North Dakota offers three ways to get paid as a family caregiver.

1. Expanded Service Payments for the Elderly and Disabled Program: allows elderly and disabled adults who cannot complete activities of daily living to remain at home. Under this program, certain family members can be hired and paid to carry out personal care services. Other covered services can range from adult day and respite care to meal deliveries.  

Program Requirements

• • MUST be a resident of North Dakota
  • MUST not be severely impaired in Activities of Daily Living
  • MUST require assistance with at least 3 Instrumental Activities of Daily Living
  • MUST not be living in an institutional setting
  • MUST be Medicaid and SSI eligible

2. Medicaid State Plan Personal Services: is designed to help elderly and disabled adults receive care at home or in a community setting. This program helps pay for care recipients to hire their own caregivers and control their own care plans.

Program Requirements

• • MUST be a resident of North Dakota
  • MUST require assistance for 30 days or more
  • MUST be Medicaid eligible
  • Spouses are NOT eligible 

3. Service Payments for the Elderly and Disabled Program: is a non-Medicaid program that enables elderly and disabled adults to receive care at home or in a community setting. Through this program, friends and certain family members can be paid for providing personal care services. Other covered services might include:  adult day and respite care to home modifications.  

Program Requirements

• • MUST be a resident of North Dakota
  • MUST require assistance with at least FOUR activities of daily living
  • MUST have impairment expected to last 3 months or longer
  • MUST be able to self-direct own care
  • MUST be low-income
  • All caregivers eligible