staff qualifications.

Approval & Medicaid Enrollment:

Upon approval, providers are authorized to bill Medicaid for Personal Assistance Services using designated billing codes.

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Business License (North Dakota Secretary of State)

IRS EIN confirmation

NPI confirmation

Proof of general and professional liability insurance

Personal Assistance Policy & Procedure Manual including:

Personal care planning and client safety protocols

Medication assistance and health monitoring guidelines

Staff credentialing, background checks, and ongoing training records

Documentation standards for service tracking and Medicaid billing

HIPAA compliance, participant rights, and grievance handling

Safety, infection control, and hygiene practices

Quality assurance and compliance monitoring

6. STAFFING REQUIREMENTS

Role: Personal Assistance Program Director
Requirements: Bachelor’s or Master’s degree in social work, healthcare administration, or human services; experience in program management and personal care.

Role: Personal Care Aides (PCAs)
Requirements: Certification in personal care assistance or completion of a state-approved training program; background clearance.

Role: Home Health Aides (HHAs)
Requirements: Certification in home health care; experience in assisting individuals with daily living activities.

Role: Direct Support Professionals (DSPs)
Requirements: Experience in caregiving, community integration, and personal assistance.

All staff must complete:

Training in personal care techniques, client safety, and emergency response

HIPAA compliance and participant rights education

Annual competency evaluations and ongoing professional development

Safety, infection control, and hygiene training

Documentation and record-keeping best practices

7. MEDICAID WAIVER PROGRAMS

Personal Assistance Services are available under the following North Dakota Medicaid Waivers:

Aged and Disabled Waiver

Technology Dependent Waiver

Developmental Disabilities Waiver

Home and Community-Based Services (HCBS) Waiver

8. TIMELINE TO LAUNCH

Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months

Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months

Phase: North Dakota Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days

Phase: Medicaid Billing Setup and Service Launch
Timeline: 30–45 days

9. CONTACT INFORMATION

North Dakota Department of Human Services (NDDHS)
Website: https://www.nd.gov/dhs/

North Dakota Medicaid Management Information System (MMIS)
Website: https://www.nd.gov/dhs/services/medicalserv/medicaid/

North Dakota Division of Health Benefits (NC Medicaid)
Website: https://www.nd.gov/dhs/services/medicalserv/medicaid/

Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/

​

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NORTH DAKOTA PERSONAL ASSISTANCE SERVICES PROVIDER

WCG supports agencies in launching Medicaid-compliant Personal Assistance Services in North Dakota, offering:

​

Scope of Work:

Business registration, Medicaid enrollment, and licensing assistance

Policy manual development for personal care and client safety

Staff credentialing, training program templates, and compliance documentation

Medicaid billing setup and audit-prepared financial management

Branding, website development, and client outreach strategies

Quality assurance systems for personal care and compliance monitoring

Collaboration with healthcare providers and community organizations

PERSONAL EMERGENCY RESPONSE SYSTEM (PERS) SERVICES PROVIDER IN NORTH DAKOTA

ENHANCING SAFETY AND INDEPENDENCE THROUGH IMMEDIATE ACCESS TO ASSISTANCE

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Personal Emergency Response System (PERS) Services in North Dakota provide individuals with disabilities, chronic conditions, or age-related challenges access to immediate emergency support. PERS devices are designed to enhance safety and peace of mind by offering quick access to assistance in the event of a fall, medical issue, or other emergencies. PERS Services are authorized under North Dakota Medicaid Home and Community-Based Services (HCBS) Waiver programs.

​​

1. GOVERNING AGENCIES

Agency: North Dakota Department of Human Services (NDDHS)
Role: Administers Medicaid waiver funding for PERS Services and oversees provider enrollment, service authorization, and reimbursement.

Agency: North Dakota Medical Services Division (MSD)
Role: Manages Medicaid waiver services and oversees Medicaid provider participation.

Agency: North Dakota Division of Aging Services
Role: Provides oversight for emergency response systems targeting elderly individuals and adults with disabilities.

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight to ensure Medicaid-funded PERS Services meet quality, safety, and person-centered care standards.

2. PERS SERVICES OVERVIEW

Personal Emergency Response Systems (PERS) allow individuals to maintain independence while having quick access to emergency support when needed.

Approved providers may deliver:

PERS Device Installation: Setting up wearable or stationary emergency response units.

24/7 Monitoring Services: Real-time monitoring by trained staff for emergency alerts.

Emergency Notification: Automatic alert transmission to designated contacts or emergency services.

Fall Detection Technology: Automatic alerts in the event of a fall.

Mobile PERS Units: GPS-enabled devices for tracking and emergency assistance outside the home.

Device Maintenance: Regular testing, battery replacement, and troubleshooting.

Training and Education: Teaching individuals how to use PERS devices effectively.

Service Coordination: Integrating PERS with healthcare and support plans.

Documentation: Maintaining records of device installations, maintenance, and emergency responses.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register the business entity with the North Dakota Secretary of State.

Obtain EIN from the IRS and NPI (Type 2).

Enroll as a Medicaid Waiver PERS provider via the North Dakota Medicaid Management Information System (MMIS).

Maintain general liability and professional liability insurance.

Develop policies for device installation, emergency response, and monitoring.

Ensure staff complete required background checks, health screenings, and training in PERS operation.

4. NORTH DAKOTA PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

Complete the Provider Enrollment Application via the North Dakota MMIS for PERS Services under HCBS waivers.

Application and Documentation Submission:

Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, PERS policies, and staff training documentation.

Program Readiness Review:

NDDHS and MSD evaluate provider readiness, including device safety protocols, response times, and staff qualifications.

Approval & Medicaid Enrollment:

Upon approval, providers are authorized to bill Medicaid for PERS Services using designated billing codes.

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Business License (North Dakota Secretary of State)

IRS EIN confirmation

NPI confirmation

Proof of general and professional liability insurance

PERS Policy & Procedure Manual including:

Installation, maintenance, and emergency response protocols

Training for users and caregivers on device operation

Staff credentialing, background checks, and ongoing training records

Documentation standards for emergency responses and device maintenance

HIPAA compliance, participant rights, and grievance handling

Safety, quality assurance, and compliance monitoring

Risk management and emergency preparedness procedures

6. STAFFING REQUIREMENTS

Role: PERS Program Director
Requirements: Bachelor’s or Master’s degree in healthcare administration, information technology, or human services; experience in assistive technology management.

Role: Installation Technicians
Requirements: Experience with electronic device setup and customer training; technical certification preferred.

Role: Monitoring Staff
Requirements: Training in emergency response procedures, communication skills, and PERS system management.

Role: Customer Support Representatives
Requirements: Experience in client support and technical troubleshooting.

All staff must complete:

Training in PERS device operation, client interaction, and emergency response

HIPAA compliance and participant rights education

Annual competency evaluations and ongoing professional development

Safety, emergency response, and device maintenance training

Documentation and record-keeping best practices

7. MEDICAID WAIVER PROGRAMS

PERS Services are available under the following North Dakota Medicaid Waivers:

Aged and Disabled Waiver

Technology Dependent Waiver

Developmental Disabilities Waiver

Home and Community-Based Services (HCBS) Waiver

8. TIMELINE TO LAUNCH

Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months

Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months

Phase: North Dakota Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days

Phase: Medicaid Billing Setup and PERS Service Launch
Timeline: 30–45 days

9. CONTACT INFORMATION

North Dakota Department of Human Services (NDDHS)
Website: https://www.nd.gov/dhs/

North Dakota Medicaid Management Information System (MMIS)
Website: https://www.nd.gov/dhs/services/medicalserv/medicaid/

Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/

​

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NORTH DAKOTA PERS SERVICES PROVIDER

WCG supports agencies in launching Medicaid-compliant PERS Services in North Dakota, offering:

​

Scope of Work:

Business registration, Medicaid enrollment, and licensing assistance

Policy manual development for PERS installation, maintenance, and monitoring

Staff credentialing, training program templates, and compliance documentation

Medicaid billing setup and audit-prepared financial management

Branding, website development, and client outreach strategies

Quality assurance systems for device safety and compliance monitoring

Collaboration with healthcare providers, emergency services, and community organizations

SKILLED NURSING SERVICES PROVIDER IN NORTH DAKOTA

DELIVERING HIGH-QUALITY MEDICAL CARE AT HOME FOR INDIVIDUALS WITH COMPLEX HEALTH NEEDS

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Skilled Nursing Services in North Dakota provide specialized medical care delivered by licensed nurses within an individual's home or residential setting. These services are designed to support individuals with chronic conditions, disabilities, or age-related health challenges by offering clinical care, health monitoring, and therapeutic interventions. Skilled Nursing Services are authorized under North Dakota Medicaid Home and Community-Based Services (HCBS) Waiver programs.

1. GOVERNING AGENCIES

Agency: North Dakota Department of Human Services (NDDHS)
Role: Administers Medicaid waiver funding for Skilled Nursing Services and oversees provider enrollment, service authorization, and reimbursement.

Agency: North Dakota Medical Services Division (MSD)
Role: Manages Medicaid waiver services and oversees Medicaid provider participation.

Agency: North Dakota Division of Aging Services
Role: Provides oversight for skilled nursing services targeting elderly individuals and adults with disabilities.

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight to ensure Medicaid-funded Skilled Nursing Services meet quality, safety, and person-centered care standards.

2. SKILLED NURSING SERVICES OVERVIEW

Skilled Nursing Services offer medically necessary care delivered by Registered Nurses (RNs) or Licensed Practical Nurses (LPNs) in home settings, helping individuals manage complex medical needs.

Approved providers may deliver:

Chronic Disease Management: Monitoring diabetes, hypertension, and cardiac conditions.

Wound Care: Dressing changes, wound monitoring, and infection prevention.

Medication Administration: Administering intravenous (IV) therapy, injections, and oral medications.

Post-Surgical Care: Monitoring surgical sites, managing pain, and providing rehabilitative care.

Health Monitoring: Recording vital signs, glucose levels, and other clinical metrics.

Catheter and Ostomy Care: Maintenance, cleaning, and monitoring for complications.

Respiratory Care: Managing ventilators, oxygen therapy, and breathing exercises.

