North Dakota

Integral to the coverage framework laid out in the reform law is a dramatic expansion of the Medicaid program. This primer provides key information about the program today, including a definition of what it is, who and what services are covered, Medicaid expenditures and how they are financed, and information of how health reform reshapes the program for the future.

Explore Medicaid expansion under health care reform and savings for states through Medicaid “modernization.” This report examines three broad categories of savings opportunities including the greater use of coordinated care techniques, the greater use of managed care for LTC, and the upgrading of Medicaid’s administrative processes. Find national and state-specific projections of increases in Medicaid enrollees as a result of health reform legislation and of the associated Medicaid costs.

Review an analysis of the size and characteristics of the PAS workforce during the period 2005-07. Data is available by state and nationwide and is based on a three-year combined sample of data from the U.S. Census Bureau's American Community Survey. Data include gender, age, ethnicity, birthplace, income, and type of employment.

Review an early assessment of the balance of state LTC systems before the implementation of the MFP demonstration. The authors’ goal was to develop a baseline against which the impacts could be measured as the program matures and evolves. This baseline information is used to identify key differences in the makeup of states’ LTC systems, and the observations suggest that the impacts of the program are likely to differ across states.

Are you looking for assistance with Fair Housing Planning? This Guide provides an historical perspective of fair housing, information on how to conduct an Analysis of Impediments to Fair Housing Choice (AI), undertake activities to correct the identified impediments, and the types of documentary records to be maintained. It was developed for State, State-funded, and Entitlement jurisdictions along with applicable HUD regulations pertaining to fair housing.

Learn about the status of the public LTC delivery system, and opportunities and obstacles for LTSS reform and rebalancing. The study surveys states’ current HCBS expenditures and utilization, analyzes factors underpinning Medicaid’s institutional bias, looks at federal and state initiatives to improve the ratio between institutional and community-based care, and points to statutory and regulatory “fixes” that could enhance the states’ ability to improve their LTC delivery systems.

Find a state-by-state summary of information on regulations that govern assisted living. Contact information for each state’s regulatory agency is listed as well as requirements for the physical plant, resident assessment, medication management, staffing, training, Medicaid reimbursement and more.

Find an article produced for the general public discussing the progress of Money Follows the Person. The author cites study findings suggesting reasons for states’ slow movement in nursing home transition: problems finding affordable housing, resistance from nursing homes, stringent federal rules limiting eligibility and types of community settings individuals can move into. Included are links to a related video and interactive map showing each state’s goals and transitions made to date.

How are MIG states working to educate people with disabilities who want to work about incentives that won’t disqualify them for Medicaid health care coverage? The state of North Dakota created this advertisement to summarize program benefits and qualifications, and list other contacts and resources for information and help. It is an approach that could be useful to other states looking to dispel popular misconceptions.

What are some of the ways states are explaining work incentives to consumers? North Dakota created a two page document with concise explanations of each program, along with applicable resources and contact information. Topics include the Ticket to Work Program, Plan to Achieve Self-Support (PASS), and Medicare While Working–Section 1619(b). This easy-to-use reference could be helpful for other MIG states looking for simple and effective ways to disseminate information about their programs.