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North Dakota Family Personal Care

North Dakota's Family Personal Care service lets eligible Medicaid Waiver for HCBS participants choose a spouse or listed family member who lives in the same home as their paid personal care provider. The service is not technically Structured Family Caregiving, but it is functionally similar because live-in family members can be paid through Medicaid to provide in-home personal care.

Pays a spouse or listed family member who lives with the care recipient for providing personal care assistance to an eligible Medicaid Waiver for HCBS participant. The waiver comparison lists Family Personal Care under the Medicaid Waiver for HCBS and sets waiver eligibility at age 18 or older, with nursing facility level-of-care and disability criteria. Payment varies based on assessed need. Income eligibility is determined through Medicaid, not this program directly.

Eligibility

  • Asset limit of $3,000
  • U.S. citizenship or qualified immigrant status required
  • Care recipient must have a qualifying disability
  • Care recipient age: at least 18
  • Must live with care recipient

Questions to ask the program

These are questions to ask the program, not a verdict on your eligibility. Confirm the current rules directly with the program.

  • Does the person receiving care live in North Dakota? — Residency is usually the first thing a program checks.
  • What are the current income and asset limits, and whose income counts? — Our record lists an asset limit around $3,000 — limits change, so confirm the current figures.
  • Is the person receiving care in the covered age range (18 or older)?
  • What counts as a qualifying disability or level of care need, and what documentation shows it?
  • Which citizenship or immigration statuses does the program accept, and which documents show it?
  • Do you need to live with the person receiving care, and how is that verified?
  • Is there a caregiver-specific department, coordinator, or support line? Ask for it by name. — Many agencies have one that isn’t advertised on the website.
  • What documents do you need from us to start an application?
  • Is there a waitlist right now, and how long is it?

Services

Pays a spouse or listed family member who lives with the care recipient for providing personal care assistance to an eligible Medicaid Waiver for HCBS participant. The waiver comparison lists Family Personal Care under the Medicaid Waiver for HCBS and sets waiver eligibility at age 18 or older, with nursing facility level-of-care and disability criteria. Payment varies based on assessed need. Income eligibility is determined through Medicaid, not this program directly.

How to apply

Use the official program page for application details: official program page.

  • medicaid (depends_on): Care recipient must be Medicaid-eligible
  • hcbs-waivers (companion): Family Personal Care is available through the North Dakota HCBS Medicaid waiver