Therapeutic Interventions: Administering physical, occupational, or speech therapies as prescribed.

Patient and Family Education: Teaching self-care techniques and managing chronic conditions.

Documentation: Keeping accurate records of care plans, clinical notes, and patient outcomes.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register the business entity with the North Dakota Secretary of State.

Obtain EIN from the IRS and NPI (Type 2).

Enroll as a Medicaid Waiver Skilled Nursing provider via the North Dakota Medicaid Management Information System (MMIS).

Obtain licensure as a Home Health Agency from the North Dakota Department of Health.

Maintain general liability and professional liability insurance.

Develop policies for skilled nursing care, medication administration, and patient safety.

Ensure staff complete required background checks, health screenings, and licensure verifications.

4. NORTH DAKOTA PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

Complete the Provider Enrollment Application via the North Dakota MMIS for Skilled Nursing Services under HCBS waivers.

Application and Documentation Submission:

Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, clinical policies, and staff licensure documentation.

Program Readiness Review:

NDDHS and MSD evaluate provider readiness, including clinical protocols, safety measures, and staff qualifications.

Approval & Medicaid Enrollment:

Upon approval, providers are authorized to bill Medicaid for Skilled Nursing Services using designated billing codes.

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Business License (North Dakota Secretary of State)

IRS EIN confirmation

NPI confirmation

Proof of general and professional liability insurance

Skilled Nursing Policy & Procedure Manual including:

Clinical care protocols and patient monitoring guidelines

Medication administration and chronic disease management procedures

Staff credentialing, background checks, and ongoing training records

Documentation standards for care tracking and Medicaid billing

HIPAA compliance, patient rights, and grievance handling

Infection control, safety, and hygiene practices

Emergency response and crisis management protocols

Quality assurance and compliance monitoring

6. STAFFING REQUIREMENTS

Role: Skilled Nursing Program Director
Requirements: Registered Nurse (RN) license, Bachelor’s or Master’s in Nursing or Healthcare Administration; experience in clinical supervision and home healthcare management.

Role: Registered Nurses (RNs)
Requirements: Active RN license; experience in clinical care and chronic disease management; CPR and BLS certifications.

Role: Licensed Practical Nurses (LPNs)
Requirements: State licensure; experience in patient care and medication administration.

Role: Nurse Aides
Requirements: Certification as a Nurse Aide (CNA); experience in personal care and direct support.

All staff must complete:

Training in skilled nursing procedures, chronic disease management, and patient safety

HIPAA compliance and patient rights education

Annual competency evaluations and ongoing professional development

Safety, infection control, and emergency response training

Documentation and record-keeping best practices

7. MEDICAID WAIVER PROGRAMS

Skilled Nursing Services are available under the following North Dakota Medicaid Waivers:

Aged and Disabled Waiver

Technology Dependent Waiver

Developmental Disabilities Waiver

Home and Community-Based Services (HCBS) Waiver

8. TIMELINE TO LAUNCH

Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months

Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months

Phase: North Dakota Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days

Phase: Medicaid Billing Setup and Service Launch
Timeline: 30–45 days

9. CONTACT INFORMATION

North Dakota Department of Human Services (NDDHS)
Website: https://www.nd.gov/dhs/

North Dakota Medicaid Management Information System (MMIS)
Website: https://www.nd.gov/dhs/services/medicalserv/medicaid/

North Dakota Department of Health
Website: https://www.health.nd.gov/

Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/

​

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NORTH DAKOTA SKILLED NURSING SERVICES PROVIDER

WCG supports agencies in launching Medicaid-compliant Skilled Nursing Services in North Dakota, offering:

​

Scope of Work:

Business registration, Medicaid enrollment, and licensing assistance

Policy manual development for skilled nursing care and patient safety

Staff credentialing, training program templates, and compliance documentation

Medicaid billing setup and audit-prepared financial management

Branding, website development, and client outreach strategies

Quality assurance systems for clinical care and compliance monitoring

Collaboration with healthcare providers and community organizations

HABILITATION SERVICES PROVIDER IN NORTH DAKOTA

SUPPORTING SKILL DEVELOPMENT AND INDEPENDENCE THROUGH PERSON-CENTERED INTERVENTIONS

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Habilitation Services in North Dakota assist individuals with disabilities or chronic conditions in acquiring, maintaining, and improving the skills necessary for daily living and community involvement. These services focus on developing self-care abilities, communication, and social skills, promoting independence and enhancing quality of life. Habilitation Services are authorized under North Dakota Medicaid Home and Community-Based Services (HCBS) Waiver programs.

​​

1. GOVERNING AGENCIES

Agency: North Dakota Department of Human Services (NDDHS)
Role: Administers Medicaid waiver funding for Habilitation Services and oversees provider enrollment, service authorization, and reimbursement.

Agency: North Dakota Medical Services Division (MSD)
Role: Manages Medicaid waiver services and oversees Medicaid provider participation.

Agency: North Dakota Division of Aging Services
Role: Provides oversight for habilitation services targeting elderly individuals and adults with disabilities.

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight to ensure Medicaid-funded Habilitation Services meet quality, safety, and person-centered care standards.

2. HABILITATION SERVICES OVERVIEW

Habilitation Services focus on skill development and maintenance to promote autonomy and community participation. These services are tailored to the individual’s unique needs and goals.

Approved providers may deliver:

Personal Skill Development: Training in hygiene, grooming, and daily self-care routines.

Social Interaction Skills: Teaching communication, relationship-building, and conflict resolution.

Community Living Skills: Budgeting, meal planning, and using public transportation.

Vocational Training: Preparing for employment through skills workshops and on-the-job support.

Educational Support: Assisting with literacy, numeracy, and lifelong learning activities.

Behavioral Interventions: Addressing behavioral challenges and promoting positive interactions.

Adaptive Skills Training: Developing coping mechanisms and problem-solving skills.

Recreational and Leisure Activities: Encouraging participation in hobbies and group events.

Peer Mentoring: Promoting support through interaction with peers who have successfully integrated.

Documentation: Keeping records of goals, progress, and individualized habilitation plans.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register the business entity with the North Dakota Secretary of State.

Obtain EIN from the IRS and NPI (Type 2).

Enroll as a Medicaid Waiver Habilitation Services provider via the North Dakota Medicaid Management Information System (MMIS).

Maintain general liability and professional liability insurance.

Develop policies for skill training, behavior management, and community integration.

Ensure staff complete required background checks, health screenings, and training in habilitation practices.

4. NORTH DAKOTA PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

Complete the Provider Enrollment Application via the North Dakota MMIS for Habilitation Services under HCBS waivers.

Application and Documentation Submission:

Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, habilitation policies, and staff training documentation.

Program Readiness Review:

NDDHS and MSD evaluate provider readiness, including training protocols, safety standards, and staff qualifications.

Approval & Medicaid Enrollment:

Upon approval, providers are authorized to bill Medicaid for Habilitation Services using designated billing codes.

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Business License (North Dakota Secretary of State)

IRS EIN confirmation

NPI confirmation

Proof of general and professional liability insurance

Habilitation Services Policy & Procedure Manual including:

Skill development and daily living training protocols

Social integration and vocational support guidelines

Staff credentialing, background checks, and ongoing training records

Documentation standards for care tracking and Medicaid billing

HIPAA compliance, participant rights, and grievance handling

Safety, hygiene, and emergency response protocols

Quality assurance and compliance monitoring

6. STAFFING REQUIREMENTS

Role: Habilitation Program Director
Requirements: Bachelor’s or Master’s degree in social work, human services, or healthcare administration; experience in habilitation program management.

Role: Direct Support Professionals (DSPs)
Requirements: Experience in personal care, community engagement, and skill development; background clearance.

Role: Behavioral Specialists
Requirements: Certification in applied behavior analysis (ABA) or similar qualifications; experience with behavioral interventions.

Role: Skill Development Coordinators
Requirements: Experience in vocational training, community integration, and personal care education.

All staff must complete:

Training in person-centered planning, skill development, and community inclusion

HIPAA compliance and participant rights education

Annual competency evaluations and ongoing professional development

Safety, emergency response, and behavior management training

Documentation and record-keeping best practices

7. MEDICAID WAIVER PROGRAMS

Habilitation Services are available under the following North Dakota Medicaid Waivers:

Aged and Disabled Waiver

Technology Dependent Waiver

Developmental Disabilities Waiver

Home and Community-Based Services (HCBS) Waiver

8. TIMELINE TO LAUNCH

Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months

Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months

Phase: North Dakota Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days

Phase: Medicaid Billing Setup and Service Launch
Timeline: 30–45 days

9. CONTACT INFORMATION

North Dakota Department of Human Services (NDDHS)
Website: https://www.nd.gov/dhs/

North Dakota Medicaid Management Information System (MMIS)
Website: https://www.nd.gov/dhs/services/medicalserv/medicaid/

Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/

​

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NORTH DAKOTA HABILITATION SERVICES PROVIDER

WCG supports agencies in launching Medicaid-compliant Habilitation Services in North Dakota, offering:

​

Scope of Work:

Business registration, Medicaid enrollment, and licensing assistance

Policy manual development for habilitation training and client safety

Staff credentialing, training program templates, and compliance documentation

Medicaid billing setup and audit-prepared financial management

Branding, website development, and community outreach strategies

Quality assurance systems for skill development and compliance monitoring

Collaboration with healthcare providers, community organizations, and vocational trainers

ADULT DAY SERVICES PROVIDER IN NORTH DAKOTA

SUPPORTING SOCIAL ENGAGEMENT AND PERSONAL WELL-BEING IN A SAFE, STRUCTURED ENVIRONMENT

​

Adult Day Services in North Dakota provide daytime care and social engagement for adults with disabilities, chronic illnesses, or age-related challenges. These services offer a safe, structured environment where individuals can participate in recreational, social, and therapeutic activities while receiving personal care and supervision. Adult Day Services are authorized under North Dakota Medicaid Home and Community-Based Services (HCBS) Waiver programs.

1. GOVERNING AGENCIES

Agency: North Dakota Department of Human Services (NDDHS)
Role: Administers Medicaid waiver funding for Adult Day Services and oversees provider enrollment, service authorization, and reimbursement.

