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North Dakota · How-To Guide

How do I find and access senior services?

Area Agency on Aging (AAA) - regional level (ND has 8 AAAs) / North Dakota Aging Services Division - NDDHS (state level)
Details

What you need to know

Fee
Most services free or on sliding scale ONLINE OPTION: nd.gov/dhs/services/adultsaging/; 211nd.com WHERE TO GO: Your regional AAA; local senior center; 2-1-1 ND; DHS office
Online Option
nd.gov/dhs/services/adultsaging/; 211nd.com
Where to Go
Your regional AAA; local senior center; 2-1-1 ND; DHS office
County-specific variations apply

North Dakota is one of the most rural states nationally. Distances between communities can be 50-100 miles, and many rural counties have very limited local senior services. Cass County (Fargo), Grand Forks County, Burleigh County (Bismarck), Ward County (Minot), and Williams County (Williston) have the most resources. Deeply rural counties (Slope, Billings, Adams, Hettinger, Grant, Sioux, etc.) may have minimal senior center presence; AAA outreach workers cover these areas.

North Dakota Notes

Important state-specific details

  • SHIC (State Health Insurance Counseling): ND's free Medicare counseling program - contact your regional AAA or call (701) 328-8931.
  • ND MEDICAID HCBS WAIVER: ND's home and community-based services waiver for qualifying adults 60+ and disabled; apply through ND DHS at (800) 755-2604.
  • PROPERTY TAX BENEFITS FOR SENIORS: 2025 Primary Residence Credit ($1,600; no age/income limit) and Homestead Credit are significant; apply with county assessor by April 1.
  • LIEAP (Low Income Home Energy Assistance Program): important given ND's harsh winters; apply through county social services or AAA.
  • Adult Protective Services (APS): report elder abuse through ND DHS APS - (800) 451-8693 (24-hour hotline).
  • ND Legal Aid: (800) 634-5263 - free civil legal assistance for qualifying ND residents.
Official Source

State office contact

State Office
ND DHS, Aging Services Division - nd.gov/dhs/services/adultsaging/ | 1-855-462-5465; SHIC Medicare counseling: (701) 328-8931; APS: (800) 451-8693; 2-1-1 ND: dial 211