BISMARCK – North Dakota Health and Human Services (HHS) is seeking public comment on an amendment to the state’s Medicaid 1915(c) waiver for in-home and community-based services. The waiver pays for services that help older adults and adults with physical disabilities who qualify for skilled nursing care to live in their own homes and communities.

The proposed amendment includes rate increases to several in-home services and supports that were approved by North Dakota lawmakers during the 2025 legislative session. Other changes include language updates to waiver regulations and provider qualifications. The draft waiver amendment can be viewed on the HHS website. A copy will be provided upon request.

Comments will be accepted through Aug. 21. Comments can be submitted to North Dakota Health and Human Services, Adult and Aging Services Section, Attn: HCBS, 1237 W. Divide Ave., Suite 6, Bismarck, N.D., 58501, dhshcbs@nd.gov, toll-free 855-462-5465, or 711 (TTY).