Agency: North Dakota Medical Services Division (MSD)
Role: Manages Medicaid waiver services and oversees Medicaid provider participation.

Agency: North Dakota Division of Aging Services
Role: Provides oversight for adult day services targeting elderly individuals and adults with disabilities.

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight to ensure Medicaid-funded Adult Day Services meet quality, safety, and person-centered care standards.

2. ADULT DAY SERVICES OVERVIEW

Adult Day Services provide social, therapeutic, and health-related support in a community-based setting, offering a break for caregivers while ensuring participants' safety and well-being.

Approved providers may deliver:

Social and Recreational Activities: Group outings, games, crafts, and music therapy.

Health Monitoring: Tracking vital signs, medication administration, and wellness checks.

Personal Care Assistance: Bathing, grooming, toileting, and mobility support.

Therapeutic Activities: Physical and occupational therapy sessions.

Nutritional Support: Meal preparation and feeding assistance tailored to dietary needs.

Memory Care Programs: Cognitive exercises and activities for individuals with dementia.

Behavioral Support: Techniques to manage challenging behaviors and promote positive interactions.

Transportation Coordination: Assisting with transport to and from the adult day center.

Caregiver Support: Providing updates on client well-being and progress.

Documentation: Maintaining detailed records of daily attendance, activities, and care provided.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register the business entity with the North Dakota Secretary of State.

Obtain EIN from the IRS and NPI (Type 2).

Enroll as a Medicaid Waiver Adult Day Services provider via the North Dakota Medicaid Management Information System (MMIS).

Maintain general liability and professional liability insurance.

Develop policies for activity planning, personal care, and health monitoring.

Ensure staff complete required background checks, health screenings, and training in adult day care.

4. NORTH DAKOTA PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

Complete the Provider Enrollment Application via the North Dakota MMIS for Adult Day Services under HCBS waivers.

Application and Documentation Submission:

Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, adult day care policies, and staff training documentation.

Program Readiness Review:

NDDHS and MSD evaluate provider readiness, including care protocols, safety standards, and staff qualifications.

Approval & Medicaid Enrollment:

Upon approval, providers are authorized to bill Medicaid for Adult Day Services using designated billing codes.

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Business License (North Dakota Secretary of State)

IRS EIN confirmation

NPI confirmation

Proof of general and professional liability insurance

Adult Day Services Policy & Procedure Manual including:

Social and therapeutic activity planning protocols

Personal care and health monitoring guidelines

Staff credentialing, background checks, and ongoing training records

Documentation standards for activity tracking and Medicaid billing

HIPAA compliance, participant rights, and grievance handling

Safety, infection control, and hygiene practices

Emergency response and crisis management plans

Quality assurance and compliance monitoring

6. STAFFING REQUIREMENTS

Role: Adult Day Program Director
Requirements: Bachelor’s or Master’s degree in social work, healthcare administration, or gerontology; experience in adult day care management.

Role: Activity Coordinators
Requirements: Experience in recreational therapy, group facilitation, and social engagement activities.

Role: Personal Care Aides (PCAs)
Requirements: Certification in direct care or personal assistance; experience with adults or seniors with disabilities.

Role: Registered Nurses (RNs)
Requirements: State licensure; experience in health monitoring and chronic disease management.

All staff must complete:

Training in activity planning, safety protocols, and client interaction

HIPAA compliance and participant rights education

Annual competency evaluations and ongoing professional development

Safety, emergency response, and infection control training

Documentation and record-keeping best practices

7. MEDICAID WAIVER PROGRAMS

Adult Day Services are available under the following North Dakota Medicaid Waivers:

Aged and Disabled Waiver

Technology Dependent Waiver

Developmental Disabilities Waiver

Home and Community-Based Services (HCBS) Waiver

8. TIMELINE TO LAUNCH

Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months

Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months

Phase: North Dakota Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days

Phase: Medicaid Billing Setup and Service Launch
Timeline: 30–45 days

9. CONTACT INFORMATION

North Dakota Department of Human Services (NDDHS)
Website: https://www.nd.gov/dhs/

North Dakota Medicaid Management Information System (MMIS)
Website: https://www.nd.gov/dhs/services/medicalserv/medicaid/

North Dakota Division of Health Benefits (NC Medicaid)
Website: https://www.nd.gov/dhs/services/medicalserv/medicaid/

Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/

​

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NORTH DAKOTA ADULT DAY SERVICES PROVIDER

WCG supports agencies in launching Medicaid-compliant Adult Day Services in North Dakota, offering:

​

Scope of Work:

Business registration, Medicaid enrollment, and licensing assistance

Policy manual development for activity planning and client safety

Staff credentialing, training program templates, and compliance documentation

Medicaid billing setup and audit-prepared financial management

Branding, website development, and client outreach strategies

Quality assurance systems for adult day care and compliance monitoring

Collaboration with healthcare providers and community organizations

ASSISTIVE TECHNOLOGY SERVICES PROVIDER IN NORTH DAKOTA

ENHANCING INDEPENDENCE AND ACCESSIBILITY THROUGH TECHNOLOGY SOLUTIONS

​

Assistive Technology Services in North Dakota provides individuals with disabilities, chronic conditions, or age-related challenges access to devices and technology that promote independence, communication, and daily living. These services include assessment, training, and ongoing support to ensure that assistive devices are effectively integrated into the individual's life. Assistive Technology Services are authorized under North Dakota Medicaid Home and Community-Based Services (HCBS) Waiver programs.

1. GOVERNING AGENCIES

Agency: North Dakota Department of Human Services (NDDHS)
Role: Administers Medicaid waiver funding for Assistive Technology Services and oversees provider enrollment, service authorization, and reimbursement.

Agency: North Dakota Medical Services Division (MSD)
Role: Manages Medicaid waiver services and oversees Medicaid provider participation.

Agency: North Dakota Assistive (ND Assistive)
Role: Provides consultation, device demonstration, and training for assistive technology.

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight to ensure Medicaid-funded Assistive Technology Services meet quality, safety, and person-centered care standards.

2. ASSISTIVE TECHNOLOGY SERVICES OVERVIEW

Assistive Technology Services focus on providing tools and training to enhance independence and improve the quality of life for individuals with disabilities.

Approved providers may deliver:

Device Assessment: Evaluating the individual's needs to recommend suitable devices.

Customization and Setup: Modifying devices to suit specific functional requirements.

Device Procurement: Assisting with obtaining and funding assistive devices.

Training and Education: Teaching individuals and caregivers to use devices effectively.

Adaptive Communication Aids: Providing speech-generating devices or communication boards.

Mobility Devices: Offering powered wheelchairs, scooters, and transfer aids.

Environmental Control Units (ECUs): Allowing remote control of home features like lighting and doors.

Sensory Aids: Devices for visual, auditory, or tactile enhancements.

Smart Home Integration: Connecting assistive devices with home automation systems.

Maintenance and Support: Ensuring devices remain functional and accessible.

Documentation: Keeping records of assessments, device provision, training, and maintenance.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register the business entity with the North Dakota Secretary of State.

Obtain EIN from the IRS and NPI (Type 2).

Enroll as a Medicaid Waiver Assistive Technology provider via the North Dakota Medicaid Management Information System (MMIS).

Maintain general liability and professional liability insurance.

Develop policies for device selection, user training, and safety management.

Ensure staff complete required background checks, health screenings, and training in assistive technology usage.

4. NORTH DAKOTA PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

Complete the Provider Enrollment Application via the North Dakota MMIS for Assistive Technology Services under HCBS waivers.

Application and Documentation Submission:

Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, assistive technology policies, and staff training documentation.

Program Readiness Review:

NDDHS and ND Assistive evaluate provider readiness, including technology assessment protocols, safety standards, and staff qualifications.

Approval & Medicaid Enrollment:

Upon approval, providers are authorized to bill Medicaid for Assistive Technology Services using designated billing codes.

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Business License (North Dakota Secretary of State)

IRS EIN confirmation

NPI confirmation

Proof of general and professional liability insurance

Assistive Technology Policy & Procedure Manual including:

Device assessment and customization protocols

User training and follow-up support guidelines

Staff credentialing, background checks, and ongoing training records

Documentation standards for device tracking and Medicaid billing

HIPAA compliance, participant rights, and grievance handling

Safety, maintenance, and troubleshooting practices

Quality assurance and compliance monitoring

6. STAFFING REQUIREMENTS

Role: Assistive Technology Program Director
Requirements: Bachelor’s or Master’s degree in rehabilitation engineering, healthcare administration, or human services; experience in assistive technology management.

Role: Assistive Technology Specialists
Requirements: Certification in assistive technology or rehabilitation technology; experience with device assessment and customization.

Role: Technology Trainers
Requirements: Experience in device training, client education, and technical support.

Role: Maintenance Technicians
Requirements: Experience in repair, calibration, and maintenance of assistive devices.

All staff must complete:

Training in device operation, user training, and technology integration

HIPAA compliance and participant rights education

Annual competency evaluations and ongoing professional development

Safety, emergency response, and maintenance protocols

Documentation and record-keeping best practices

7. MEDICAID WAIVER PROGRAMS

Assistive Technology Services are available under the following North Dakota Medicaid Waivers:

Aged and Disabled Waiver

Technology Dependent Waiver

Developmental Disabilities Waiver

Home and Community-Based Services (HCBS) Waiver

8. TIMELINE TO LAUNCH

Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months

Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months

Phase: North Dakota Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days

Phase: Medicaid Billing Setup and Service Launch
Timeline: 30–45 days

9. CONTACT INFORMATION

North Dakota Department of Human Services (NDDHS)
Website: https://www.nd.gov/dhs/

North Dakota Medicaid Management Information System (MMIS)
Website: https://www.nd.gov/dhs/services/medicalserv/medicaid/

North Dakota Assistive (ND Assistive)
Website: https://ndassistive.org/

Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/

​

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NORTH DAKOTA ASSISTIVE TECHNOLOGY SERVICES PROVIDER

WCG supports agencies in launching Medicaid-compliant Assistive Technology Services in North Dakota, offering:

​

Scope of Work:

Business registration, Medicaid enrollment, and licensing assistance

Policy manual development for device assessment, training, and maintenance

Staff credentialing, training program templates, and compliance documentation

Medicaid billing setup and audit-prepared financial management

Branding, website development, and client outreach strategies

Quality assurance systems for assistive technology and compliance monitoring

Collaboration with healthcare providers, technology specialists, and community organizations

BEHAVIORAL HEALTH SERVICES PROVIDER IN NORTH DAKOTA

SUPPORTING MENTAL WELL-BEING THROUGH THERAPEUTIC INTERVENTIONS AND PERSONALIZED CARE

​

Behavioral Health Services in North Dakota assist individuals with mental health challenges, substance use disorders, or behavioral difficulties by offering therapeutic interventions, counseling, and support. These services are designed to promote emotional well-being, improve coping skills, and enhance quality of life. Behavioral Health Services are authorized under North Dakota Medicaid Home and Community-Based Services (HCBS) Waiver programs.

