SUPPORTED EMPLOYMENT SERVICES PROVIDER IN NORTH DAKOTA

EMPOWERING INDIVIDUALS WITH DISABILITIES THROUGH WORKPLACE INTEGRATION AND CAREER SUPPORT

Supported Employment Services in North Dakota assist individuals with disabilities in finding, maintaining, and succeeding in competitive employment within their communities. These services provide job coaching, skill development, and long-term support to help individuals thrive in the workforce. Supported Employment 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 Supported Employment 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 Vocational Rehabilitation (DVR)

Role: Supports employment training and vocational assistance for individuals with disabilities.

Agency: Centers for Medicare & Medicaid Services (CMS)

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

2. SUPPORTED EMPLOYMENT SERVICES OVERVIEW

Supported Employment Services help individuals with disabilities enter or re-enter the workforce by providing assistance tailored to their specific needs and goals.

Approved providers may deliver:

• Job Development: Identifying potential job opportunities based on skills and interests.

• Job Coaching: Providing on-the-job support to enhance performance and adaptation.

• Workplace Accommodation: Assisting with adaptive tools and environmental modifications.

• Career Planning: Creating individualized employment plans with achievable goals.

• Skill Development: Teaching workplace etiquette, task management, and social skills.

• Job Retention Support: Monitoring job satisfaction and performance, offering guidance as needed.

• Vocational Assessment: Evaluating job readiness and identifying strengths.

• Follow-Along Support: Ongoing assistance to maintain employment stability.

• Peer Mentoring: Pairing individuals with experienced employees for guidance.

• Documentation: Maintaining records of employment plans, progress tracking, and follow-up services.

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 Supported Employment provider via the North Dakota Medicaid Management Information System (MMIS).

• Maintain general liability and professional liability insurance.

• Develop policies for employment support, job coaching, and client advocacy.

• Ensure staff complete required background checks, health screenings, and training in employment support practices.

4. NORTH DAKOTA PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

• Complete the Provider Enrollment Application via the North Dakota MMIS for Supported Employment Services under HCBS waivers.

Application and Documentation Submission:

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

Program Readiness Review:

• NDDHS and DVR evaluate provider readiness, including vocational support protocols, safety standards, and staff qualifications.

Approval & Medicaid Enrollment:

• Upon approval, providers are authorized to bill Medicaid for Supported Employment 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

• Supported Employment Policy & Procedure Manual including:

  • Vocational assessment and career planning procedures

  • Job coaching, retention, and accommodation support 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, hygiene, and workplace adaptation practices

  • Quality assurance and compliance monitoring

6. STAFFING REQUIREMENTS

Role: Employment Program Director

Requirements: Bachelor’s or Master’s degree in vocational rehabilitation, social work, or human services; experience in employment support and program management.

Role: Job Coaches

Requirements: Experience in workforce development, career coaching, or rehabilitation services; background clearance.

Role: Vocational Specialists

Requirements: Certification in career development or vocational rehabilitation; experience in job placement and support services.

Role: Employment Support Coordinators

Requirements: Knowledge of workplace accommodations, ADA compliance, and client advocacy.

All staff must complete:

• Training in job coaching, career planning, and client advocacy

• HIPAA compliance and participant rights education

• Annual competency evaluations and ongoing professional development

• Safety, emergency response, and workplace safety training

• Documentation and record-keeping best practices

7. MEDICAID WAIVER PROGRAMS

Supported Employment Services are available under the following North Dakota Medicaid Waivers:

• Aged and Disabled Waiver

• Technology Dependent Waiver

• Developmental Disabilities Waiver

• Home and Community-Based Services (HCBS) Waiver

8. TIMELINE TO LAUNCH

Phase: Business Formation and Compliance Preparation

Timeline: 1–2 months

Phase: Staff Hiring, Credentialing, and Program Development

Timeline: 2–3 months

Phase: North Dakota Medicaid Provider Enrollment and Readiness Review

Timeline: 60–90 days

Phase: Medicaid Billing Setup and Supported Employment Service Launch

Timeline: 30–45 days

9. CONTACT INFORMATION

North Dakota Department of Human Services (NDDHS)

Website: https://www.nd.gov/dhs/

North Dakota Medicaid Management Information System (MMIS)

Website: https://www.nd.gov/dhs/services/medicalserv/medicaid/

North Dakota Division of Vocational Rehabilitation (DVR)

Website: https://www.nd.gov/dhs/dvr/

Centers for Medicare & Medicaid Services (CMS)

Website: https://www.cms.gov/

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NORTH DAKOTA SUPPORTED EMPLOYMENT SERVICES PROVIDER

WCG supports agencies in launching Medicaid-compliant Supported Employment Services in North Dakota, offering:

Scope of Work:

• Business registration, Medicaid enrollment, and licensing assistance

• Policy manual development for job coaching and employment support

• Staff credentialing, training program templates, and compliance documentation

• Medicaid billing setup and audit-prepared financial management

• Branding, website development, and community outreach strategies

• Quality assurance systems for employment support and compliance monitoring

• Collaboration with vocational rehabilitation programs and local businesses

Continue To Our Client Portal To Get Started

Our Client Portal offers a wealth of resources that you can explore related to various programs and state requirements.