N.D. Cent. Code § 50-33-08 (2025)
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.