​

1. GOVERNING AGENCIES

Agency: North Dakota Department of Human Services (NDDHS)
Role: Administers Medicaid waiver funding for Behavioral Health Services and oversees provider enrollment, service authorization, and reimbursement.

Agency: North Dakota Behavioral Health Division
Role: Provides guidance on mental health and substance use treatment practices.

Agency: North Dakota Medical Services Division (MSD)
Role: Manages Medicaid waiver services and oversees Medicaid provider participation.

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight to ensure Medicaid-funded Behavioral Health Services meet quality, safety, and person-centered care standards.

2. BEHAVIORAL HEALTH SERVICES OVERVIEW

Behavioral Health Services focus on providing comprehensive support to individuals facing mental health challenges, addiction issues, or behavioral difficulties.

Approved providers may deliver:

Individual Therapy: One-on-one counseling to address emotional and behavioral challenges.

Group Therapy: Facilitated sessions that encourage peer support and coping skill development.

Family Counseling: Supporting family dynamics and improving communication.

Substance Use Treatment: Counseling, relapse prevention, and recovery planning.

Crisis Intervention: Immediate support during emotional or behavioral crises.

Case Management: Coordinating services, resources, and support networks.

Behavioral Modification Plans: Tailoring interventions to reduce maladaptive behaviors.

Psychiatric Assessment: Evaluating mental health needs and developing treatment plans.

Medication Management: Monitoring the effectiveness and adherence to prescribed medications.

Community Support: Assisting with social integration, life skills, and community engagement.

Documentation: Maintaining accurate records of therapy sessions, progress, and client outcomes.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register the business entity with the North Dakota Secretary of State.

Obtain EIN from the IRS and NPI (Type 2).

Enroll as a Medicaid Waiver Behavioral Health provider via the North Dakota Medicaid Management Information System (MMIS).

Obtain licensure as a Behavioral Health Agency from the North Dakota Department of Health.

Maintain general liability and professional liability insurance.

Develop policies for therapeutic care, crisis management, and client safety.

Ensure staff complete required background checks, health screenings, and licensure verifications.

4. NORTH DAKOTA PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

Complete the Provider Enrollment Application via the North Dakota MMIS for Behavioral Health Services under HCBS waivers.

Application and Documentation Submission:

Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, behavioral health policies, and staff licensure documentation.

Program Readiness Review:

NDDHS and the Behavioral Health Division evaluate provider readiness, including clinical protocols, safety measures, and staff qualifications.

Approval & Medicaid Enrollment:

Upon approval, providers are authorized to bill Medicaid for Behavioral Health Services using designated billing codes.

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Business License (North Dakota Secretary of State)

IRS EIN confirmation

NPI confirmation

Proof of general and professional liability insurance

Behavioral Health Services Policy & Procedure Manual including:

Clinical care protocols and crisis management guidelines

Treatment planning and client safety procedures

Staff credentialing, background checks, and ongoing training records

Documentation standards for care tracking and Medicaid billing

HIPAA compliance, patient rights, and grievance handling

Infection control, safety, and hygiene practices

Emergency response and crisis management protocols

Quality assurance and compliance monitoring

6. STAFFING REQUIREMENTS

Role: Behavioral Health Program Director
Requirements: Licensed Clinical Social Worker (LCSW) or Licensed Professional Counselor (LPC); Master’s or Doctorate in mental health or psychology; experience in clinical supervision.

Role: Behavioral Health Therapists
Requirements: Licensed Mental Health Professional (e.g., LCSW, LPC, LMFT); experience in therapy and counseling.

Role: Psychiatric Nurse Practitioners (PNPs)
Requirements: State licensure; experience in mental health assessment and medication management.

Role: Case Managers
Requirements: Bachelor’s degree in social work or human services; experience in care coordination and community support.

All staff must complete:

Training in therapeutic interventions, crisis response, and client safety

HIPAA compliance and participant rights education

Annual competency evaluations and ongoing professional development

Safety, infection control, and emergency response training

Documentation and record-keeping best practices

7. MEDICAID WAIVER PROGRAMS

Behavioral Health Services are available under the following North Dakota Medicaid Waivers:

Aged and Disabled Waiver

Technology Dependent Waiver

Developmental Disabilities Waiver

Home and Community-Based Services (HCBS) Waiver

8. TIMELINE TO LAUNCH

Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months

Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months

Phase: North Dakota Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days

Phase: Medicaid Billing Setup and Behavioral Health Service Launch
Timeline: 30–45 days

9. CONTACT INFORMATION

North Dakota Department of Human Services (NDDHS)
Website: https://www.nd.gov/dhs/

North Dakota Behavioral Health Division
Website: https://www.behavioralhealth.nd.gov/

North Dakota Medicaid Management Information System (MMIS)
Website: https://www.nd.gov/dhs/services/medicalserv/medicaid/

Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/

​

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NORTH DAKOTA BEHAVIORAL HEALTH SERVICES PROVIDER

WCG supports agencies in launching Medicaid-compliant Behavioral Health Services in North Dakota, offering:

​

Scope of Work:

Business registration, Medicaid enrollment, and licensing assistance

Policy manual development for clinical care and crisis management

Staff credentialing, training program templates, and compliance documentation

Medicaid billing setup and audit-prepared financial management

Branding, website development, and client outreach strategies

Quality assurance systems for behavioral care and compliance monitoring

Collaboration with healthcare providers, community organizations, and behavioral health networks

HOME MODIFICATION SERVICES PROVIDER IN NORTH DAKOTA

IMPROVING SAFETY AND ACCESSIBILITY THROUGH CUSTOMIZED HOME ADAPTATIONS

​

Home Modification Services in North Dakota help individuals with disabilities, chronic conditions, or age-related challenges by making physical adaptations to their homes. These modifications enhance safety, mobility, and independence, allowing individuals to live more comfortably within their community settings. Home Modification Services are authorized under North Dakota Medicaid Home and Community-Based Services (HCBS) Waiver programs.

1. GOVERNING AGENCIES

Agency: North Dakota Department of Human Services (NDDHS)
Role: Administers Medicaid waiver funding for Home Modification Services and oversees provider enrollment, service authorization, and reimbursement.

Agency: North Dakota Medical Services Division (MSD)
Role: Manages Medicaid waiver services and oversees Medicaid provider participation.

Agency: North Dakota Division of Aging Services
Role: Provides oversight for home modifications targeting elderly individuals and adults with disabilities.

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight to ensure Medicaid-funded Home Modification Services meet quality, safety, and person-centered care standards.

2. HOME MODIFICATION SERVICES OVERVIEW

Home Modification Services involve making changes to a home to improve accessibility, safety, and ease of use for individuals with physical or mobility limitations.

Approved providers may deliver:

Accessibility Modifications: Installing ramps, widened doorways, and handrails.

Bathroom Adaptations: Adding grab bars, roll-in showers, and raised toilet seats.

Kitchen Modifications: Lowering countertops, installing pull-out shelves, and adaptive faucets.

Safety Enhancements: Adding non-slip flooring, alert systems, and smoke detectors.

Bedroom Modifications: Installing adjustable beds, ceiling lifts, and safety rails.

Environmental Controls: Voice-activated lighting, thermostats, and door openers.

Structural Adjustments: Widening hallways and reinforcing flooring for wheelchair use.

Smart Home Integration: Automated lighting, alarms, and monitoring systems.

Vehicle Modifications (if applicable): Installing wheelchair lifts or adaptive driving controls.

Documentation: Keeping records of assessments, installation processes, and maintenance.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register the business entity with the North Dakota Secretary of State.

Obtain EIN from the IRS and NPI (Type 2).

Enroll as a Medicaid Waiver Home Modification provider via the North Dakota Medicaid Management Information System (MMIS).

Maintain general liability and professional liability insurance.

Develop policies for modification planning, safety compliance, and client satisfaction.

Ensure staff complete required background checks, health screenings, and training in modification techniques.

4. NORTH DAKOTA PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

Complete the Provider Enrollment Application via the North Dakota MMIS for Home Modification Services under HCBS waivers.

Application and Documentation Submission:

Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, modification policies, and staff training documentation.

Program Readiness Review:

NDDHS and MSD evaluate provider readiness, including modification protocols, safety standards, and staff qualifications.

Approval & Medicaid Enrollment:

Upon approval, providers are authorized to bill Medicaid for Home Modification Services using designated billing codes.

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Business License (North Dakota Secretary of State)

IRS EIN confirmation

NPI confirmation

Proof of general and professional liability insurance

Home Modification Policy & Procedure Manual including:

Needs assessment and modification planning protocols

Safety and quality assurance procedures for installations

Staff credentialing, background checks, and ongoing training records

Documentation standards for service tracking and Medicaid billing

HIPAA compliance, participant rights, and grievance handling

Safety, hygiene, and emergency response protocols

Quality assurance and compliance monitoring

6. STAFFING REQUIREMENTS

Role: Home Modification Program Director
Requirements: Bachelor’s or Master’s degree in construction management, rehabilitation technology, or healthcare administration; experience in home adaptation and program management.

Role: Modification Specialists
Requirements: Certification in construction or rehabilitation engineering; experience with adaptive modifications and accessibility improvements.

Role: Maintenance and Installation Technicians
Requirements: Experience in construction, carpentry, or equipment installation; certification in safety compliance preferred.

