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Expanded Service Payments for the Elderly and Disabled Program

North Dakota’s Ex-SPED program is a Medicaid program that assists seniors and disabled persons to remain living at home or within the community. This program allows family members, including spouses, to be hired and paid as the personal care provider. Other services may include: 

  • Adult family foster care
  • Case management
  • Chore services
  • Emergency response system
  • Personal care
  • Homemaker services
  • Respite care
  • Environmental modifications