North Dakota Code § 50-33-08

Limitations on in-home child care benefits
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No benefits under this chapter may be provided to an in -home provider or for a child 
receiving in-home child care unless:
1. A health professional provides written documentation demonstrating to the 
department's satisfaction that the child's health would be at risk if taken to an outside 
provider; or
2. A developmental disabilities case manager or a special education case manager 
provides written documentation demonstrating to the department's satisfaction that the 
child's disability is such that taking the child to an outside provider creates an undue 
hardship.

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