All staff must complete:

Training in adaptive construction techniques, client safety, and modification compliance

HIPAA compliance and participant rights education

Annual competency evaluations and ongoing professional development

Safety, emergency response, and client interaction training

Documentation and record-keeping best practices

7. MEDICAID WAIVER PROGRAMS

Home Modification Services are available under the following North Dakota Medicaid Waivers:

Aged and Disabled Waiver

Technology Dependent Waiver

Developmental Disabilities Waiver

Home and Community-Based Services (HCBS) Waiver

8. TIMELINE TO LAUNCH

Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months

Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months

Phase: North Dakota Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days

Phase: Medicaid Billing Setup and Service Launch
Timeline: 30–45 days

9. CONTACT INFORMATION

North Dakota Department of Human Services (NDDHS)
Website: https://www.nd.gov/dhs/

North Dakota Medicaid Management Information System (MMIS)
Website: https://www.nd.gov/dhs/services/medicalserv/medicaid/

Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/

​

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NORTH DAKOTA HOME MODIFICATION SERVICES PROVIDER

WCG supports agencies in launching Medicaid-compliant Home Modification Services in North Dakota, offering:

​

Scope of Work:

Business registration, Medicaid enrollment, and licensing assistance

Policy manual development for adaptive home modifications and safety compliance

Staff credentialing, training program templates, and compliance documentation

Medicaid billing setup and audit-prepared financial management

Branding, website development, and client outreach strategies

Quality assurance systems for modification safety and compliance monitoring

Collaboration with contractors, accessibility specialists, and community organizations

THERAPY SERVICES PROVIDER IN NORTH DAKOTA

PROMOTING WELL-BEING THROUGH THERAPEUTIC INTERVENTIONS AND SUPPORT

​

Therapy Services in North Dakota provide individuals with disabilities, chronic conditions, or age-related challenges access to therapeutic care to improve physical, mental, and emotional well-being. These services include a range of therapeutic interventions designed to enhance mobility, communication, and personal growth. Therapy Services are authorized under North Dakota Medicaid Home and Community-Based Services (HCBS) Waiver programs.

1. GOVERNING AGENCIES

Agency: North Dakota Department of Human Services (NDDHS)
Role: Administers Medicaid waiver funding for Therapy Services and oversees provider enrollment, service authorization, and reimbursement.

Agency: North Dakota Medical Services Division (MSD)
Role: Manages Medicaid waiver services and oversees Medicaid provider participation.

Agency: North Dakota Division of Aging Services
Role: Provides oversight for therapy services targeting elderly individuals and adults with disabilities.

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight to ensure Medicaid-funded Therapy Services meet quality, safety, and person-centered care standards.

2. THERAPY SERVICES OVERVIEW

Therapy Services address specific physical, cognitive, and emotional challenges through targeted therapeutic techniques.

Approved providers may deliver:

Physical Therapy (PT): Improving mobility, strength, and coordination through exercises and interventions.

Occupational Therapy (OT): Supporting daily living skills and adaptive techniques for independence.

Speech and Language Therapy (SLT): Addressing communication disorders and dysphagia (swallowing difficulties).

Behavioral Therapy: Implementing strategies to manage challenging behaviors and enhance social skills.

Cognitive Therapy: Assisting with memory, problem-solving, and cognitive function improvement.

Music and Art Therapy: Promoting self-expression and emotional well-being through creative outlets.

Recreational Therapy: Engaging in physical activities to enhance social participation and well-being.

Mental Health Counseling: Providing therapeutic support for managing emotional challenges.

Trauma-Informed Therapy: Supporting individuals affected by trauma with specialized care.

Documentation: Maintaining accurate records of therapeutic interventions, progress tracking, and client outcomes.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register the business entity with the North Dakota Secretary of State.

Obtain EIN from the IRS and NPI (Type 2).

Enroll as a Medicaid Waiver Therapy Services provider via the North Dakota Medicaid Management Information System (MMIS).

Maintain general liability and professional liability insurance.

Develop policies for therapeutic care, client safety, and service documentation.

Ensure staff complete required background checks, health screenings, and licensure verifications.

4. NORTH DAKOTA PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

Complete the Provider Enrollment Application via the North Dakota MMIS for Therapy Services under HCBS waivers.

Application and Documentation Submission:

Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, therapy policies, and staff licensure documentation.

Program Readiness Review:

NDDHS and MSD evaluate provider readiness, including care protocols, safety measures, and staff qualifications.

Approval & Medicaid Enrollment:

Upon approval, providers are authorized to bill Medicaid for Therapy Services using designated billing codes.

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Business License (North Dakota Secretary of State)

IRS EIN confirmation

NPI confirmation

Proof of general and professional liability insurance

Therapy Services Policy & Procedure Manual including:

Therapeutic intervention protocols and individualized care planning

Safety and quality assurance procedures for therapy sessions

Staff credentialing, background checks, and ongoing training records

Documentation standards for therapy tracking and Medicaid billing

HIPAA compliance, participant rights, and grievance handling

Safety, infection control, and hygiene practices

Quality assurance and compliance monitoring

6. STAFFING REQUIREMENTS

Role: Therapy Program Director
Requirements: Licensed therapist (PT, OT, SLP, or behavioral therapist) with a Master’s or Doctorate in a relevant field; experience in clinical supervision and therapy program management.

Role: Physical Therapists (PT)
Requirements: Doctorate in Physical Therapy (DPT); North Dakota state license; CPR certification.

Role: Occupational Therapists (OT)
Requirements: Master’s degree in Occupational Therapy; state licensure; experience in rehabilitation and adaptive techniques.

Role: Speech-Language Pathologists (SLP)
Requirements: Master’s degree in Speech-Language Pathology; ASHA certification; state licensure.

Role: Behavioral Therapists
Requirements: Certification as a Board Certified Behavior Analyst (BCBA); experience in applied behavior analysis.

All staff must complete:

Training in therapeutic techniques, client safety, and patient interaction

HIPAA compliance and participant rights education

Annual competency evaluations and ongoing professional development

Safety, emergency response, and therapy-specific training

Documentation and record-keeping best practices

7. MEDICAID WAIVER PROGRAMS

Therapy Services are available under the following North Dakota Medicaid Waivers:

Aged and Disabled Waiver

Technology Dependent Waiver

Developmental Disabilities Waiver

Home and Community-Based Services (HCBS) Waiver

8. TIMELINE TO LAUNCH

Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months

Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months

Phase: North Dakota Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days

Phase: Medicaid Billing Setup and Therapy Service Launch
Timeline: 30–45 days

​

9. CONTACT INFORMATION

North Dakota Department of Human Services (NDDHS)
Website: https://www.nd.gov/dhs/

North Dakota Medicaid Management Information System (MMIS)
Website: https://www.nd.gov/dhs/services/medicalserv/medicaid/

Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/

​

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NORTH DAKOTA THERAPY SERVICES PROVIDER

WCG supports agencies in launching Medicaid-compliant Therapy Services in North Dakota, offering:

​

Scope of Work:

Business registration, Medicaid enrollment, and licensing assistance

Policy manual development for therapy care and client safety

Staff credentialing, training program templates, and compliance documentation

Medicaid billing setup and audit-prepared financial management

Branding, website development, and client outreach strategies

Quality assurance systems for therapy care and compliance monitoring

Collaboration with healthcare providers and community organizations

COMMUNITY INTEGRATION SERVICES PROVIDER IN NORTH DAKOTA

FOSTERING INDEPENDENCE THROUGH ACTIVE COMMUNITY PARTICIPATION AND SOCIAL ENGAGEMENT

​

Community Integration Services in North Dakota support individuals with disabilities, chronic conditions, or age-related challenges by enhancing their ability to participate in community life. These services promote social inclusion, independent living, and active participation in local activities. Community Integration Services are authorized under North Dakota Medicaid Home and Community-Based Services (HCBS) Waiver programs.

1. GOVERNING AGENCIES

Agency: North Dakota Department of Human Services (NDDHS)
Role: Administers Medicaid waiver funding for Community Integration Services and oversees provider enrollment, service authorization, and reimbursement.

Agency: North Dakota Medical Services Division (MSD)
Role: Manages Medicaid waiver services and oversees Medicaid provider participation.

Agency: North Dakota Division of Aging Services
Role: Provides oversight for community integration services targeting elderly individuals and adults with disabilities.

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight to ensure Medicaid-funded Community Integration Services meet quality, safety, and person-centered care standards.

2. COMMUNITY INTEGRATION SERVICES OVERVIEW

Community Integration Services aim to improve social, vocational, and independent living skills by connecting individuals to local resources, community programs, and social networks.

Approved providers may deliver:

Social Skills Development: Teaching communication, relationship-building, and social interaction.

Community Participation: Facilitating involvement in clubs, recreational activities, and local events.

Vocational Skill Building: Preparing individuals for community-based employment or volunteer roles.

Independent Living Training: Enhancing skills like budgeting, using public transportation, and daily decision-making.

Peer Support Groups: Encouraging social connections through structured group activities.

Recreational Outings: Organizing visits to parks, community centers, or cultural events.

Advocacy and Self-Determination: Teaching self-advocacy skills and promoting personal choice.

Transition Support: Assisting with moving from institutional to community settings.

Transportation Coordination: Ensuring safe travel to and from community activities.

Documentation: Maintaining records of participation, progress, and outcomes.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register the business entity with the North Dakota Secretary of State.

Obtain EIN from the IRS and NPI (Type 2).

Enroll as a Medicaid Waiver Community Integration provider via the North Dakota Medicaid Management Information System (MMIS).

Maintain general liability and professional liability insurance.

Develop policies for community participation, social engagement, and safety management.

Ensure staff complete required background checks, health screenings, and training in community integration practices.

4. NORTH DAKOTA PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

Complete the Provider Enrollment Application via the North Dakota MMIS for Community Integration Services under HCBS waivers.

Application and Documentation Submission:

Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, community integration policies, and staff training documentation.

Program Readiness Review:

NDDHS and MSD evaluate provider readiness, including engagement protocols, safety measures, and staff qualifications.

Approval & Medicaid Enrollment:

Upon approval, providers are authorized to bill Medicaid for Community Integration Services using designated billing codes.

