Center for Medicare and Medicaid Services (CMS) Final Approval Letter

North Dakota

State Policies & Initiatives: 
Medicaid & Employment

~~“Final approval is granted due to the state completing the following activities:
o Conducted a comprehensive site-specific assessment and validation of all settings serving individuals receiving Medicaid-funded I{CBS, and included in the STP the outcomes of these activities and proposed remediation strategies to rectify any issues uncovered through the site specific assessment and validation processes by the end of the transition period.
o Outlined a detailed plan for identifying settings that are presumed to have institutional characteristics, including qualities that isolate HCBS beneficiaries, as well as the proposed process for evaluating these settings and preparing for submission to CMS for review under heightened scrutiny;
o Developed a process for communicating with beneficiaries who are currently receiving services in settings that the state has determined cannot or will not come into compliance with the home and community-based settings criteria by March 17 ,2022; and
o Established ongoing monitoring and quality assurance processes that will ensure all settings providing HCBS continue to remain fully compliant with the rule in the future.”

  • Medicaid Agencies
  • Home and Community Based Services (HCBS)
Date Enacted: