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?

  • We’ve Been In Your Shoes

    Family founded in 2004, we have focused on self-direction since the start. We understand that self-direction for your care can feel complicated, but we are here to walk you through the process—from start to support.

  • Your Partner in Self Directed Care

    GT is a company that provides financial management services for people who self-direct long-term services and supports. Serving over 60,000 thousands of participants nationwide, helping each person live the life of their choosing, our people understand how programs work in North Dakota and in states all across the country.

  • Support Specialists That Care About You

    Our support specialist team is here to help you live life on your terms. Our North Dakota team is trained on your programs. This ensures you always have access to the information you need to make informed decisions. And, we can support more than 200 languages on request. At GT, we’re ready to assist the individual, their family, and their direct support workers. We’re also here for case managers, service coordinators and the State of North Dakota. Our goal is to find frustration-free solutions for everyone involved in self-directed services.

  • Tools and Resources Designed for the Details

    GT has designed many tools to help manage the details of self-direction. The online GT Portal helps people directing their services and their families keep track of services and spending. And The GT App lets employees log their hours and check the approval status of their time entries. We take care of the details, so you can focus on living your life.

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.

Sister sitting next to disabled brother in wheelchair at playground

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.

A young boy takes a band lesson from a younger man. They both sit on a gray couch. The boy holds a brass tuba on his lap and laughs at something his teacher says.

Three Steps to Get Started

  1. Talk to your case manager. Tell them that you’re interested in Self-Direction.

  2. If you’re eligible, your case manager will make the referral to GT Independence.

  3. 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