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Business License (North Dakota Secretary of State)

IRS EIN confirmation

NPI confirmation

Proof of general and professional liability insurance

Community Integration Policy & Procedure Manual including:

Social skill development and community engagement protocols

Personal safety and client advocacy guidelines

Staff credentialing, background checks, and ongoing training records

Documentation standards for activity tracking and Medicaid billing

HIPAA compliance, participant rights, and grievance handling

Safety, transportation, and emergency response protocols

Quality assurance and compliance monitoring

6. STAFFING REQUIREMENTS

Role: Community Integration Program Director
Requirements: Bachelor’s or Master’s degree in social work, human services, or healthcare administration; experience in community engagement and program management.

Role: Community Support Specialists
Requirements: Experience in social services, community programs, or rehabilitation; background clearance.

Role: Peer Mentors
Requirements: Experience with community involvement and providing peer support; training in social engagement.

Role: Activity Coordinators
Requirements: Experience in planning community events and recreational activities.

All staff must complete:

Training in social skills development, client safety, and community inclusion

HIPAA compliance and participant rights education

Annual competency evaluations and ongoing professional development

Safety, emergency response, and client interaction training

Documentation and record-keeping best practices

7. MEDICAID WAIVER PROGRAMS

Community Integration Services are available under the following North Dakota Medicaid Waivers:

Aged and Disabled Waiver

Technology Dependent Waiver

Developmental Disabilities Waiver

Home and Community-Based Services (HCBS) Waiver

8. TIMELINE TO LAUNCH

Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months

Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months

Phase: North Dakota Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days

Phase: Medicaid Billing Setup and Service Launch
Timeline: 30–45 days

9. CONTACT INFORMATION

North Dakota Department of Human Services (NDDHS)
Website: https://www.nd.gov/dhs/

North Dakota Medicaid Management Information System (MMIS)
Website: https://www.nd.gov/dhs/services/medicalserv/medicaid/

Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/

​

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NORTH DAKOTA COMMUNITY INTEGRATION SERVICES PROVIDER

WCG supports agencies in launching Medicaid-compliant Community Integration Services in North Dakota, offering:

​

Scope of Work:

Business registration, Medicaid enrollment, and licensing assistance

Policy manual development for social engagement and community participation

Staff credentialing, training program templates, and compliance documentation

Medicaid billing setup and audit-prepared financial management

Branding, website development, and client outreach strategies

Quality assurance systems for social integration and compliance monitoring

Collaboration with community organizations, healthcare providers, and local businesses

HOMEMAKER SERVICES PROVIDER IN NORTH DAKOTA

SUPPORTING INDEPENDENCE THROUGH ASSISTANCE WITH HOUSEHOLD TASKS AND DAILY LIVING ACTIVITIES

​

Homemaker Services in North Dakota help individuals with disabilities, chronic illnesses, or age-related challenges maintain a clean, safe, and organized living environment. These services assist with routine household tasks and daily living activities, promoting independence and quality of life. Homemaker Services are authorized under North Dakota Medicaid Home and Community-Based Services (HCBS) Waiver programs.

1. GOVERNING AGENCIES

Agency: North Dakota Department of Human Services (NDDHS)
Role: Administers Medicaid waiver funding for Homemaker Services and oversees provider enrollment, service authorization, and reimbursement.

Agency: North Dakota Medical Services Division (MSD)
Role: Manages Medicaid waiver services and oversees Medicaid provider participation.

Agency: North Dakota Division of Aging Services
Role: Provides oversight for homemaker services targeting elderly individuals and adults with disabilities.

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight to ensure Medicaid-funded Homemaker Services meet quality, safety, and person-centered care standards.

2. HOMEMAKER SERVICES OVERVIEW

Homemaker Services provide essential assistance with household tasks and personal care to help individuals live safely and comfortably in their own homes.

Approved providers may deliver:

Housekeeping: Cleaning, dusting, vacuuming, and general maintenance.

Laundry Services: Washing, drying, folding, and organizing clothes and linens.

Meal Preparation: Planning, cooking, and serving meals based on dietary needs.

Grocery Shopping: Assisting with buying food and household supplies.

Personal Care Assistance: Helping with grooming, bathing, and dressing as needed.

Safety Checks: Ensuring the home environment is safe and accessible.

Organization: Arranging personal items, managing clutter, and maintaining a tidy space.

Medication Reminders: Helping with medication schedules and safe storage.

Errand Running: Completing essential tasks like picking up prescriptions or supplies.

Documentation: Keeping records of services provided and any changes in the client’s condition.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register the business entity with the North Dakota Secretary of State.

Obtain EIN from the IRS and NPI (Type 2).

Enroll as a Medicaid Waiver Homemaker Services provider via the North Dakota Medicaid Management Information System (MMIS).

Maintain general liability and professional liability insurance.

Develop policies for housekeeping, personal care, and safety management.

Ensure staff complete required background checks, health screenings, and homemaker training.

4. NORTH DAKOTA PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

Complete the Provider Enrollment Application via the North Dakota MMIS for Homemaker Services under HCBS waivers.

Application and Documentation Submission:

Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, homemaker policies, and staff training documentation.

Program Readiness Review:

NDDHS and MSD evaluate provider readiness, including care protocols, safety standards, and staff qualifications.

Approval & Medicaid Enrollment:

Upon approval, providers are authorized to bill Medicaid for Homemaker Services using designated billing codes.

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Business License (North Dakota Secretary of State)

IRS EIN confirmation

NPI confirmation

Proof of general and professional liability insurance

Homemaker Services Policy & Procedure Manual including:

Housekeeping and meal preparation procedures

Personal care assistance and safety management guidelines

Staff credentialing, background checks, and ongoing training records

Documentation standards for service tracking and Medicaid billing

HIPAA compliance, participant rights, and grievance handling

Safety and emergency response protocols

Quality assurance and compliance monitoring

6. STAFFING REQUIREMENTS

Role: Homemaker Program Director
Requirements: Bachelor’s or Master’s degree in social work, healthcare administration, or human services; experience in homemaker services management.

Role: Homemakers/Direct Support Professionals (DSPs)
Requirements: High school diploma or GED; experience in housekeeping, meal preparation, and personal care; background clearance.

Role: Personal Care Aides (PCAs)
Requirements: Completion of an approved PCA training program; experience in personal care and homemaking.

All staff must complete:

Training in housekeeping, meal preparation, and client safety

HIPAA compliance and participant rights education

Annual competency evaluations and ongoing professional development

Safety, emergency response, and infection control training

Documentation and record-keeping best practices

7. MEDICAID WAIVER PROGRAMS

Homemaker Services are available under the following North Dakota Medicaid Waivers:

Aged and Disabled Waiver

Technology Dependent Waiver

Developmental Disabilities Waiver

Home and Community-Based Services (HCBS) Waiver

8. TIMELINE TO LAUNCH

Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months

Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months

Phase: North Dakota Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days

Phase: Medicaid Billing Setup and Homemaker Service Launch
Timeline: 30–45 days

9. CONTACT INFORMATION

North Dakota Department of Human Services (NDDHS)
Website: https://www.nd.gov/dhs/

North Dakota Medicaid Management Information System (MMIS)
Website: https://www.nd.gov/dhs/services/medicalserv/medicaid/

North Dakota Division of Health Benefits (NC Medicaid)
Website: https://www.nd.gov/dhs/services/medicalserv/medicaid/

Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/

​

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NORTH DAKOTA HOMEMAKER SERVICES PROVIDER

WCG supports agencies in launching Medicaid-compliant Homemaker Services in North Dakota, offering:

​

Scope of Work:

Business registration, Medicaid enrollment, and licensing assistance

Policy manual development for homemaker care and client safety

Staff credentialing, training program templates, and compliance documentation

Medicaid billing setup and audit-prepared financial management

Branding, website development, and client outreach strategies

Quality assurance systems for homemaker care and compliance monitoring

Collaboration with healthcare providers and community organizations

CASE MANAGEMENT SERVICES PROVIDER IN NORTH DAKOTA

COORDINATING CARE AND SUPPORT TO ENHANCE INDEPENDENCE AND QUALITY OF LIFE

​

Case Management Services in North Dakota help individuals with disabilities, chronic conditions, or age-related challenges by coordinating care, advocating for services, and facilitating access to community resources. These services ensure comprehensive, person-centered care while promoting independence and well-being. Case Management Services are authorized under North Dakota Medicaid Home and Community-Based Services (HCBS) Waiver programs.

​

1. GOVERNING AGENCIES

Agency: North Dakota Department of Human Services (NDDHS)
Role: Administers Medicaid waiver funding for Case Management Services and oversees provider enrollment, service authorization, and reimbursement.

Agency: North Dakota Medical Services Division (MSD)
Role: Manages Medicaid waiver services and oversees Medicaid provider participation.

Agency: North Dakota Division of Aging Services
Role: Provides oversight for services targeting elderly individuals and adults with disabilities.

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight to ensure Medicaid-funded Case Management Services meet quality, safety, and person-centered care standards.

2. CASE MANAGEMENT SERVICES OVERVIEW

Case Management Services involve assessment, planning, coordination, and monitoring to ensure individuals receive appropriate care and support in their community.

Approved providers may deliver:

Comprehensive Assessment: Evaluating individual needs, preferences, and available supports.

Care Planning: Developing personalized service plans in collaboration with participants and families.

Resource Coordination: Connecting individuals with community services and supports.

Service Monitoring: Tracking the effectiveness of care plans and making adjustments as needed.

Crisis Intervention: Providing immediate support during emergencies or changes in health status.

Advocacy: Ensuring that individuals receive necessary services and support.

Referral Services: Linking to healthcare providers, behavioral health services, and community resources.

Documentation and Reporting: Maintaining accurate records of care coordination and outcomes.

Care Transitions Support: Facilitating smooth transitions from hospitals or other care settings back to the community.

All services are delivered according to the Individualized Service Plan (ISP) to meet the participant’s specific needs and support goals.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register the business entity with the North Dakota Secretary of State.

Obtain EIN from the IRS and NPI (Type 2).

Enroll as a Medicaid Waiver Case Management provider via the North Dakota Medicaid Management Information System (MMIS).

Maintain general liability and professional liability insurance.

Develop policies for case management, service coordination, and client advocacy.

Ensure staff meet background checks, health screenings, and case management training requirements.

