North Dakota...

North Dakota Funding Resources for Adaptive Mobility Equipment

For North Dakota families raising a child or supporting a loved one with a disability, the right adaptive mobility equipment can make everyday life safer, easier, and more inclusive.

Adaptive mobility can support much more than transportation. It can help a child or adult participate in family walks, school activities, community events, vacations, outdoor experiences, and everyday life.

But specialized mobility equipment can also represent a significant financial investment.

Fortunately, North Dakota families may have several potential funding pathways to explore, including North Dakota Medicaid, EPSDT, Children's Waiver services, HCBS waivers, assistive technology programs, Special Health Services, private insurance, equipment reuse programs, nonprofit grants, and community fundraising.

Funding is never guaranteed. Every program has its own eligibility, medical-necessity, provider, service-plan, and authorization requirements.

However, understanding the available resources — and preparing strong supporting documentation — can make the process much easier.

Below are some of the most important North Dakota resources we recommend families explore.

1. North Dakota Medicaid & EPSDT / Health Tracks

Best for: Medicaid-enrolled children and young adults under age 21 who require medically necessary healthcare, mobility equipment, or disability-related services.

North Dakota Medicaid provides healthcare coverage and services to eligible residents, including children and individuals with disabilities.

For children and young adults under age 21, families should understand the federal:

Early and Periodic Screening, Diagnostic and Treatment — EPSDT

EPSDT is designed to ensure that Medicaid-enrolled children receive medically necessary healthcare required to identify, treat, correct, or improve health conditions.

North Dakota also maintains Medicaid coverage for Durable Medical Equipment and Supplies, with current purchase and rental fee schedules. As of July 1, 2026, North Dakota publishes dedicated DME purchase and rental schedules. (hhs.nd.gov)

Why xROVER USA recommends reviewing this resource

For a child whose disability affects:

  • Walking ability

  • Walking endurance

  • Balance

  • Safety

  • Elopement or wandering

  • Positioning

  • Community mobility

  • Caregiver-assisted mobility

  • Ability to safely participate outside the home

North Dakota Medicaid and EPSDT may be important funding pathways to investigate.

A request for adaptive mobility equipment may require:

  • Physician order or prescription

  • Letter of Medical Necessity

  • PT or OT evaluation

  • Functional mobility assessment

  • Product specifications

  • Formal quotation

  • Prior authorization

  • Documentation explaining why current equipment is inadequate

xROVER USA note

The strongest funding request focuses on the child's medical, functional, mobility, and safety needs rather than simply recreational use.

Relevant considerations may include:

  • Limited walking endurance

  • Inability to walk independently

  • Fall risk

  • Elopement or wandering

  • Autism-related safety concerns

  • Postural or positioning needs

  • Need for caregiver-assisted mobility

  • Community access limitations

  • Growth and long-term mobility requirements

Families should ask their physician, PT, OT, Medicaid provider, or case manager whether the requested adaptive mobility equipment can be evaluated under North Dakota Medicaid and EPSDT medical-necessity requirements.

2. North Dakota Children's Waiver

Best for: Eligible children with disabilities who require additional supports to remain safely at home and participate in their communities.

North Dakota operates Children's Waiver services that can provide a range of supports based on the child's assessed needs and individualized Care Plan.

Two service categories are particularly relevant for families exploring adaptive mobility:

Assistive Technology

North Dakota describes Assistive Technology as items or equipment that help a child increase, maintain, or improve their ability to perform daily activities.

Importantly, the child's Care Plan must identify the need and goal for the requested item.

The state also requires a recommendation from a professional working with the child. The recommendation must address the item requested, how it meets the identified need, and a trial demonstrating that the item will meet the need and be used. (hhs.nd.gov)

Why this matters for xROVER families

This is exactly why professional documentation matters.

The funding question is not simply:

“Would this stroller be useful?”

The stronger question is:

“What documented functional limitation does this adaptive mobility equipment address, and how does it help the child achieve an identified goal?”

