North Dakota
North Dakota has real Medicaid programs that pay family members to care for a loved one at home. Here's what they pay, who can be paid, and how to start.
$21.76/hr
Your exact pay is set by the program and your care plan. We'll tell you your real number before you enroll.
Source: North Dakota Medicaid program data · Updated September 2026
Some programs here have no waitlist. Others can have one.
HCBS waiver is not an entitlement (~930 slots/yr) and a waitlist forms when full; pilot is capacity-limited (reported 75 families enrolled of 550+ applicants)
Yes — North Dakota can pay you to care for your spouse.
The fine print: yes — HCBS waiver Family Personal Care pays a spouse, adult child, or adult grandchild who lives with the participant; spouses and legal guardians are excluded from MSP-PC; pilot also covers spouses as LRIs
Yes — North Dakota has a path for parents of children who need care.
The fine print: yes via pilot — Family Paid Caregiver Pilot pays legally responsible individuals (parent/guardian) providing extraordinary care on the Autism Birth-17, Medically Fragile, Children's Hospice, and Traditional IID/DD waivers
Run by: North Dakota Health and Human Services, Aging Services Division
A program that can pay a family member for care at home.
2-min check →A program that can pay a family member for care at home.
2-min check →A path for children who need extra care.
2-min check →Our quick check tells you which programs fit your family before you talk to anyone.
Apply for the HCBS waiver online or through your local Human Service Zone office; the pilot is applied for through the Family Paid Caregiver Portal (familycaregiver.hhs.nd.gov).
Forms, phone calls, the enrollment visit — we walk you through it all, free.
Yes. These are real Medicaid programs run by the state. In North Dakota, they are overseen by the North Dakota Health and Human Services. We help you enroll — applying costs you nothing.
Care at home costs Medicaid far less than a nursing home. So states pay family members to give that care at home. It's good for your loved one, and it's the law working the way it should.
Yes — North Dakota can pay you to care for your spouse. The fine print: yes — HCBS waiver Family Personal Care pays a spouse, adult child, or adult grandchild who lives with the participant; spouses and legal guardians are excluded from MSP-PC; pilot also covers spouses as LRIs
Yes — North Dakota has a path for parents of children who need care. The fine print: yes via pilot — Family Paid Caregiver Pilot pays legally responsible individuals (parent/guardian) providing extraordinary care on the Autism Birth-17, Medically Fragile, Children's Hospice, and Traditional IID/DD waivers
Reported figures are around $21.76/hr, but rates vary — the program sets your exact pay. We'll tell you your real number before you enroll.
Some programs here have no waitlist. Others can have one. Details: HCBS waiver is not an entitlement (~930 slots/yr) and a waitlist forms when full; pilot is capacity-limited (reported 75 families enrolled of 550+ applicants)
It depends on the program. In North Dakota: no home-care agency, but the family caregiver must enroll as a Qualified Service Provider (QSP) with ND HHS; the waiver has no fully self-directed option
Sources: medicaidplanningassistance.org · hhs.nd.gov · hhs.nd.gov · Updated September 2026. Program rules change — always confirm with the program.
The programs are the same across North Dakota. Pick your county to see how they work where you live.
Answer 5 easy questions. See your programs and pay before you share any contact info.