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Probate & Trust Law Section Conference Manual ... - Minnesota CLE

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Dakota MA <strong>Manual</strong> <strong>Section</strong> 510-05-80-05(9) and is usually updated January 1 of<br />

every year.<br />

2013 North Dakota monthly average cost of care = $6,792<br />

O. North Dakota has a hardship provision at North Dakota MA <strong>Manual</strong> <strong>Section</strong> 510-<br />

05-80-20, but I do not know of any hardship waiver ever granted in North Dakota.<br />

P. A relative may be paid for services provided to a future Medicaid applicant per<br />

North Dakota MA <strong>Manual</strong> <strong>Section</strong> 510-05-80-35. However, the payment must be<br />

made pursuant to a valid written contract entered into prior to rendering the<br />

services, and it is best practice to have the future Medicaid applicant sign himself<br />

or herself (if legally capable to do so) or have a non-caregiver attorney-in-fact<br />

sign.<br />

Q. The personal needs allowance in North Dakota is $50 monthly.<br />

R. Recipient liability is called client share in North Dakota.<br />

S. The Basic Care Program is North Dakota’s unique level of long-term care<br />

between assisted living and skilled care.<br />

A Basic Care Facility is defined as:<br />

* * * * * * * * * * * * * *<br />

“Basic Care Facility” means a residence, not licensed under NDCC § 23-<br />

16 by the Department, that provides room and board to five or more<br />

individuals who are not related by blood or marriage to the owner or<br />

manager of the residence and who, because of impaired capacity for<br />

independent living, require health, social, or personal care services, but<br />

do not require regular twenty-four hour medical or nursing services and<br />

a. Makes response staff available at all times to meet the twenty-four<br />

hour per day scheduled and unscheduled needs of the individual;<br />

or,<br />

b. Is kept, used, maintained, advertised, or held out to the public as<br />

an Alzheimer’s, dementia, or special memory care facility.<br />

* * * * * * * * * * * * * *<br />

It is my experience that most North Dakota long-term care facilities will have a<br />

few “Basic Care MA” beds. So, it is important to understand the differences for<br />

20

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