4. NORTH DAKOTA PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

Complete the Provider Enrollment Application via the North Dakota MMIS for Case Management Services under HCBS waivers.

Application and Documentation Submission:

Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, case management training documentation, and policy manuals.

Program Readiness Review:

NDDHS and MSD evaluate provider readiness, including client assessment procedures, documentation standards, and staff qualifications.

Approval & Medicaid Enrollment:

Upon approval, providers are authorized to bill Medicaid for Case Management Services using designated billing codes.

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Business License (North Dakota Secretary of State)

IRS EIN confirmation

NPI confirmation

Proof of general and professional liability insurance

Case Management Services Policy & Procedure Manual including:

Intake, assessment, and individualized care planning procedures

Service coordination, advocacy, and referral guidelines

Staff credentialing, background checks, and ongoing training records

Documentation standards for care tracking and Medicaid billing

HIPAA compliance, participant rights, and grievance handling

Emergency response, crisis management, and safety protocols

Quality assurance and compliance monitoring

6. STAFFING REQUIREMENTS

Role: Case Management Program Director
Requirements: Bachelor’s or Master’s degree in social work, human services, or healthcare administration; experience in case management and supervision.

Role: Case Managers
Requirements: Bachelor’s degree in social work, psychology, or a related field; case management certification preferred; experience with client advocacy; background clearance.

Role: Support Coordinators
Requirements: Experience in care coordination and client engagement; knowledge of community resources; background clearance.

All staff must complete:

Training in care coordination, person-centered planning, and advocacy

HIPAA compliance and participant rights education

Annual competency evaluations and ongoing professional development

Safety and emergency response training

Documentation and record-keeping best practices

7. MEDICAID WAIVER PROGRAMS

Case Management Services are available under the following North Dakota Medicaid Waivers:

Aged and Disabled Waiver

Technology Dependent Waiver

Developmental Disabilities Waiver

Home and Community-Based Services (HCBS) Waiver

8. TIMELINE TO LAUNCH

Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months

Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months

Phase: North Dakota Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days

Phase: Medicaid Billing Setup and Case Management Service Launch
Timeline: 30–45 days

9. CONTACT INFORMATION

North Dakota Department of Human Services (NDDHS)
Website: https://www.nd.gov/dhs/

North Dakota Medicaid Management Information System (MMIS)
Website: https://www.nd.gov/dhs/services/medicalserv/medicaid/

North Dakota Division of Health Benefits (NC Medicaid)
Website: https://www.nd.gov/dhs/services/medicalserv/medicaid/

Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/

​

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NORTH DAKOTA CASE MANAGEMENT SERVICES PROVIDER

WCG supports agencies in launching Medicaid-compliant Case Management Services in North Dakota, offering:

​

Scope of Work:

Business registration, Medicaid enrollment, and licensing assistance

Policy manual development for care coordination and client advocacy

Staff credentialing, training program templates, and compliance documentation

Medicaid billing setup and audit-prepared financial management

Branding, website development, and client outreach strategies

Quality assurance systems for service coordination and compliance monitoring

Collaboration with healthcare providers and community organizations

NON-MEDICAL TRANSPORTATION SERVICES PROVIDER IN NORTH DAKOTA

PROVIDING SAFE AND RELIABLE TRANSPORTATION FOR DAILY LIVING AND COMMUNITY ENGAGEMENT

​

Non-Medical Transportation Services in North Dakota help individuals with disabilities, chronic conditions, or age-related challenges access essential community services, employment, social activities, and other non-medical destinations. These services are vital for maintaining independence and active community participation. Non-Medical Transportation Services are authorized under North Dakota Medicaid Home and Community-Based Services (HCBS) Waiver programs.

1. GOVERNING AGENCIES

Agency: North Dakota Department of Human Services (NDDHS)
Role: Administers Medicaid waiver funding for Non-Medical Transportation Services and oversees provider enrollment, service authorization, and reimbursement.

Agency: North Dakota Medical Services Division (MSD)
Role: Manages Medicaid waiver services and oversees Medicaid provider participation.

Agency: North Dakota Department of Transportation (NDDOT)
Role: Provides oversight of transportation safety standards and vehicle regulations.

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight to ensure Medicaid-funded Non-Medical Transportation Services meet quality, safety, and person-centered care standards.

2. NON-MEDICAL TRANSPORTATION SERVICES OVERVIEW

Non-Medical Transportation Services provide reliable transportation to help individuals access community activities, employment, social events, and essential services not related to medical care.

Approved providers may deliver:

Community Access Transportation: Rides to social events, recreational activities, and community programs.

Employment Transportation: Reliable transit to and from workplaces or vocational training centers.

Educational Access: Transportation to educational facilities, workshops, or training sessions.

Personal Errands: Assisting with trips to grocery stores, banks, or other essential errands.

Social and Recreational Trips: Enabling participation in group outings and leisure activities.

Escort and Assistance: Providing physical support for boarding and exiting vehicles.

Trip Scheduling: Coordinating transportation based on individual schedules and needs.

Safety Monitoring: Ensuring passenger safety during transit.

Accessibility Features: Offering wheelchair-accessible vehicles and support for individuals with mobility challenges.

Documentation: Maintaining trip logs, mileage records, and service reports.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register the business entity with the North Dakota Secretary of State.

Obtain EIN from the IRS and NPI (Type 2).

Enroll as a Medicaid Waiver Non-Medical Transportation provider via the North Dakota Medicaid Management Information System (MMIS).

Maintain general liability, professional liability, and vehicle insurance.

Develop policies for transportation safety, trip scheduling, and vehicle maintenance.

Ensure drivers complete required background checks, health screenings, and defensive driving training.

4. NORTH DAKOTA PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

Complete the Provider Enrollment Application via the North Dakota MMIS for Non-Medical Transportation Services under HCBS waivers.

Application and Documentation Submission:

Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, transportation policies, and driver training documentation.

Program Readiness Review:

NDDHS and MSD evaluate provider readiness, including vehicle safety protocols, driver qualifications, and passenger assistance methods.

Approval & Medicaid Enrollment:

Upon approval, providers are authorized to bill Medicaid for Non-Medical Transportation Services using designated billing codes.

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Business License (North Dakota Secretary of State)

IRS EIN confirmation

NPI confirmation

Proof of general, professional liability, and vehicle insurance

Non-Medical Transportation Policy & Procedure Manual including:

Trip planning and scheduling procedures

Safety protocols for passenger support and mobility assistance

Driver credentialing, background checks, and ongoing training records

Vehicle maintenance logs and safety inspection documentation

Documentation standards for trip tracking and Medicaid billing

HIPAA compliance, passenger rights, and grievance handling

Emergency response and accident reporting protocols

Quality assurance and compliance monitoring

6. STAFFING REQUIREMENTS

Role: Transportation Program Director
Requirements: Bachelor’s degree in business management, logistics, or a related field; experience in transportation coordination and compliance management.

Role: Drivers/Transportation Specialists
Requirements: Valid commercial driver’s license (CDL) with passenger endorsement; defensive driving certification; experience in transporting individuals with disabilities.

Role: Transportation Coordinators
Requirements: Experience in scheduling, logistics, and trip planning; background clearance.

All staff must complete:

Training in passenger safety, mobility support, and defensive driving

HIPAA compliance and passenger rights education

Annual competency evaluations and ongoing professional development

Safety, emergency response, and incident management training

Documentation and record-keeping best practices

7. MEDICAID WAIVER PROGRAMS

Non-Medical Transportation Services are available under the following North Dakota Medicaid Waivers:

Aged and Disabled Waiver

Technology Dependent Waiver

Developmental Disabilities Waiver

Home and Community-Based Services (HCBS) Waiver

8. TIMELINE TO LAUNCH

Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months

Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months

Phase: North Dakota Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days

Phase: Medicaid Billing Setup and Service Launch
Timeline: 30–45 days

9. CONTACT INFORMATION

North Dakota Department of Human Services (NDDHS)
Website: https://www.nd.gov/dhs/

North Dakota Medicaid Management Information System (MMIS)
Website: https://www.nd.gov/dhs/services/medicalserv/medicaid/

North Dakota Department of Transportation (NDDOT)
Website: https://www.dot.nd.gov/

Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/

​

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NORTH DAKOTA NON-MEDICAL TRANSPORTATION SERVICES PROVIDER

WCG supports agencies in launching Medicaid-compliant Non-Medical Transportation Services in North Dakota, offering:

​

Scope of Work:

Business registration, Medicaid enrollment, and licensing assistance

Policy manual development for transportation safety and trip planning

Staff credentialing, training program templates, and compliance documentation

Medicaid billing setup and audit-prepared financial management

Branding, website development, and community outreach strategies

Quality assurance systems for transportation safety and compliance monitoring

Collaboration with healthcare providers and community organizations

HOME HEALTH CARE SERVICES PROVIDER IN NORTH DAKOTA

DELIVERING MEDICAL AND PERSONAL CARE AT HOME FOR INCREASED COMFORT AND INDEPENDENCE

​

Home Health Care Services in North Dakota provide essential medical and personal care within the comfort of an individual's home. These services support individuals with disabilities, chronic conditions, or age-related challenges, promoting independence while ensuring high-quality healthcare. Home Health Care Services are authorized under North Dakota Medicaid Home and Community-Based Services (HCBS) Waiver programs.

1. GOVERNING AGENCIES

Agency: North Dakota Department of Human Services (NDDHS)
Role: Administers Medicaid waiver funding for Home Health Care Services and oversees provider enrollment, service authorization, and reimbursement.

Agency: North Dakota Medical Services Division (MSD)
Role: Manages Medicaid waiver services and oversees Medicaid provider participation.

Agency: North Dakota Division of Aging Services
Role: Provides oversight for home health services targeting elderly individuals and adults with disabilities.

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight to ensure Medicaid-funded Home Health Care Services meet quality, safety, and person-centered care standards.

2. HOME HEALTH CARE SERVICES OVERVIEW

Home Health Care Services encompass a variety of medical and personal care provided directly in the individual's home to support health maintenance and recovery.

Approved providers may deliver:

Skilled Nursing Care: Monitoring health, administering medications, wound care, and chronic disease management.

Physical Therapy: Assisting with mobility, strength, and rehabilitation exercises.

