The role of the Care Coordinator is to ensure that the individual's needs, preferences, and voice are given priority in the person-centered planning process. The Care Coordinator will carry out a comprehensive assessment and reassessment of the individual's needs, develop a person-centered plan of care, create a crisis plan, implement and monitor the plan, make referrals, establish collateral contacts, and follow up on activities.

Eligible individuals will collaborate with a Care Coordinator to develop a Plan of Care, which may include various services.

  • Training and support for unpaid caregivers
  • Community Transitional Services
  • Benefits Planning
  • Non-medical transportation
  • Respite
  • Pre-Vocational Training
  • Supported Education
  • Supported Employment
  • Housing Supports
  • Family Peer Support
  • Peer Support
1915 Cc Square


  • Age 0+; and
  • Currently enrolled in ND Medicaid or Medicaid Expansion; and
  • Household income is at or below 150% of the Federal Poverty Level; and
  • WHODAS score of 25 or above; and
  • Resides in and will receive services in a setting meeting the federal home and community-based setting requirements, and
  • Has one or more qualifying diagnosis

Looking to Apply?

A 1915(i) application may be submitted by


By mail: Customer Support Center PO Box 5562 Bismarck, ND 58506

in-person at any Human Service Zone office (find your local Human Service Zone here)

or call: 1 (866) 614-6005 or (701) 328-1000; 711 (TTY) for assistance


In collaboration with the North Dakota Department of Health and Human Services.

Get in Touch

If you do not qualify for the program above or are looking for other resources, please contact us through our chat or contact form.