North Dakota provider enrollment
What North Dakota requires before you can deliver home and community-based waiver services, in the order the state actually requires it. Every claim links to the official page it came from.
Provider rules change often — confirm fees and deadlines against the linked sources before you rely on them.
Two sentences in North Dakota's rule should shape your business plan. The first: licensure does not create an obligation for the state to purchase services from the licensee. Being licensed is not being funded, and the rule says so. The second: a license expires not more than one year from its effective date and is valid only for the services and locations identified on it — so renewal is an annual event, and your application must be in no later than 60 days before expiration or you must ask the department to waive that timeline before the license lapses. If you are pursuing accreditation, North Dakota gives you a bridge: a provisional license may be issued to an applicant who complies with the rules and has engaged in obtaining accreditation, on the understanding that you obtain it by the time the provisional license expires. It can be extended six months, but only if the department finds you have made significant progress.
Licenses programs and services for individuals with intellectual and developmental disabilities under NDAC article 75-04, and operates regional offices across the state. Email dhsddreq@nd.gov.
701-328-8930Visit siteWhere the Medicaid provider agreement and addendums are handled, alongside provider manuals and guidelines.
Visit siteNDAC 75-04-01 states directly that licensure does not create an obligation for the state to purchase services from the licensee.
SourceIt names the legal name of the licensee, the address or location where services are provided, occupancy or service limitations, the unique services authorized, the region and counties served, and the expiration date. It is non-transferable, and the department may issue a single license for a discrete service or multiple licenses by service location.
SourceLicensees must sign a Medicaid provider agreement and the required addendums with the department in order to serve eligible individuals.
SourceThe license goes in an area accessible to the public where it can be readily seen — except in residences or residential areas, where it must be available to the public or the department on request.
SourceApply to HHS in the form the department prescribes, complete the application within 30 days of any incompleteness notice, receive a decision within 60 days, then sign the Medicaid provider agreement and addendums.
An applicant submits an application for a license to provide services or operate a facility to the department in the form and manner it prescribes.
SourceAn application is not complete until all required information and verifications are submitted. The department may declare an application withdrawn if the applicant fails to supply what is missing within 30 days of being notified.
SourceWithin 60 days of receiving the completed application, the department notifies the applicant of its intent to grant or deny a license.
SourceLicenses are issued as provisional, unrestricted, or restricted. A provisional license goes to an applicant who complies with the rules and has engaged in obtaining accreditation, and it may be extended six months only if the department determines significant progress has been made.
SourceLicensure and Medicaid participation are separate signatures, and both are needed before you can serve eligible individuals.
SourceA licensee must submit a license application no later than 60 days prior to the expiration date of a valid license. If you cannot meet that, a request to waive the 60-day timeline must reach the department before the license expires. Meeting the standards means the department shall issue the renewal.
SourceThe department may issue a single license for a discrete service or multiple licenses by service location, and the license is valid only for what it identifies.
SourceNDAC 75-04-01 sets siting and space standards, including minimum distances between group home facilities and existing group homes or day service facilities, and minimum bedroom square footage for single and double occupancy.
SourceThe department decides within 60 days of a complete application, and gives 30 days to supply missing information before it may declare the application withdrawn.
SourceThe provisional license exists precisely because accreditation takes longer than licensure, so plan the accreditation timeline against the provisional license's expiration.
SourceA license expires not more than one year from its effective date. The renewal application is due at least 60 days before that date, and a waiver of the timeline must be requested before expiration.
SourceA licensee who voluntarily terminates a license must submit a new application to reapply for licensure — there is no dormant status to return from.
SourceA provisional licensee shall obtain accreditation by the expiration of the provisional license, with a single six-month extension available only on a finding of significant progress.
SourceNorth Dakota does not publish these in a form we could verify, so we have not guessed at them. Ask directly — and if an answer here would help other providers, tell us and we will add it with its source.
Ask: ND HHS Developmental Disabilities, 701-328-8930 or dhsddreq@nd.gov
Ask: ND HHS Developmental Disabilities, 701-328-8930
Ask: Your ND HHS Developmental Disabilities regional office
Ask: ND HHS Developmental Disabilities, dhsddreq@nd.gov
The controlling rule: license terms, application timelines, license types, and physical-plant standards.
Visit siteThe licensing division and its regional offices.
701-328-8930Visit siteDocuments, person-centered practices, and legislative and code links. Document requests: dhsddreq@nd.gov.
1-800-755-8529Visit siteThe Medicaid side, including provider manuals and guidelines.
Visit siteThe waiver programs your licensed services would be delivered under.
Visit siteNo, and the rule says so outright: licensure does not create an obligation for the state to purchase services from the licensee.
Not more than one year from its effective date. Your renewal application is due at least 60 days before expiration, and if you cannot meet that you must ask the department to waive the timeline before the license expires.
A provisional license may be issued to an applicant who complies with the rules and has engaged in obtaining accreditation, provided you obtain it by the time the provisional license expires. One six-month extension is possible if the department finds significant progress.
Within 60 days of the department receiving a completed application. If your application is incomplete, you have 30 days from notification to supply what is missing or it may be declared withdrawn.
The license is valid only for the services and locations it names, and the department may issue a single license for a discrete service or multiple licenses by service location — so confirm with the department how it wants a new location handled before you sign a lease.
Looking for the family-facing guide? Browse state waiver guides