Short answer
Yes
Yes, through Family Personal Care. The person can choose their spouse or certain relatives as the paid provider; they must live in the same home and the provider must be enrolled (ND HHS policy 525-05-30-32).
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The programs to ask about, documents to gather, and who to call in North Dakota. Print it now, no email needed.
Programs to ask about in North Dakota
1
Family Personal Care (Qualified Service Provider)
A family member, including a spouse, can enroll as a Family Personal Care Qualified Service Provider (QSP) for an eligible HCBS waiver recipient they live with.
How to apply
Contact your HCBS case manager.
Before you act: rules change and individual eligibility depends on your assessment. Confirm with the program. This page summarizes official sources and does not promise eligibility or pay.