State Profile · Deep
NORTH DAKOTA
CLast verified 2026-07-03
Your income does not disqualify your child.
North Dakota determines waiver eligibility on the individual's own income and medical need; parental income is not counted.
Deadlines reflect this state’s rules as researched; they can change — always confirm the current deadline with your state agency or Protection & Advocacy office before relying on it.
HOW TO GET SERVICES & APPEAL IN NORTH DAKOTA
How services are run
State agency
Your service plan
Individualized Service Plan (ISP)
Self-direction
Self-Directed Services
If you get denied
Deadline to appeal
30 days from your Notice of Adverse Action / Adverse Decision Notice (Notice of Resolution for MCO)
Keep services during appeal
File within 10 days
- DD program / fee-for-service Medicaid: request fair hearing within 30 calendar days of the adverse decision notice
- Optional DD informal conference: request within 10 days (does not extend the 30-day appeal deadline)
- Continuation: request hearing within 10 calendar days of the notice date
- Managed care: after MCO Notice of Resolution, request fair hearing within 120 days
KEY AGENCIES & RESOURCES
Special Education (DOE)
North Dakota Department of Public Instruction, Office of Special Education
University Center (UCEDD)
North Dakota Center for Persons with Disabilities (Minot State UCEDD)
Aging & Disability Resource Center
North Dakota ADRC / Aging and Disability Resource Center
NOTABLE WAIVERS
Traditional IID/DD HCBS Waiver
SourceChildren and adults with intellectual/developmental disabilities.
Waitlist: North Dakota historically enrolls without long waitlists — apply through regional Human Service Centers.
Autism Spectrum Disorder Birth-through-17 Waiver
SourceChildren with autism.
Waitlist: Capped enrollment; verify openings.
Medically Fragile Children Waiver
SourceChildren with complex medical needs.
Waitlist: Verify with HHS.
