Medically Fragile Waiver

Black grandfather, sons and grandson talking in a garden

Medically Fragile Waiver Overview

With the Medically Fragile Waiver, families can get support to help care for a child with complex medical needs at home. This program provides services and resources that help children stay with their families and continue living in their community. Support may include in-home care, medical equipment and supplies, transportation, counseling, and respite services. The goal is to help families meet their child’s unique needs while maintaining a safe and supportive home environment.

Medically Fragile Waiver Serves

  • North Dakota children who are medically fragile and require ongoing care and support
  • Families who need long-term services to help care for a child at home
  • Families who want to keep their child safely living in the family home rather than in a facility or institutional setting
  • Children with unique medical and support needs that can be addressed through waiver services
  • Families who need access to funding and resources to support their child’s care and well-being at home

With the Medically Fragile Waiver, You Can…

  • Have full employer authority, so you can hire and manage your employees
  • Pay caregivers very competitive wages
  • Set a schedule for caregivers that meets your needs
  • Decide what type of training your caregivers will need
  • Submit timesheets from your devices
  • Follow state rules and requirements
  • Get support services in your own home and community
  • Live independently

With the Medically Fragile Waiver, You Can Get Access to…

  • Transportation services
  • In-home support services to assist with daily care needs at home
  • Equipment and supplies that help your child’s health, safety, and independence
  • Environmental modifications to make your home safer and more accessible
  • Respite services that provide temporary care and relief for caregivers
  • Case management services to help coordinate supports and services

How GT Independence Supports You

At GT Independence, we believe you should be able to experience life on your own terms. As a family-founded financial management service (FMS), we help you manage your services. You control your care. We take care of the details.  

This includes all the paperwork, like taxes, payments, and worker’s compensation insurance for your caregivers. We also handle all background screenings and citizenship status verifications. Our goal is to give you the support you need to self-direct your own care.

  • Online portal with easy-to-read monthly budget reports 
  • Simple e-enrollment process for caregivers 
  • Free app to track time and submit timesheets 
  • Support specialists ready to help with questions and complaints 
  • Online caregiver directory 
  • 15+ years serving the aging and disability communities
  • CARF accredited financial management service

How 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

Have questions? Get in touch

If you’re interested in starting in the Medically Fragile Waiver, we can help you figure out your first steps.

Call us toll-free: 1.877.659.4500
Email us: customerservice@gtindependence.com