State Medicaid Waiver Directory
Find your state's Katie Beckett waiver, TEFRA pathway, HCBS programs, and Medicaid eligibility rules for children and adults with disabilities. Each guide covers waitlists, application steps, income limits, and parent caregiver pay options.
For informational purposes only — not legal, medical, or financial advice. Medicaid rules, eligibility, and waitlists change frequently. Always verify with your state's official Medicaid agency before making decisions. Cross-check with Medicaid.gov's official waiver page.
North Dakota
Program Overview
Overview
North Dakota has a Medicaid HCBS system with four children's 1915(c) waivers, all of which count only the child's income. There is no Katie Beckett/TEFRA route, but a Medicaid buy-in for children with disabilities also exists.
Katie Beckett or similar pathway
North Dakota does not have a Katie Beckett or TEFRA pathway. It instead runs four 1915(c) children's waivers — the Medically Fragile Children's Waiver (ages 3-21), Children's Hospice Waiver (0-21), Autism Spectrum Disorder Waiver (0-17), and Traditional ID/DD Waiver — all of which count only the child's income. A buy-in program, Children with Disabilities Medicaid Coverage, also exists.
Child-relevant waivers
Children's routes include the Medically Fragile Children's Waiver, Children's Hospice Waiver, Autism Spectrum Disorder (0-17) Waiver, and Traditional ID/DD Waiver, plus the Children with Disabilities Medicaid Coverage buy-in.
Eligibility
Who qualifies
DD Waiver serves individuals with developmental disabilities who meet ICF/ID level of care and financial eligibility.
Financial and income rules
North Dakota Medicaid financial eligibility applies. Waiver-specific rules also apply.
Level of care
ICF/ID level of care is required for the DD Waiver.
Age rules
DD Waiver serves individuals of various ages including children.
Getting Started
How to apply
Contact North Dakota DHS Developmental Disabilities Division for intake and applications.
Documents needed
Disability documentation, level-of-care assessment, and financial information are typically required.
Waitlist information
The Medically Fragile Children's and Children's Hospice waivers have no waiting list. The ASD waiver has a waitlist of about 140 children.
Practical next step
Contact North Dakota DHS DD Division and ask about DD Waiver intake, eligibility, and current waitlist.
Services & Support
Services available
DD Waiver can cover residential services, day services, employment supports, and in-home supports.
Parent caregiver pay
North Dakota's Family Paid Caregiver Pilot Program (since April 2024) pays caregivers of children enrolled in the ASD, Medically Fragile, Children's Hospice, or Traditional ID/DD waivers.
Equipment exchange & assistive technology
IPAT / North Dakota Assistive Technology (ipat.org) — free device demonstrations, short-term loans, reuse programs, and AT information statewide.
Mental health and Medicaid coverage
North Dakota Medicaid covers behavioral health services including outpatient therapy, psychiatric evaluations, medication management, and crisis services. The Division of Behavioral Health (DBH) within HHS oversees public mental health. Community mental health centers provide most direct services. North Dakota has faced rural mental health workforce shortages and uses telehealth to extend access. Children can access mental health services through the EPSDT benefit. The state has also invested in school-based mental health supports.
Additional notes
North Dakota's smaller population means some programs have limited capacity. Families should contact DHS directly to ask about current availability and any expected wait times.
Sources
Community Tips & Experience
Comments reflect the personal experiences and opinions of individual community members only. They do not represent the views, positions, or endorsements of National Disability Resource Project or any of its staff, volunteers, or affiliated members. Always verify information with official agencies and qualified professionals before making decisions.
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