That may involve:

  • Safe mobility

  • Community participation

  • Independence

  • Positioning

  • Caregiver-assisted mobility

  • Elopement prevention

  • Fatigue management

  • Functional access outside the home

An xROVER is not automatically eligible as Assistive Technology.

The equipment must satisfy the waiver's current requirements and the child's individual Care Plan.

3. Children's Waiver — Equipment & Supplies

North Dakota Children's Waiver services also include:

Equipment & Supplies

This service can provide adaptive devices and supplies that help an eligible child remain at home and promote independence.

An important limitation is that the requested item generally must not already be available through the Medicaid State Plan. (hhs.nd.gov)

Why this creates a useful funding sequence

For eligible families, the logical process may therefore be:

First: Determine whether North Dakota Medicaid / EPSDT can cover the equipment.

Then: If Medicaid does not cover it, determine whether the child's waiver has an applicable Equipment & Supplies or Assistive Technology pathway.

That is much stronger than applying randomly to programs without understanding which payer should be approached first.

xROVER USA note

Families should discuss the requested mobility equipment with their waiver case manager before purchasing.

Ask:

“If Medicaid does not cover this adaptive mobility equipment, could it be evaluated under my child's Equipment & Supplies or Assistive Technology service?”

4. Medically Fragile Children's Waiver

Best for: Eligible children and young adults with significant medical needs who require a higher level of care.

North Dakota's Medically Fragile Children's Waiver serves qualifying Medicaid members ages 3 through 20 who are medically fragile.

Current waiver services include:

  • Case management

  • Dietary supplements

  • Environmental modifications

  • Equipment and supplies

  • Individual and family counseling

  • In-home supports

  • Institutional respite

  • Nonmedical transportation

Why this matters for xROVER families

Children with complex medical needs may require mobility equipment capable of supporting much more than ordinary transportation.

Families may need to safely manage:

  • Positioning requirements

  • Limited endurance

  • Respiratory equipment

  • Feeding equipment

  • Oxygen

  • Medical supplies

  • Other equipment that must accompany the child

The Medically Fragile Children's Waiver should therefore be considered when applicable.

Again, waiver enrollment does not automatically mean an xROVER will be funded.

The requested equipment must meet applicable service definitions, authorization requirements, and the child's documented needs.

5. Intellectual / Developmental Disability HCBS Waiver

Best for: Eligible individuals of any age with intellectual or developmental disabilities or related conditions.

North Dakota operates a traditional Intellectual Disability / Developmental Disability Home and Community-Based Services Waiver.

The waiver serves eligible individuals of any age who meet applicable diagnosis and level-of-care requirements.

Current services include:

  • Behavioral consultation

  • Community transition services

  • Day habilitation

  • Environmental modifications

  • Equipment and supplies

  • Extended home health care

  • Family care

  • Homemaker services

  • Independent habilitation

  • Infant development

  • In-home supports

  • Employment services

  • Residential habilitation

  • Other community-based supports

(hhs.nd.gov)

xROVER USA note

Families already connected with North Dakota Developmental Disabilities Services should discuss adaptive mobility needs with their case manager.

Ask:

“Could adaptive mobility equipment related to my family member's documented functional limitations be considered through Medicaid, Equipment & Supplies, Assistive Technology, or another applicable DD service?”

If supporting documentation is required, xROVER USA can help prepare professional clinical, functional, product, and funding materials.

6. ND Assistive

Best for: Assistive technology information, demonstrations, equipment loans, adaptive equipment, funding assistance, and alternative financing.

ND Assistive

is North Dakota's statewide Assistive Technology Act program.

It has served North Dakotans since 1993 and helps people of all ages and abilities access assistive technology that supports education, employment, community participation, safety, and independent living. (hhs.nd.gov)

ND Assistive can provide access to:

  • Assistive technology expertise

  • Device demonstrations

  • Equipment loans

  • Adaptive equipment

  • Technology assessments

  • Funding information

  • Grant opportunities

  • Financial loan programs

This is especially relevant because North Dakota Medicaid's own Member Handbook tells families that ND Assistive may be able to help with DME through its grant program and financial loan program. (hhs.nd.gov)

Contact

ND Assistive

Toll-Free: 1-800-895-4728

ND Assistive

xROVER USA note

ND Assistive should be one of the first secondary resources contacted when Medicaid or waiver funding does not provide a complete solution.

Families should explain the individual's functional mobility needs and ask about:

  • Current funding programs

  • Grants

  • Equipment trials

  • Loans

  • Financial assistance

  • Alternative financing

  • Other AT resources

An xROVER should not be assumed to qualify for a particular ND Assistive program until eligibility is confirmed.

7. North Dakota Adaptive Equipment Services

North Dakota has another unusually useful resource through the Life Skills and Transition Center Adaptive Equipment Services.

The program works with people with disabilities of all ages and can:

  • Perform individualized assessments

  • Build customized adaptive equipment

  • Modify existing equipment

  • Provide fittings

  • Train individuals and caregivers

  • Provide reused adaptive equipment

The state's own examples include customized wheelchairs, adaptive seating, activity equipment and even customized strollers. (hhs.nd.gov)

Assistive Technology for All — AT4ALL

North Dakota residents can also access pre-owned adaptive equipment through the AT4ALL program.

The state says this equipment can be borrowed free of charge for any duration by North Dakota residents. Available equipment can include manual and powered wheelchairs, walkers, standers, positioning equipment, mechanical lifts and other adaptive devices. (hhs.nd.gov)

An xROVER should not be assumed to be available.

However, this is an excellent resource for families with broader mobility and positioning needs.

8. Special Health Services — Financial Coverage Program

Best for: Eligible North Dakota children and young adults with qualifying long-term health conditions who need assistance with medical costs.

North Dakota's Special Health Services operates a:

Financial Coverage Program

This program helps eligible families pay for medical services needed to diagnose and treat long-term health conditions.

North Dakota describes the program as a gap-filler for families with qualifying conditions.

Potential services can include:

  • Specialty medical care

  • Therapy

  • Medications

  • Nutrition services

  • Laboratory services

  • Medical equipment

  • Care coordination

(hhs.nd.gov)

Why xROVER USA recommends reviewing this resource

This is an especially important North Dakota-specific opportunity.

A family may have insurance or Medicaid and still experience gaps in coverage.

Special Health Services may provide another resource for eligible children, teens, and young adults.

Eligibility depends on medical and financial criteria and the program should not be presented as automatic xROVER funding.

Contact

North Dakota Special Health Services

Toll-Free: 800-755-2714
Phone: 701-328-2436

North Dakota Special Health Services

Don't Forget Private Insurance

Families with employer-sponsored or private health insurance should investigate their Durable Medical Equipment and mobility benefits.

Ask specifically about:

  • Durable Medical Equipment

  • Adaptive strollers

  • Pediatric mobility devices

  • Wheelchairs

  • Complex rehabilitation equipment

  • Mobility equipment

  • Out-of-network DME benefits

Do not assume adaptive mobility equipment is excluded simply because it is described as a stroller.

The important question is whether the equipment can be justified as medically and functionally necessary for the individual.

If coverage is denied, request the denial in writing.

A written denial may become particularly important in North Dakota because some waiver Equipment & Supplies benefits require the item not to be available through Medicaid. (hhs.nd.gov)

Grants & Nonprofit Funding

When Medicaid, insurance, waiver services, or state programs cannot cover the full cost, North Dakota families may also explore nonprofit and charitable funding.

Potential organizations may support:

  • Children with disabilities

  • Adaptive mobility

  • Autism

  • Cerebral palsy

  • Developmental disabilities

  • Rare diseases

  • Complex medical conditions

  • Adaptive recreation

  • Medical equipment

  • Community participation

  • Family quality of life

Grant availability and eligibility requirements change frequently.

Families should generally avoid relying on only one organization.

A stronger strategy may involve combining several funding pathways.

A Smart North Dakota Funding Strategy

For many North Dakota families, we recommend exploring funding in approximately this order:

1. Private Insurance

Determine whether adaptive mobility, DME, wheelchair, or adaptive stroller benefits are available.

2. North Dakota Medicaid / EPSDT

For Medicaid-enrolled children under age 21, investigate whether the requested equipment can be evaluated as medically necessary.

3. Children's Waiver

For eligible children, discuss Assistive Technology and Equipment & Supplies with the waiver case manager.

4. Medically Fragile Children's Waiver

For children ages 3–20 with significant medical needs, determine whether Equipment & Supplies or another waiver service may be applicable.

5. ID/DD HCBS Waiver

For eligible individuals with developmental disabilities, discuss Equipment & Supplies and other applicable services with the case manager.

6. ND Assistive

Explore AT expertise, equipment trials, grants, financial assistance, and loan programs.

7. Special Health Services

For qualifying children and young adults, investigate the Financial Coverage Program as a possible gap-filling resource.

8. Grants & Nonprofit Organizations

Apply to appropriate disability, diagnosis-specific, mobility, and family-support organizations.

9. Community Fundraising

When necessary, combine formal funding applications with support from family, friends, schools, churches, employers, community organizations, and online fundraising.

Documentation Can Make the Difference

North Dakota is a particularly good example of why professional documentation matters.

The Children's Waiver Assistive Technology service specifically requires the need and goal to be identified in the Care Plan and calls for a professional recommendation explaining the requested item and how it meets the child's need. (hhs.nd.gov)

Helpful documentation may therefore include:

  • Diagnosis

  • Age

  • Height and weight

  • Current mobility level

  • Walking ability and endurance

  • Fall history

  • Elopement or wandering concerns

  • Head and trunk control

  • Positioning requirements

  • Current wheelchair or adaptive stroller

  • Why existing equipment is inadequate

  • Growth considerations

  • Community mobility limitations

  • Caregiver assistance requirements

  • Physician prescription or recommendation

  • PT or OT evaluation

  • Letter of Medical Necessity

  • Functional goals

  • Formal quotation

  • Product specifications

  • Supporting clinical information

The strongest applications explain why the equipment is medically, functionally, and safely needed and what documented goal it helps the individual achieve.

How xROVER USA Can Help North Dakota Families

Navigating insurance, Medicaid, waivers, physicians, therapists, case managers, assistive technology programs, and funding organizations can feel complicated.

You don't have to navigate the process alone.

xROVER USA can help families prepare professional documentation for potential submission to physicians, therapists, Medicaid, insurance companies, waiver case managers, assistive technology organizations, nonprofit organizations, and grant providers.

Depending on your family's situation, we can help prepare:

  • Personalized xROVER Family Mobility Assessment™

  • Official xROVER Quotation™

  • Professional size and configuration recommendation

  • Product specifications

  • Clinical and functional benefits information

  • Letter of Medical Necessity support

  • Physician documentation guidance

  • PT / OT documentation support

  • Funding Submission Cover Letter™

  • Information for Case Managers

  • North Dakota-specific funding guidance

For families using our complete funding assistance service, the process is structured around two transparent components:

xROVER ADVENTURE Mobility Package™

The adaptive mobility equipment and selected configuration.

xROVER Funding Success Package™

Professional consultation, documentation preparation, clinical and functional support materials, and assistance navigating potential funding pathways.

Funding approval can never be guaranteed.

Final eligibility and coverage decisions are always made by the individual insurance company, North Dakota Medicaid, waiver program, state agency, nonprofit organization, or other funding source.

Need Personal Funding Assistance?

Every family is different.

A child with autism and significant elopement risk may have very different mobility needs from a teenager with cerebral palsy, a medically fragile child, an individual with a developmental disability, or an adult with limited walking endurance.

That's why we start with the family — not the paperwork.

Tell us about your child or loved one, their mobility challenges, and what you would like to be able to do together.

We'll help determine the appropriate xROVER configuration and identify potential North Dakota funding pathways worth exploring.

Contact Peter Kral

Peter Kral
Owner & President
xROVER USA – Premium Adaptive Outdoor Mobility Systems

USA: +1 (941) 278-2882
Email: info@ixroverfl.com
Website: xROVER USA

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