North Dakota Personal Care Agency Complete Startup Package

A business providing only nonmedical personal care, homemaker, or companion services generally does not meet North Dakota’s Home Health Agency definition, which requires skilled nursing and at least one other therapeutic service. Other business, local, employment, insurance, consumer, and program-specific requirements still apply.

If the business meets the statutory HHA definition by providing skilled nursing and at least one other therapeutic service, it must obtain a North Dakota HHS license before accepting patients or using “home health agency” or “home health services” in its name or advertising.

Typical services include assistance with activities of daily living, grooming, bathing, dressing, mobility, toileting, meal preparation, light homemaking, errands, and companionship. The written scope should exclude skilled nursing, therapy, and other services requiring licensed professionals unless the agency obtains the appropriate authority.

No. A personal care agency assists with daily living through a nonmedical scope. A licensed HHA provides skilled nursing plus another therapeutic service and operates under NDCC Chapter 23-17.3 and NDAC Chapter 33-03-10.1.

An Agency QSP is an agency enrolled by North Dakota HHS to provide approved home- and community-based services to eligible publicly funded clients after meeting program competency and enrollment standards.

Prepare the legal entity and tax registrations, applicable local business approvals, insurance, employment systems, caregiver screening and training, service agreements, client assessments and service plans, incident and complaint procedures, privacy and record safeguards, emergency procedures, and a clearly limited nonmedical scope.

No. Agency QSP enrollment is separate. The agency must use the QSP enrollment portal, select the services and counties it will serve, submit required documents, complete training, and receive approval before billing publicly funded services.

Current materials include an NPI, organizational chart, job descriptions for owners or managing employees, private-pay fee schedule, Secretary of State registration, Workforce Safety and Insurance coverage, unemployment insurance coverage, banking information, identity documents for controlling persons, and competency documentation. Additional forms depend on the selected services.

The agency must complete current QSP onboarding orientation and fraud, waste, and abuse training requirements and document service-specific competency. Direct-service employees must complete the training and screening applicable to their assigned services.

Yes. Direct-service employees and contractors must be entered into the enrollment portal and screened. The agency must receive approval before the worker provides services to publicly funded clients and must keep employee information current.

Orientation should cover client rights, confidentiality, scope limits, universal precautions, fire and carbon-monoxide safety, emergency response, critical-incident reporting, service authorization, documentation, safe assistance techniques, complaints, and agency policies.

Not unless it is properly licensed as a Home Health Agency. North Dakota’s Agency QSP application guidance states that QSP agency names may not include “home health agency” or “home health services” under NDAC 33-03-10.1-03.

Yes, for publicly funded QSP services. The agency must have and acknowledge the applicable authorization before providing and billing services. Claims for unauthorized services can be denied.

Documentation must show the authorized service, date, time or units, tasks performed, participant response, provider identity, and other service-specific information. Agency QSPs use Therap to acknowledge service authorizations and complete required critical-incident reports.

Use a written supervision and competency schedule based on assigned services, client risk, incidents, complaints, performance, and current QSP standards. Service-specific rules may require additional professional involvement.

Yes. Agency QSP standards include quality and compliance responsibilities. The agency should track service delivery, incidents, complaints, missed visits, employee performance, documentation, corrective actions, and participant satisfaction.

EVV is required for covered Medicaid personal care and related in-home services. North Dakota uses an open model with Therap as the state vendor and Sandata as the aggregator. An agency may use another compliant system but must submit required data to the aggregator.

An agency is not required to use Therap as its EVV technology if it uses a compliant alternate system and sends data to Sandata. However, Agency QSPs still use Therap to acknowledge service authorizations and complete required critical-incident reports.

Yes. As of September 4, 2026, North Dakota Medicaid’s temporary moratorium covers new QSP Agency enrollment in Burleigh and Cass Counties. It began June 11, 2026 for six months and may be extended. Applicants should verify current status before relying on this information.

Not under the ordinary personal care benefit merely because the worker is employed by the agency. Skilled or extended personal care tasks require the applicable authorization, professional involvement, competency, and program rules.

No. Licensure and Medicaid enrollment do not guarantee clients, referrals, authorization, claim payment, or revenue. Each service must satisfy the client assessment, service plan, authorization, documentation, EVV, billing, and payer requirements.

• Logo creation and a customized WordPress website.
• One year of website hosting and domain registration.
• 500 business cards and 500 tri-fold brochures.
• North Dakota Personal Care Agency policies, human-resources documents, client-service documents, and operational forms.
• Private-pay operational readiness plus optional North Dakota Agency QSP enrollment, employee screening, service authorization, documentation, quality, and EVV preparation as identified in the selected package.
• Members' area access, customization, ongoing guidance, and applicable updates.

No. Licensing, business, and Medicaid fees; required notices; background checks; insurance; zoning and local approvals; rent; utilities; personnel and payroll; training; EVV or software expenses; mailing; and other government or third-party costs are separate unless expressly included in writing.

No. Home Health Forms provides customized documents, guidance, and preparation assistance. North Dakota HHS and Medicaid make enrollment, service-authorization, compliance, and payment decisions.

Customized policy manuals, forms, and related digital documents are generally emailed within five business days after all customization information is received. Website, printing, shipping, and other components may have separate timelines.

Eligibility depends on work completed, customized materials produced, digital products delivered, third-party expenses paid, printing ordered, and other services already performed.