Getting paid to care for a family member in North Dakota
Yes.
In North Dakota, a family member can be paid to give care through Family Personal Care and Family Home Care. A spouse can be paid through Family Home Care.
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Medicaid waiver
Medicaid Waiver for Home and Community Based Services
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Who qualifies
People on Medicaid who are 65 or older, or 18 or older and physically disabled as determined by the Social Security Administration or the State Review Team, who are eligible for care in a skilled nursing facility and choose home and community-based services instead. They take part in a comprehensive assessment, have a Person Centered Plan of Care, and receive services at least monthly in their own or a family member's private home or in a covered community setting.
The person cannot be receiving services through another Medicaid waiver, and the impairment cannot be the result of a mental illness, intellectual disability or a closely related condition.
People eligible for the HCBS Medicaid Waiver who live in the same residence as the family member who will be their paid provider, have a daily personal care or supervision need that the family member meets, and need at least three hours of care a day. The person and the family member must both agree to the arrangement.
Homemaker tasks such as meal preparation, laundry and shopping do not count toward the daily personal care or supervision need.
Yes.
Yes. The provider can be a parent, grandparent, adult child, adult sibling, adult grandchild, adult niece or adult nephew, or the current or former spouse of one of those relatives. The family member must live with the person and be enrolled as a qualified service provider for personal care.
Every Family Personal Care provider signs a Qualified Service Provider (QSP) Service Agreement for live-in paid caregivers, SFN 1654.
Depends.
Depends. A spouse is one of the relatives who can be the Family Personal Care provider, but before a legally responsible individual with decision-making authority over the person, which includes a legal spouse, can be enrolled as the provider, the case manager must approve the choice and send the HCBS Program Administrator a narrative explaining why it is in the person's best interest.
The policy does not say how often this approval is given.
Depends.
Depends. A guardian is allowed as a provider, but the provider must also be one of the qualifying relatives who lives with the person, and the case manager must first approve the guardian and send the HCBS Program Administrator a narrative explaining why it is in the person's best interest.
At most 10 reimbursable hours of care a day, and at least three hours of care a day. The provider can give more than 10 hours, but the state is not obligated to pay for them.
The provider cannot work full time (30 or more hours a week) outside the home unless an HCBS Program Administrator approves the arrangement.
People eligible for the SPED or ExSPED program who live in the same residence as the family member who will be their paid provider, have a daily personal care or supervision need, and need at least one hour of care a day. Both must agree to the arrangement. If the person has or would qualify for Medicaid and meets the level of care screening, Family Personal Care must be sought instead.
For adults, SPED requires impairment in at least two activities of daily living or four instrumental activities of daily living, lasting three months or more, and no more than $50,000 in liquid assets and the value of homes other than the primary residence (SPED policy 525-05-25-20).
Yes.
Yes. The provider can be a parent, grandparent, adult child, adult sibling, adult grandchild, adult niece or adult nephew, or the current or former spouse of one of those relatives, who lives with the person.
At most 10 reimbursable hours of care a day, and at least one hour of care a day. The provider can give more than 10 hours, but the state is not obligated to pay for them.
Medicaid Waiver for Home and Community Based Services
How to apply
Contact Adult and Aging Services at the ND Department of Health and Human Services, through the Aging and Disability Resource-LINK, for more information or to apply for home and community-based services funded through the department.
Contact Adult and Aging Services at the ND Department of Health and Human Services, through the Aging and Disability Resource-LINK, for more information or to apply for home and community-based services funded through the department.
Contact Adult and Aging Services at the ND Department of Health and Human Services, through the Aging and Disability Resource-LINK, for more information or to apply for home and community-based services funded through the department.
