Navigating North Dakota Part C ABA Therapy

In short: North Dakota's Part C early intervention program can cover Applied Behavior Analysis (ABA) therapy for children with autism aged 0-3. Families may qualify if their child has a developmental delay or diagnosed condition like autism. Services are free or low-cost, and a free service like Start with ABA can help match you with a vetted BCBA-led provider in your area.
Key takeaways
- North Dakota Part C (Infant Development Program) provides early intervention for children 0-3 with developmental delays or conditions like autism.
- ABA therapy can be included in an Individualized Family Service Plan (IFSP) if it is medically necessary.
- Eligibility requires an evaluation by the state; services are free or based on a sliding fee scale.
- Private insurance and Medicaid (ND Health and Human Services) often cover ABA therapy separately or jointly with Part C.
What Is North Dakota Part C and How Does It Relate to ABA Therapy?
North Dakota's Part C program, known as the Infant Development Program (IDP), is part of the federal Individuals with Disabilities Education Act (IDEA). It provides early intervention services for infants and toddlers (birth to age 3) who have developmental delays or a diagnosed condition that is likely to result in a delay. Applied Behavior Analysis (ABA) therapy is a research-based intervention that can be included as a Part C service when it addresses developmental goals such as communication, social skills, and adaptive behavior.
Understanding Early Intervention
Early intervention focuses on supporting young children and their families during the critical developmental window of the first three years. In North Dakota, the IDP coordinates services through regional offices and local providers. ABA therapy is not automatically a part of every Plan; it must be recommended by a qualified professional and deemed necessary to meet the child's unique needs.
The Role of ABA Therapy
ABA therapy uses principles of learning and behavior to teach new skills and reduce challenging behaviors. For children with autism spectrum disorder (ASD), early ABA can improve language, play, social interaction, and daily living skills. When delivered by a Board Certified Behavior Analyst (BCBA), it is a highly effective, evidence-based practice. Under Part C, ABA is typically provided in natural settings like the home or daycare.

🔗 Related reading: Respite Care for Ohio Families Raising Autistic Children · Local ABA Therapy
Who Is Eligible for Part C ABA Services in North Dakota?
Age and Developmental Criteria
To be eligible for the Infant Development Program, your child must be under 3 years old and have either:
- A diagnosed condition with a high probability of developmental delay (e.g., autism spectrum disorder, Down syndrome, cerebral palsy), OR
- A documented developmental delay of at least 25% in one or more areas (cognitive, physical, communication, social-emotional, or adaptive)
If your child has a recent autism diagnosis from a qualified professional, they typically meet criteria for Part C. An evaluation from the IDP team is required to confirm eligibility and develop a plan.
Evaluation Process
The evaluation is free of charge and conducted by a multidisciplinary team. You can request an evaluation by contacting your local IDP office (usually under the North Dakota Department of Human Services). The team will assess your child's strengths and needs, and if ABA therapy is recommended, it will be written into the Individualized Family Service Plan (IFSP).
How to Access ABA Therapy Through North Dakota Part C
Starting the Process: Referral and Evaluation
Anyone can make a referral to the IDP - a parent, doctor, teacher, or community provider. Call your regional IDP office or the statewide number. After referral, an evaluation is scheduled within 45 days. You will meet with service coordinators who explain your rights and the process.
Creating an Individualized Family Service Plan (IFSP)
If your child is found eligible, your family and the IDP team will develop an IFSP. This document outlines the child's current levels, outcomes the family hopes to achieve, and specific services (including ABA) to support those outcomes. The IFSP also specifies who will provide the services, how often, and in what setting. If ABA is included, it must be delivered by qualified personnel - BCBAs or BCBA-supervised RBTs.
Finding a BCBA-Led Provider
North Dakota has a growing network of ABA providers, but availability can vary by county. The IDP can provide a list of enrolled providers, but families often need to research and choose. This is where a free matching service like Start with ABA can help. We connect you with vetted, BCBA-led providers in your area who accept Part C funding and insurance, saving you time and ensuring quality care.

🔗 Related reading: Avoiding Eye Contact in Toddlers: ABA Strategies That Help · Local ABA Therapy
Costs and Insurance Coverage for Part C ABA Therapy
Free Services Under Part C (Early Intervention)
Part C services are provided at no cost to families, or on a sliding fee scale based on income, as required by federal law. North Dakota uses state and federal funds to ensure that no family is denied services due to inability to pay. However, the amount of ABA therapy may be limited by the IFSP; the team decides what is appropriate.
Medicaid and Private Insurance Options
In addition to Part C, your child may have coverage through ND Health and Human Services (Medicaid) or your private health insurance. North Dakota has laws requiring many private insurers to cover ABA therapy for autism. Medicaid also covers ABA as a medically necessary treatment. Often families can use a combination: Part C covers some supports (like service coordination and evaluation), while ABA therapy is billed to insurance or Medicaid. Always check your policy; a free matching service like Start with ABA can help clarify your coverage options.
Practical Tips for North Dakota Families
Document Everything
Keep copies of your child's diagnostic reports, evaluation results, IFSP documents, and any communication with providers. This helps you track progress and advocate if services need to change.
Advocate for Your Child
You know your child best. If you feel ABA therapy is needed but not offered, request a meeting with the IFSP team to discuss adding it. You can bring a friend or advocate. North Dakota's Parent Training and Information Center (PATH) can provide support.
Use a Free Matching Service Like Start with ABA
Finding a BCBA-led provider in North Dakota can be challenging, especially in rural areas. Start with ABA is a free service that helps you find and compare providers who are vetted and enrolled with Part C and major insurers. We take your preferences and needs into account to find the right fit.

Common Mistakes to Avoid When Pursuing Part C ABA Therapy
Waiting Too Long to Start
Early intervention is most effective before age 3. Don't delay the evaluation process. If you suspect autism or a delay, seek an evaluation as soon as possible.
Not Understanding Your Rights
Under IDEA Part C, you have rights to a timely evaluation, a written IFSP, and the ability to dispute decisions. Many families are unaware they can request a specific provider or type of therapy like ABA. Educate yourself or ask your service coordinator to explain.
Relying Only on One Funding Source
Part C alone may not cover enough ABA hours. Explore Medicaid, private insurance, and state waiver programs. Multiple funding streams can create a more comprehensive ABA plan.
The Importance of Early ABA Intervention
Research shows that ABA therapy started before age 3 can lead to significant gains in communication, social behavior, and cognitive development. The North Dakota Part C program is designed to catch delays early and provide family-centered support. By combining Part C with a dedicated BCBA-led ABA provider, your child can build a strong foundation for future learning and growth. If you are ready to start, contact the IDP for an evaluation and use Start with ABA to find a qualified provider near you - all at no cost to your family.