1915(i) Medicaid State Plan Amendment


During the 2019 legislative session, North Dakota lawmakers authorized the Department of Human Services (Department) to create a Medicaid 1915(i) state plan amendment. The amendment allows North Dakota Medicaid to pay for additional home and community-based services to support individuals with behavioral health conditions.

To receive funding for services the state must:

  • Develop a plan, draft a service delivery package, and complete the 1915(i) Medicaid State Plan Amendment Application.
  • Make the 1915(i) Medicaid State Plan Amendment Application available for public comment.
  • Submit for approval from the Centers for Medicaid (CMS) services.

In October 2019, the Department hosted a series of listening sessions asking stakeholders what services should be offered, who should receive the services and who should provide the services.

This effort engaged feedback from over 200 stakeholders. After reviewing the feedback and several months of development, the application draft is now open and available for public comment.

Download the Draft

Download the Rate Schedule


Application Snapshot

Public Comment