In North Dakota, the State has designated certain institutions as "basic care facilities" (BCFs). With one exception, these are private institutions that can receive payments from a variety of sources such as the recipient, friends/relatives of the recipient, Medicaid, and the State of North Dakota. The exception is the North Dakota Veterans Home in Lisbon. This is a state-operated public institution and residents are ineligible for SSI (i.e., PSY N02). BCFs are not licensed to provide inpatient medical care and services. SSI recipients in these facilities keep $60.00 per month for personal needs, and their remaining income is paid to the facility toward the cost of care.

Individuals in the private facilities are in living arrangement "A" (e.g., $531.00 FBR in 2001). In many instances, Medicaid may be paying more than 50 percent of the cost of care, but this does not result in LA-D (i.e., $30.00 pay cap) because for LA-D to apply, the individual must be in a medical treatment facility licensed to provide inpatient medical care or services. BCFs are not licensed to provide such care or services.

Any payments from the State of N.D. or Medicaid toward the in-kind support and maintenance (ISM) received by the recipient are excluded per the provision in SI 00815.050. That POMS section essentially explains that in-kind income provided by a governmental medical or social services program is not income.

In some instances, recipients may move from a semi-private room to a private room, and a friend or relative pays the additional cost. Such payments are also excluded. North Dakota State law provides that the payment for the additional cost of a private room "must come from sources other than a resident's monthly income." Simply stated, the N.D. law specifically says a recipient pays all income (less $60.00) for the cost and care and specifically precludes the recipient from paying for the additional in-kind shelter cost associated with a private room. This State law limiting the maximum amount a recipient can pay toward room and board is analogous to "rent control" laws in some locations which limit the amount of rent an individual can legally pay. In "rent control" situations, SSI policy in SI 00835.380 provides that ISM will not be charged as income if the current market rental value (CMRV) exceeds the amount of rent the individual is paying as long as that payment equals the allowed amount in the "rent control" situation. Although third party payments for shelter are a different type of ISM than rental subsidies when CMRV exceeds the rent payment, both "rent control" and N.D. law limit the recipient's payment toward food and shelter. Since ISM is not counted in "rent control" situations, ISM is similarly not counted in N.D. basic care facilities when a third party pays for the additional cost of a private room.

Below is a list of BCFs, listed alphabetically by city, provided by the N.D. Dept of Health. In the future, additional facilities may be licensed as BCFs. The license status of any facilities not listed below can be determined by contacting the N.D. Dept of Health.