North Dakota · Checked October 22, 2026
Non-medical home care is not state-licensed in North Dakota — but the lanes around it are regulated, and the skilled door is a different license.
| Item | North Dakota |
|---|---|
| License / registration | No licence for non-medical home care — no state licence name exists for a private-pay non-medical agency; Medicaid lane is enrolment as an Agency Qualified Service Provider (QSP), skilled lane: Home Health Agency licence under N.D.C.C. ch. 23-17.3 |
| Issued by | No licensing agency for non-medical home care. QSP enrolment: North Dakota Health and Human Services (HHS), Adults and Aging / Medical Services. Home health licensure: ND Department of Health and Human Services under N.D.C.C. ch. 23-17.3 and N.D. Admin. Code 33-03-10.1 — official page |
| Application / initial fee | Not published — No non-medical licence fee exists. No fee is stated for home health licensure in N.D. Admin. Code 33-03-10.1-03 (application, issuance and renewal) as retrieved — the rule sets process, inspection, fitness investigation and a licence expiring 31 December, but publishes no dollar fee in that section, so no figure is asserted. |
| Renewal | Home health renewal licences expire 31 December each year (33-03-10.1-03(2)); no renewal dollar fee published in that section. Agency QSP enrolment must be revalidated every 5 years (changed from every 2 years, HHS notice 21 June 2023); no QSP enrolment fee was published on the HHS QSP page reviewed. |
| Surety bond | No state bond minimum found in the published rules |
| Liability insurance | State sets no minimum for non-medical agencies (no licence scheme) in the sources reviewed. |
| Timeline | Not published |
| Administrator | No state administrator requirement for a private-pay non-medical agency. An Agency QSP must meet HHS competency standards, screen and add employees through the QSP enrolment portal, and maintain enrolment/revalidation tasks or enrolment closes and payments stop. A licensed home health agency must have a supervising physician or supervising registered nurse employed full-time, with physician/RN supervision during all hours of operation (N.D.C.C. §23-17.3-05(1)(e)). |
| State extras | QSP competency documentation, background checks, MMIS billing setup and EVV/documentation system (Therap) are the practical costs; no state licence fee for the non-medical lane. |
| Service | Under this license |
|---|---|
| Companionship & supervision | Covered |
| Homemaker help | Covered |
| Hands-on personal care | Covered |
| Live-in / 24-hour care | Not covered by this license |
| Transportation | Covered |
| Skilled nursing or therapy | Home health license required |
A non-medical agency may not use the terms 'home health agency' or 'home health services' without a ch. 23-17.3 licence (33-03-10.1-03). QSP service definitions include homemaker services: meal preparation, shopping, bill paying, housework, laundry, transportation, communication and mobility outside the residence.
Home Health Agency licensure under N.D.C.C. ch. 23-17.3 requires the agency to provide skilled nursing and at least one other therapeutic service (PT, OT, speech, medical social services or home health aide services) on a regular basis (§23-17.3-05(1)(a)), with plans of treatment, personnel folders and full ownership disclosure. Initial licence is for no more than 1 year, expiring 31 December; provisional licence max 90 days, renewable once.
Check before enrolment: the HHS QSP page carries a standing 'Provider Enrollment Moratoria' notice/link. Any active moratorium by service/county would pause new QSP enrolment for that service; the page retrieved lists the moratoria resource but no service-specific moratorium text was extracted in this pass, so verify current moratoria in the QSP portal at enrolment.
This is the main regulated door for non-medical care in North Dakota: enrol as an Agency Qualified Service Provider (QSP) with ND Health and Human Services to deliver Medicaid State Plan Personal Care (MSP-PC) and HCBS waiver services. Clients choose among enrolled QSPs; QSPs are independent contractors meeting competency standards, bill through ND Health Enterprise MMIS, and use the QSP Hub (University of North Dakota Center for Rural Health) for enrolment support. Family Personal Care and Family Home Care are related individual-QSP enrolments for relatives living with the client.
EVV is a core QSP duty: HHS/QSP Hub training covers electronic visit verification (Therap is the documentation/EVV system referenced in QSP trainings), service authorisation and billing. Federal Cures Act EVV applies to Medicaid personal care in any event.
The state fee above is one line of the real total. Run the true-cost calculator with North Dakota selected — it adds the bond premium, insurance class, screening and the payroll runway your first hires create.
This page is information, not legal advice. Confirm before you file: the agency — not this page — decides your application.
The free checkers give you the verdict and the number. The Kit gives you the working papers: your state's application packet walked through in filing order, the policies-and-procedures binder spec (what your binder must contain — never a boilerplate binder), the administrator self-audit, the insurance & bond spec sheet, the Medicaid gate map, the franchise-vs-independent 10-year worksheets, and the payroll-runway planner.
$49 one-time payment
Included in the $49 HomeCareLicenseCheck Kit
