1915(i) State Plan Amendment Application Snapshot

Medium

Eligibility Criteria

Target Groups: North Dakota’s 1915(i) HCBS will serve individuals meeting the following targeted eligibility criteria:

  1. The individual is age 0+; and
  2. The individual is currently enrolled in ND Medicaid or Medicaid Expansion; and
  3. The individual resides in and will receive services in a setting meeting the federal home and community-based setting requirements, and
  4. The individual has one or more of the following Diagnoses. Click here for list of diagnoses.

In addition, the participant must also meet the following needs-based eligibility criteria:
Have a functional impairment, which substantially interferes with or substantially limits the ability to function in the family, school or community setting, as evidenced by a complex score of 50 or higher on the WHODAS 2.0.

Services

Service Type Description Age
Care Coordination Coordinates participant care, develops Person-centered Plan of Care plan of care and assists individuals with gaining access to needed 1915(i) and other services. 0+
Training and Supports for Unpaid Caregivers Service directed to individuals providing unpaid support to a recipient of 1915(i) services. Services are provided for the purpose of preserving, educating, and supporting the family and/ or support system of the individual. 0+
Community Transitional Services Non-recurring basic household set-up expenses for individuals transitioning from certain institutions to a private residence where the person is directly responsible for his or her own living expenses. Transition Coordination services are also available. 0+
Benefits Planning Assists individuals considering employment with making informed decisions regarding public benefits and work incentives. Counselors are knowledgeable on public benefits, including Social Security Disability Insurance (SSDI), Supplemental Security Income (SSI), Medicare, Medicaid etc. 0+
Non-Medical Transportation Assists participants with transportation needs to gain access to services, activities and resources, as specified by their plan of care. 0+
Respite Provided to participants unable to care for themselves. Furnished on a short-term basis because of the absence or need for relief of persons who normally provide care for the participant. 0 to 21
Prevocational Training Assists participants with developing general, non-job-task-specific strengths and skills that contribute to paid employment. Six months prior to 18th birthday
Supported Education Assists participants who want to start or return to school or formal training with a goal of achieving skills necessary to obtain employment. 5+
Supported Employment Assists participants with obtaining and keeping competitive employment at or above the minimum wage. 14+
Housing Support Services Assists participants with accessing and maintaining stable housing in the community. Six months prior to 18th birthday
Family Peer Support Delivered to families caring for a 1915(i) participant, under the age of 18, by trained and certified Peer Support Specialists with lived experience as a parent or primary caregiver who has navigated child serving systems on behalf of their child(ren) with social, emotional, developmental, health and/or behavioral healthcare needs. 0 to 18
Peer Support Trained and certified individuals with lived experience as recipients of behavioral health services promote hope, self-determination, and skills to participants to achieve long-term recovery from a behavioral health disorder. 18+