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ND SPED & Ex-SPED Programs

Published on
March 5, 2024
Last updated
March 5, 2024
Written by
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Katie Wilkinson
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These programs provide a range of services to help old adults and disabled individuals remain living at home or in their community. Eligible individuals receiving care services have the right to choose their own service providers.
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North Dakota has two programs, SPED and Ex-SPED, that lend a helping hand to both family caregivers and their care recipients. These programs offer money, practical help with daily tasks, and emotional support to make things a little easier.

What are SPED and Ex-SPED?

The Service Payments for the Elderly and Disabled (SPED) program has two levels with differing eligibility requirements: SPED and Expanded SPED (Ex-SPED). SPED is meant for individuals who are more functionally impaired than those enrolled in Ex-SPED.

Both programs aim to enhance the quality of life and independence for older adults and disabled individuals. Individuals receiving care services have the right and the flexibility to choose their service providers, including family members.

SPED goals and services

SPED serves severely impaired individuals needing help with basic living activities (bathing, dressing, eating). Goals include:

  • Empowering independence at home 
  • Alleviating family caregiver burdens
  • Enhancing recipients' well-being and safety

Covered services include personal care, home modifications, transportation, respite care, case management, and more.

Ex-SPED goals and services 

What does North Dakota hope to accomplish with these programs? Ex-SPED and SPED assist individuals needing assistance supervision for health/safety reasons. Goals include: 

  • Supporting home-based independence
  • Improving recipients' quality of life 
  • Reducing family caregiver strain

Services include homemaking, meals, chore assistance, medical alerts, and supplemental care. Benefits depend on your care recipient's financial and physical needs. The more needs your family member has, the more services they may receive. 

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Eligibility requirements

Which program works best for you? Each program has its distinct eligibility requirements:

For SPED:

  • North Dakota resident 
  • At least 18 years old
  • Income limits and care costs exceed personal means
  • Struggles with 2+ daily living activities or 4+ instrumental activities 

For Ex-SPED: 

  • North Dakota resident
  • At least 18 years old 
  • Collects SSI or earns equivalent income  
  • Challenges with health/safety-related tasks
  • Receives Medicaid

If you have any questions or concerns about the financial obligations associated with these programs, don't hesitate to contact the appropriate authorities. They can provide the information and resources you need to make the best decision for your family's needs. 

Services and benefits of SPED and Ex-SPED

Financial obligations for programs differ. For example, care recipients who have previously received special education services or are ex-SPED beneficiaries have all their service costs covered. However, those receiving special education services or SPED beneficiaries may incur a small service fee. This fee is relatively minor compared to purchasing elder care services from other providers.

  • Adult day care: Structured social & activity programs for loved ones.
  • Adult foster care: Safe, supervised living in state-licensed homes.
  • Chore assistance: Help with snow removal & other outdoor tasks.
  • Family home care: Payments to family for caregiving support.
  • Homemaker services: Light cleaning, meal prep, & non-medical tasks.
  • Home modifications: Grab bars & other safety improvements.
  • Personal care (SPED only): Assistance with bathing, dressing, etc.
  • Medical alert system: Peace of mind with emergency response.
  • Respite care: Short-term breaks for caregivers.
  • Transportation: Rides for non-medical appointments & activities.
  • Case management: Expert guidance & support throughout your journey.
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Who are you caring for?

How family caregivers can get paid

Both programs offer Family Home Care. Eligible relatives acting as family caregivers receive payment for services provided to their loved ones. To start the process, apply for the correct program. Be accurate and thorough to prevent denial or delay. 

Applying for SPED and Ex-SPED

To learn more or begin the application process, contact your local county human service zone, visit the Aging and Disability Resource website, or call the toll-free number at 855-462-5465. 

Other programs in your state

Find out how to get paid other states

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