North Dakota Code § 50-06-46

Cross-disability advisory council - Appointment - Duties. (Expired effective
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August 1, 2027)
1. The cross-disability advisory council shall participate with and provide feedback to the 
department regarding the implementation, planning, and design of the cross -disability 
children's waiver, level of care reform for the comprehensive developmental disabilities 
Medicaid home and community -based waiver, and a service option that will allow 
payment to a legally responsible individual who provides extraordinary care to an 
eligible individual through the Medicaid 1915(c) waivers. This subsection does not 
apply to the Medicaid 1915(c) home and community -based services aged and 
disabled waivers.
2. The department shall contract with a qualified, independent third party to facilitate and 
provide support services to the council. The contracted facilitator and the department 
shall appoint the cross -disability advisory council members in accordance with 
subsection 3 and establish the length of member terms and the structure of the 
cross-disability advisory council. A representative from the contracted facilitator shall 
serve as the presiding officer of the advisory council.
3. The cross-disability advisory council consists of fifteen voting members who represent 
a broad range of disabilities and regions of the state. The members are:
a. Two individuals with a disability, who receive Medicaid home and 
community-based services;
b. One individual with a developmental disability or who is Medicaid qualified, who 
does not receive Medicaid home or community-based services;
c. Seven individuals that work with individuals with disabilities, individuals with 
behavioral health needs, or individuals with fetal alcohol spectrum disorder;
d. One individual representing tribal communities, with a focus on disability services;
e. Two individuals who are parents or guardians of children under the age of 
eighteen with disabilities; and
f. Two individuals who are parents or guardians of individuals age eighteen or over 
with disabilities.
4. Upon request of the department, state agency representatives shall participate with 
the cross-disability advisory council in a nonvoting role.
5. The cross -disability advisory council shall meet at least quarterly and may appoint 
subcommittees to address specific topics or disabilities, which may include autism 
spectrum disorder, traumatic brain injury, and fetal alcohol spectrum disorder. A 
majority of the voting members of the council constitutes a quorum.
6. The cross-disability advisory council shall:
a. Discuss strategies to address gaps or needs regarding individuals with disabilities 
and Medicaid home and community -based services, including eligibility of legally 
responsible individuals;
b. Provide for the active participation of stakeholders, including consumers and 
providers; and
c. Receive information from the department and its consultants.

7. The cross-disability advisory council members, excluding the contracted facilitator, are 
entitled to reimbursement from the department for travel and lodging at the same rate 
as provided for state officers and employees.

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