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North Dakota
Learn about self-directed services in North Dakota
How do I hire long-term services for myself or a loved one?
With self-direction, you have the right to live the life you choose—right in your own home and community, no matter your age or ability.
Everyone’s situation is different. For some, self-direction means the ability to receive services from a loved one. For others, it’s supporting parents so that they can care for children with disabilities. Or, it may simply be that as you get older, you want to continue living where you choose and get care from someone you trust. No matter your situation, self-direction helps you hire the long-term care and support that’s right for you.
People choose to self-direct their care for many reasons. GT Independence is here to support your decision. You make all the important choices—like who to hire, when to schedule services, how to manage your care, and even who to fire if things aren’t working out. We take care of the paperwork and are here to answer questions you may have.
In North Dakota, GT Independence works with these programs:
You deserve to live the life you choose. GT is here to make that easier.
How GT Independence Can Help You
GT Independence is a financial management service (FMS) company that helps you live a life of your choosing. You decide what kind of services and support you want; we handle the details. For example, you hire providers you know and trust. We support you by taking care of all the necessary paperwork, such as timesheets, paychecks, payroll taxes, and help with liability and worker’s comp insurance.
At GT, we believe everyone should be able to decide where to live and who provides their care. Through self-direction, they can. Each person has a unique situation and personalized needs. GT is here to help you learn about how self-direction works in North Dakota, so you have the information to decide what is best for you.
Want to Know How to Get Started?
Understand Your Long-Term Care Options
Why Choose GT as Your FMS?
Find a Program
Developmental Disabilities Services Waiver
The Developmental Disabilities Services Waiver helps people with intellectual or developmental disabilities get the support they need to live, learn, work, and take part in their communities. Services may include in-home supports, family support, employment services, and other resources that promote independence and community involvement
Medically Fragile Waiver
With the Medically Fragile Waiver, children with complex medical needs can receive services and support while living at home with their families. The waiver helps families access funding and resources to meet their child’s daily care needs, improve their quality of life, and avoid placement in a hospital or long-term care facility. The goal is to help children remain safe, healthy, and active in their homes and communities.
North Dakota Autism Waiver
With the Autism Waiver, children and young adults with Autism Spectrum Disorder (ASD) can receive services and support while living at home with their families. The waiver helps families meet their child’s unique needs and supports their success at home and in the community. Parents work closely with their support team to choose services that fit their child’s goals and their family’s needs, creating a plan that is centered on the child and family.
Three Steps to Get Started
Talk to your case manager. Tell them that you’re interested in Self-Direction.
If you’re eligible, your case manager will make the referral to GT Independence.
Begin self-directing your services with GT Independence.
For more information, please contact your case manager, or get in touch with GT’s customer service representatives.
Call us toll-free: 877-659-4500
Email us: customerservice@gtsd.org
Would you like someone to walk you through the process?
Your GT Support Team in North Dakota

Tifany Lang
Director of Operations
North Dakota Customer Support
Call: 877.659.4500
Email: customerservice@gtsd.org
