Autism Spectrum Disorder Waiver - Provider Information | Health and Human Services North Dakota

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This webpage contains information for North Dakota's Autism Spectrum Disorder Waiver service providers.

IMPORTANT: Autism Waiver service providers must have a Provider Agreement in place with the state before they can be reimbursed for waiver services. An agency wishing to provide waiver services must first enroll as a service provider. Enroll Here.

CONTACT:

Providers with questions should contact Katherine Barchenger, State Autism Coordinator, at (701) 328-4630, toll-free (800) 755-2719, 711 (TTY) or kbarchenger@nd.gov.

Service Managers:

Participant Service Plan (PSP) (SFN 600)
Progress Notes for Service Managers - Complete Monthly) (SFN 918)
Purchase Request Form for Assistive Technology items (SFN 688)
Transition Plan (for transitioning off of the waiver) (SFN 60615)