North Dakota Health and Human Services (HHS) Medical Services Division is seeking public comment on an amendment of its Medicaid 1915(c) waiver for medically fragile children.

The waiver allows Medicaid to pay for services for children ages three to 18 who are medically fragile. The goal of this waiver is to provide services that assist families in keeping their children home instead of having to place them in a nursing facility or hospital to receive needed care.

This amendment increases the number of slots by 25 to serve more children and also increases the waiver service funding cap to $25,300 per fiscal year. All services remain the same.

The draft waiver can be reviewed at Copies are also available upon request.

The department will accept public comments until June 30, 2023, at 5 p.m. CDT.

Individuals can submit comments by emailing or calling (800) 755-2604 or 711 (TTY). Comments can also be sent to North Dakota Health and Human Services – Medical Services Division, 600 E. Boulevard Ave., Dept. 325, Bismarck, N.D. 58505.

The department will submit the draft waiver to the federal Centers for Medicare and Medicaid Services for approval with a proposed effective date of Oct. 1, 2023.

Health & Human Services team members work to help North Dakotans of all ages enhance their well-being and quality of life by supporting equitable access to the social determinants of health, which include economic stability, housing, education, food, community and health care.

HHS promotes the state’s emergency readiness and response preparedness, achieves strategic outcomes using all available resources, strengthens stakeholder engagement and collaboration and manages emerging public health challenges.

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