HOMEMAKER SERVICES PROVIDER IN NORTH DAKOTA

Fatumata Kaba
Sep 18
4 min read

SUPPORTING INDEPENDENCE THROUGH ASSISTANCE WITH HOUSEHOLD TASKS AND DAILY LIVING ACTIVITIES

Homemaker Services in North Dakota help individuals with disabilities, chronic illnesses, or age-related challenges maintain a clean, safe, and organized living environment. These services assist with routine household tasks and daily living activities, promoting independence and quality of life. Homemaker Services are authorized under North Dakota Medicaid Home and Community-Based Services (HCBS) Waiver programs.

1. GOVERNING AGENCIES

Agency: North Dakota Department of Human Services (NDDHS)

Role: Administers Medicaid waiver funding for Homemaker Services and oversees provider enrollment, service authorization, and reimbursement.

Agency: North Dakota Medical Services Division (MSD)

Role: Manages Medicaid waiver services and oversees Medicaid provider participation.

Agency: North Dakota Division of Aging Services

Role: Provides oversight for homemaker services targeting elderly individuals and adults with disabilities.

Agency: Centers for Medicare & Medicaid Services (CMS)

Role: Provides federal oversight to ensure Medicaid-funded Homemaker Services meet quality, safety, and person-centered care standards.

2. HOMEMAKER SERVICES OVERVIEW

Homemaker Services provide essential assistance with household tasks and personal care to help individuals live safely and comfortably in their own homes.

Approved providers may deliver:

Housekeeping: Cleaning, dusting, vacuuming, and general maintenance.
Laundry Services: Washing, drying, folding, and organizing clothes and linens.
Meal Preparation: Planning, cooking, and serving meals based on dietary needs.
Grocery Shopping: Assisting with buying food and household supplies.
Personal Care Assistance: Helping with grooming, bathing, and dressing as needed.
Safety Checks: Ensuring the home environment is safe and accessible.
Organization: Arranging personal items, managing clutter, and maintaining a tidy space.
Medication Reminders: Helping with medication schedules and safe storage.
Errand Running: Completing essential tasks like picking up prescriptions or supplies.
Documentation: Keeping records of services provided and any changes in the client’s condition.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register the business entity with the North Dakota Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Homemaker Services provider via the North Dakota Medicaid Management Information System (MMIS).
Maintain general liability and professional liability insurance.
Develop policies for housekeeping, personal care, and safety management.
Ensure staff complete required background checks, health screenings, and homemaker training.

4. NORTH DAKOTA PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

Complete the Provider Enrollment Application via the North Dakota MMIS for Homemaker Services under HCBS waivers.

Application and Documentation Submission:

Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, homemaker policies, and staff training documentation.

Program Readiness Review:

NDDHS and MSD evaluate provider readiness, including care protocols, safety standards, and staff qualifications.

Approval & Medicaid Enrollment:

Upon approval, providers are authorized to bill Medicaid for Homemaker Services using designated billing codes.

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Business License (North Dakota Secretary of State)
IRS EIN confirmation
NPI confirmation
Proof of general and professional liability insurance
Homemaker Services Policy & Procedure Manual including:
- Housekeeping and meal preparation procedures
- Personal care assistance and safety management guidelines
- Staff credentialing, background checks, and ongoing training records
- Documentation standards for service tracking and Medicaid billing
- HIPAA compliance, participant rights, and grievance handling
- Safety and emergency response protocols
- Quality assurance and compliance monitoring

6. STAFFING REQUIREMENTS

Role: Homemaker Program Director

Requirements: Bachelor’s or Master’s degree in social work, healthcare administration, or human services; experience in homemaker services management.

Role: Homemakers/Direct Support Professionals (DSPs)

Requirements: High school diploma or GED; experience in housekeeping, meal preparation, and personal care; background clearance.

Role: Personal Care Aides (PCAs)

Requirements: Completion of an approved PCA training program; experience in personal care and homemaking.

All staff must complete: