BISMARCK – North Dakota Health and Human Services (HHS) is accepting public comment on an amendment to the state’s Medicaid 1915(c) waiver for home and community-based services. The waiver pays for a variety of services that allow individuals who otherwise qualify for nursing home care to remain living in their homes and communities.

Comments will be accepted until Sept. 26.

Proposed changes to this waiver include:

– Allow for administratively claiming of certain case management tasks and allow for a registered nurse with a bachelor’s degree in nursing to provide case management services.

– Change allowable tasks for case management in the waiver and broaden the provider qualifications to improve access to services and promote health equity, health literacy and cultural humility person-centered planning. The provision of case management would be limited to agency providers and will update the provider qualifications to allow culturally or community-based organizations and tribal entities to provide the service to waiver eligible individuals.

– Update tasks for extended personal care services to include providing a ride and escort to medical appointments because of communication or other impairments.

– Change the rate methodology for cost-based rates under fee for service waiver programs for emergency response service and adult daycare to be paid at the reasonable and customary rate. Extended personal care and nurse educator to be paid at maximum rate established for the service.

– Update language on the state’s nursing facility level of care process.

– Update qualified service provider enrollment to be completed by the state rather than by a contracted entity.