ELIGIBILITY CRITERIA:

• Diagnosis of Cerebral Palsy or similar childhood onset neurological condition deemed permanent in nature. The onset of condition must have occurred on or before the applicant's eighteenth birthday.

• Under the age of 21 on date of application.

• Exhaust all sources of financial assistance including insurance, Medicaid, etc.

• Expenses must have been incurred within one year from the date of application.

• Must reside in one of the following North Dakota counties:​

  • Burleigh​

  • Dunn

  • Emmons

  • Grant

  • Kidder

  • Logan

  • McIntosh

  • McKenzie

  • McLean

  • Mercer

  • Morton

  • Mountrail

  • Oliver

  • Sioux

  • Stark

  • Stutsman

  • Ward

  • Williams​​​

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ELIGIBLE EXPENSES INCLUDE:

(Paid to vendor or individual with required documentation)​

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• Insurance co-pays.

• Approved non-traditional therapies are limited to $1,500.00 annually.

• Adaptive equipment and medical equipment related to the diagnosis.

• Recreational adaptive equipment and opportunities.

• Medical related travel including mileage per IRS guidelines and per diem food and lodging.

• Home modification up to $10,000. Limited to every 3-year period. Must provide 2 contractor bids and the lower amount will be awarded.

• Vehicle modification up to $10,000. Must provide one estimate. Limited to every 5-year period.

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1 The Board of Directors and/or Disbursement Committee reserves the right to modify the eligibility criteria at any time and without notice. In addition, any of the above criteria may be waived in the event good cause is demonstrated and granting an application would not adversely impact the fund or the applicants qualifying under the eligibility criteria.

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CPABLE DISTRIBUTION POLICIES:

 

 

CPABLE is not intended to act as supplemental insurance policy and there may be limitations on what items will be reimbursed. Each application will be individually reviewed on a case-by-case basis and payment is not guaranteed. 

 

 

Covered Conditions: (this list is not inclusive, and others may be considered) 

• Cerebral Palsy 

• Muscular Dystrophies 

• Juvenile Huntington’s 

• Multiple Sclerosis 

• Myasthenia Gravis 

• Spinal Muscular Atrophy 

• Angelman Syndrome 

• Rett syndrome 

• Spina Bifida 

• Schizencephaly 

 

 

The Following Items are Not Eligible for Reimbursement:

• Shoes, clothing, etc. that is necessary to all childhood

• Swimming pools/hot tubs 

• Trampolines 

• Travel to and from medical appointments from permanent residence if travel one way exceeds 50 miles*  

  • Travel from hotel to medical facility is not reimbursable 

• Billing for a transportation company—all travel will be paid under the IRS rate. 

• Airfare unless it is less expensive than mileage rate or when it is medically prohibitive for a child to travel by car 

• Used equipment 

• Equipment that is not guaranteed by vendor 

• Gym memberships 

• Massage 

• Items for which other funding is available unless there is evidence of denial of payment 

 

 

Required Documentation: 

• EOB or other documentation demonstrating denial of treatment/equipment

• Doctor/Therapist letter of necessity 

• Appointment documentation 

• Receipt/invoice 

• Two licensed contractor bids for home modification 

• One estimate for vehicle modification 

 

 

Approved Non-Traditional Therapies:

• Therapeutic horse riding by certified provider 

• Stretch therapy by licensed provider 

• Hydrotherapy by licensed provider 

 

 

Travel Related Policies: 

• Meals on days of travel are not eligible for reimbursement  

• Meals are paid up to $50 each per day for patient and one companion.  Itemized receipts must be provided.  CPABLE does not reimburse for tip or alcohol.

• Hotel/Lodging reimbursement up to $107 per night.  CPABLE does not reimburse fees and taxes. 

• IRS mileage rate:  $.67/mile (Google maps shortest distance between residence and medical facility.) 

 

CPABLE reserves the right to modify the eligibility criteria and disbursement policy at any time and without notice.  Reimbursement of an expense by CPABLE does not guarantee reimbursement for the same or similar expense in the future. 

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Distribution Policy​​