Occupational Therapy: Improving daily living skills and promoting independence.

Speech Therapy: Addressing communication and swallowing disorders.

Home Health Aide Support: Assisting with personal care, grooming, hygiene, and mobility.

Medical Social Services: Offering counseling, resource coordination, and support planning.

Medication Management: Ensuring proper administration and adherence to medication regimens.

Chronic Condition Monitoring: Tracking vital signs and reporting changes to healthcare providers.

Post-Surgical Care: Wound care, rehabilitation, and health monitoring after medical procedures.

Documentation: Maintaining records of care provided, health monitoring, and patient progress.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register the business entity with the North Dakota Secretary of State.

Obtain EIN from the IRS and NPI (Type 2).

Enroll as a Medicaid Waiver Home Health Care provider via the North Dakota Medicaid Management Information System (MMIS).

Obtain licensure as a Home Health Agency from the North Dakota Department of Health.

Maintain general liability and professional liability insurance.

Develop policies for clinical care, safety protocols, and patient support.

Ensure staff complete required background checks, health screenings, and licensure verifications.

4. NORTH DAKOTA PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

Complete the Provider Enrollment Application via the North Dakota MMIS for Home Health Care Services under HCBS waivers.

Application and Documentation Submission:

Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, healthcare policies, and staff licensure documentation.

Program Readiness Review:

NDDHS and MSD evaluate provider readiness, including clinical protocols, safety measures, and staff qualifications.

Approval & Medicaid Enrollment:

Upon approval, providers are authorized to bill Medicaid for Home Health Care Services using designated billing codes.

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Business License (North Dakota Secretary of State)

IRS EIN confirmation

NPI confirmation

Proof of general and professional liability insurance

Home Health Care Policy & Procedure Manual including:

Skilled nursing, therapy, and personal care protocols

Medication administration and health monitoring procedures

Staff credentialing, background checks, and ongoing training records

Documentation standards for care tracking and Medicaid billing

HIPAA compliance, patient rights, and grievance handling

Infection control, safety, and hygiene practices

Emergency response and crisis management protocols

Quality assurance and compliance monitoring

6. STAFFING REQUIREMENTS

Role: Home Health Program Director
Requirements: Registered Nurse (RN) license, Bachelor’s or Master’s in Nursing or Healthcare Administration; experience in clinical supervision and home health care management.

Role: Registered Nurses (RNs)
Requirements: Active RN license; experience in home healthcare; CPR and BLS certifications.

Role: Licensed Practical Nurses (LPNs)
Requirements: State licensure; experience in patient care and medication administration.

Role: Home Health Aides (HHAs)
Requirements: Completion of an approved HHA training program; experience in personal care and direct support.

Role: Physical/Occupational/Speech Therapists
Requirements: State licensure in relevant therapy field (PT, OT, SLP); experience in rehabilitative care.

All staff must complete:

Training in patient care, chronic disease management, and safety protocols

HIPAA compliance and patient rights education

Annual competency evaluations and ongoing professional development

Safety, infection control, and emergency response training

Documentation and record-keeping best practices

7. MEDICAID WAIVER PROGRAMS

Home Health Care Services are available under the following North Dakota Medicaid Waivers:

Aged and Disabled Waiver

Technology Dependent Waiver

Developmental Disabilities Waiver

Home and Community-Based Services (HCBS) Waiver

8. TIMELINE TO LAUNCH

Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months

Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months

Phase: North Dakota Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days

Phase: Medicaid Billing Setup and Service Launch
Timeline: 30–45 days

9. CONTACT INFORMATION

North Dakota Department of Human Services (NDDHS)
Website: https://www.nd.gov/dhs/

North Dakota Medicaid Management Information System (MMIS)
Website: https://www.nd.gov/dhs/services/medicalserv/medicaid/

North Dakota Department of Health
Website: https://www.health.nd.gov/

Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/

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WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NORTH DAKOTA HOME HEALTH CARE SERVICES PROVIDER

WCG supports agencies in launching Medicaid-compliant Home Health Care Services in North Dakota, offering:

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Scope of Work:

Business registration, Medicaid enrollment, and licensing assistance

Policy manual development for clinical care and patient safety

Staff credentialing, training program templates, and compliance documentation

Medicaid billing setup and audit-prepared financial management

Branding, website development, and client outreach strategies

Quality assurance systems for home health care and compliance monitoring

Collaboration with healthcare providers and community organizations

MEAL AND NUTRITION SERVICES PROVIDER IN NORTH DAKOTA

SUPPORTING HEALTH AND WELL-BEING THROUGH NUTRITIOUS MEAL PREPARATION AND DIETARY PLANNING

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Meal and Nutrition Services in North Dakota assist individuals with disabilities, chronic conditions, or age-related challenges by providing access to nutritious meals, dietary planning, and nutritional education. These services aim to maintain health, manage dietary restrictions, and promote independence. Meal and Nutrition Services are authorized under North Dakota Medicaid Home and Community-Based Services (HCBS) Waiver programs.

1. GOVERNING AGENCIES

Agency: North Dakota Department of Human Services (NDDHS)
Role: Administers Medicaid waiver funding for Meal and Nutrition Services and oversees provider enrollment, service authorization, and reimbursement.

Agency: North Dakota Medical Services Division (MSD)
Role: Manages Medicaid waiver services and oversees Medicaid provider participation.

Agency: North Dakota Division of Aging Services
Role: Provides oversight for meal and nutrition services targeting elderly individuals and adults with disabilities.

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight to ensure Medicaid-funded Meal and Nutrition Services meet quality, safety, and person-centered care standards.

2. MEAL AND NUTRITION SERVICES OVERVIEW

Meal and Nutrition Services provide essential support to individuals who need assistance with meal preparation, dietary planning, and nutritional guidance to maintain their health and well-being.

Approved providers may deliver:

Meal Preparation: Cooking and serving nutritionally balanced meals tailored to dietary needs.

Meal Delivery: Bringing prepared meals to the individual's residence.

Dietary Planning: Creating meal plans based on medical conditions, dietary restrictions, and nutritional goals.

Nutritional Counseling: Educating individuals on healthy eating and dietary management.

Special Diet Meals: Preparing meals for specific conditions like diabetes, hypertension, or heart disease.

Food Safety Education: Teaching safe food handling and proper storage practices.

Shopping Assistance: Helping individuals purchase groceries and essential food items.

Group Meal Programs: Providing meals in a social setting to encourage community involvement.

Diet Monitoring: Tracking nutritional intake and ensuring adherence to dietary plans.

Documentation: Keeping accurate records of meals served, dietary plans, and client feedback.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register the business entity with the North Dakota Secretary of State.

Obtain EIN from the IRS and NPI (Type 2).

Enroll as a Medicaid Waiver Meal and Nutrition Services provider via the North Dakota Medicaid Management Information System (MMIS).

Maintain general liability and professional liability insurance.

Develop policies for meal planning, safety protocols, and dietary management.

Ensure staff complete required background checks, health screenings, and training in food safety and nutrition.

4. NORTH DAKOTA PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

Complete the Provider Enrollment Application via the North Dakota MMIS for Meal and Nutrition Services under HCBS waivers.

Application and Documentation Submission:

Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, nutrition policies, and staff training documentation.

Program Readiness Review:

NDDHS and MSD evaluate provider readiness, including dietary planning protocols, safety measures, and staff qualifications.

Approval & Medicaid Enrollment:

Upon approval, providers are authorized to bill Medicaid for Meal and Nutrition Services using designated billing codes.

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Business License (North Dakota Secretary of State)

IRS EIN confirmation

NPI confirmation

Proof of general and professional liability insurance

Meal and Nutrition Policy & Procedure Manual including:

Meal planning, preparation, and dietary management procedures

Nutritional counseling and food safety protocols

Staff credentialing, background checks, and ongoing training records

Documentation standards for service tracking and Medicaid billing

HIPAA compliance, participant rights, and grievance handling

Safety, infection control, and hygiene practices

Quality assurance and compliance monitoring

6. STAFFING REQUIREMENTS

Role: Nutrition Program Director
Requirements: Registered Dietitian (RD) license, Bachelor’s or Master’s in Nutrition or Dietetics; experience in meal planning and program management.

Role: Dietitians/Nutritionists
Requirements: State licensure and certification in dietetics or nutrition; experience in dietary planning and meal preparation.

Role: Meal Preparation Staff
Requirements: Experience in food service, meal preparation, and dietary compliance; food handler certification preferred.

Role: Delivery Drivers
Requirements: Valid driver’s license; experience in meal delivery and customer service; background clearance.

All staff must complete:

Training in meal preparation, dietary planning, and food safety

HIPAA compliance and participant rights education

Annual competency evaluations and ongoing professional development

Safety, hygiene, and emergency response training

Documentation and record-keeping best practices

7. MEDICAID WAIVER PROGRAMS

Meal and Nutrition Services are available under the following North Dakota Medicaid Waivers:

Aged and Disabled Waiver

Technology Dependent Waiver

Developmental Disabilities Waiver

Home and Community-Based Services (HCBS) Waiver

8. TIMELINE TO LAUNCH

Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months

Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months

Phase: North Dakota Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days

Phase: Medicaid Billing Setup and Service Launch
Timeline: 30–45 days

9. CONTACT INFORMATION

North Dakota Department of Human Services (NDDHS)
Website: https://www.nd.gov/dhs/

North Dakota Medicaid Management Information System (MMIS)
Website: https://www.nd.gov/dhs/services/medicalserv/medicaid/

North Dakota Division of Health Benefits (NC Medicaid)
Website: https://www.nd.gov/dhs/services/medicalserv/medicaid/

Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/

​

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NORTH DAKOTA MEAL AND NUTRITION SERVICES PROVIDER

WCG supports agencies in launching Medicaid-compliant Meal and Nutrition Services in North Dakota, offering:

​

Scope of Work:

Business registration, Medicaid enrollment, and licensing assistance

Policy manual development for dietary planning and meal safety

Staff credentialing, training program templates, and compliance documentation

Medicaid billing setup and audit-prepared financial management

Branding, website development, and client outreach strategies

Quality assurance systems for meal service and compliance monitoring

Collaboration with dietitians, healthcare providers, and community organizations