Speak with a Medicaid home-care expert Free & no obligation Call (929) 460-3141
(929) 460-3141

Family Caregiver Pay Map · North Dakota · Verified October 19, 2026

North Dakota: Who Can Be a Paid Family Caregiver Under Medicaid

North Dakota pays family members and friends directly as Qualified Service Providers under its home and community-based waiver and state-plan personal care, with no agency in the chain; a spouse or other live-in relative is paid through Family Personal Care with case-manager approval, and a parent of a minor only where a waiver allows it.

Spouse
In defined cases
Adult child / other relatives
Yes
Friends / neighbors
Yes
Parent of a minor child
In defined cases

Who can be paid: Adult children, parents of an adult, grandchildren, siblings, nieces, nephews and other individuals enrolled as Qualified Service Providers; a live-in spouse or relative through Family Personal Care; a parent of a minor child only under a waiver that allows it.

The Home Care Agency is a free enrollment matching service — not a home care agency, not a Medicaid plan, and not a government agency. This research is educational. Eligibility, authorized hours and payment are always determined by the state program and, where applicable, the managed care plan.

The programs behind the answer

Medicaid Waiver for Home and Community-Based Services (aged and disabled) — personal care and Family Personal Care by Qualified Service Providers

Administered by North Dakota Health and Human Services, Adult and Aging Services.

  • Who employs the caregiver: State pays the caregiver
  • Waitlist: No waitlist
  • Relatives enroll as individual Qualified Service Providers paid directly by ND Medicaid; a live-in spouse or relative is paid through Family Personal Care with case-manager approval; the state reports no waiting list

Service Payments for the Elderly and Disabled (state-funded) including Family Home Care

Administered by North Dakota Health and Human Services.

  • Who employs the caregiver: State pays the caregiver
  • Waitlist: Capped enrollment
  • Appropriation-funded with a sliding fee; same Qualified Service Provider payment mechanism

Medicaid state plan Personal Care Services

Administered by North Dakota Health and Human Services.

  • Who employs the caregiver: State pays the caregiver
  • Waitlist: No waitlist
  • Type: State plan entitlement (serves everyone who qualifies)
  • A family member living in the same home cannot be paid for ordinary personal care

How to apply in North Dakota

We do not yet have partner agencies in North Dakota. Start with the program's administering agency — North Dakota Health and Human Services, Adult and Aging Services — using the official sources below; the state determines eligibility and enrolls participants.

Official sources

Facts on this page were last reviewed October 19, 2026 against the sources above. Program rules change; confirm with the program before making decisions. Method: how the Pay Map is verified.

Questions

Questions About Paid Family Caregiving in North Dakota

Can a spouse be paid to care for their husband or wife in North Dakota?
In defined cases. North Dakota allows a spouse to be the paid caregiver only under conditions written into its rules; see the summary and sources on this page.
Who can be the paid caregiver in North Dakota?
Adult children, parents of an adult, grandchildren, siblings, nieces, nephews and other individuals enrolled as Qualified Service Providers; a live-in spouse or relative through Family Personal Care; a parent of a minor child only under a waiver that allows it.
Is there a waitlist for Medicaid home care in North Dakota?
Medicaid Waiver for Home and Community-Based Services (aged and disabled) — personal care and Family Personal Care by Qualified Service Providers: no waitlist (Relatives enroll as individual Qualified Service Providers paid directly by ND Medicaid; a live-in spouse or relative is paid through Family Personal Care with case-manager approval; the state reports no waiting list). Service Payments for the Elderly and Disabled (state-funded) including Family Home Care: capped enrollment (Appropriation-funded with a sliding fee; same Qualified Service Provider payment mechanism). Medicaid state plan Personal Care Services: no waitlist (A family member living in the same home cannot be paid for ordinary personal care).
Who decides eligibility?
The state program, never The Home Care Agency. The Home Care Agency is a free enrollment matching service — not a home care agency, not a Medicaid plan, and not a government agency. This research is educational. Eligibility, authorized hours and payment are always determined by the state program and, where applicable, the managed care plan.