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Does North Dakota Pay For In-Home Care?
Date Updated: July 26, 2024
Written by:
Rachel Lustbader is a writer and editor with a background in healthcare and technology. Her work has been published on websites including HealthCare.com, BiteSizeBio.com, BetterHelp.com, Caring.com, and PayingforSeniorCare.com. She studied health science and public health at Boston University.
Both of Rachel’s grandmothers had very positive experiences in senior living communities, and Rachel saw firsthand the impact that kind, committed caregivers and community managers can have on seniors’ and their family members’ lives. With her work at Caring, Rachel hopes to help other families find communities, caregivers, and at-home products that benefit elderly loved ones and make life less stressful for family caregivers
North Dakota pays for certain in-home care services through its state Medicaid program and several other programs and waivers designed to support older and disabled adults living in their own homes. To receive funded in-home care in North Dakota, individuals need to receive or be eligible for Medicaid enrollment.
Individual programs may have additional eligibility criteria. Care needs, functional status and living arrangements can affect whether a person qualifies for North Dakota’s in-home care programs.
Expanded Service Payments for the Elderly and Disabled
This program is designed to support enrollees in managing essential activities, such as food preparation, housekeeping tasks or medication management. It also pays for services to meet health and welfare needs. Examples of covered services include:
- Emergency response systems
- House cleaning
- Limited home modifications to support independence
- Meal preparation
- Laundry services
- Respite services for caregivers
- Case management services
Medicaid Waiver for Home and Community-Based Services
The Medicaid Waiver for Home and Community-Based Services in North Dakota pays for in-home services for people who would otherwise need to live in a nursing home. A person may be eligible to enroll if they’re 65 or older or meet the Social Security Disability criteria. The waiver only covers people who can oversee their own care and live in their own homes.
North Dakota’s Medicaid Waiver covers a broad range of practical, social and health-related services, including:
- Transportation services
- Home modifications and specialized equipment to promote independence
- Temporary respite relief for carers
- Homemaker services, such as cleaning and laundry
- Meal preparation
- Case management services
- Adult day care
Program of All-Inclusive Care for the Elderly
The Program of All-Inclusive Care for the Elderly, or PACE, pays for services designed to promote the health and independence of adults aged 55 and older. An individual doesn’t need to be a Medicare or Medicaid beneficiary to enroll in PACE, although it’s only available for people who would otherwise require care in a nursing home. A person may not be eligible for PACE if the program can’t safely meet their needs while living at home or if they live outside North Dakota’s PACE areas.
Generally, PACE covers all necessary medical, social and care services for enrollees. Covered services may vary by area, but they must include the following:
- Primary care
- Social services
- Services to maintain functional status, such as occupational therapy
- Personal care
- Recreational therapy
- Meals and nutritional advice