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Department of Health and Human Services presents multiple rule packages on Medicaid eligibility, rates and caregiver pilot

North Dakota Administrative Rules Committee · December 3, 2025
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Summary

DHHS presented several rule packages updating Medicaid eligibility definitions, nursing‑home and psychiatric facility rate setting, and new programs including a family paid‑caregiver pilot and rental‑assistance programs; testimony included fiscal impact estimates, public‑notice summaries, and member questions about fee increases and waiver interactions.

The Department of Health and Human Services (DHHS) presented a series of rule amendments spanning Medicaid eligibility, nursing‑home rate setting, psychiatric residential treatment facility (PRTF) classifications, family paid‑caregiver pilot rules, and housing‑assistance programs.

Joyce Johnson (Medical Services) summarized amendments to the Medicaid eligibility code to implement 2025 legislation (SB 2076, HB 1067 and HB 1485) that adjust disregarded income rules (including MAGI updates), clarify inmate/institution provisions, and implement annual medical‑necessity certifications for certain multi‑drug regimens. Johnson provided an agency estimate of…

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