North Dakota Medicaid Eligibility Requirements

This page provides general guidelines for the North Dakota Medicaid eligibility requirements. This is an assistance program that provides medical coverage for low-income people of all ages. The department that handles the Medicaid program is North Dakota Department of Human Resources. If you have questions or issues about the Medicaid application or the eligibility requirements, contact the North Dakota Medicaid office.


North Dakota Medicaid Overview

Medicaid is for eligible persons who need help getting care and paying medical bills.


North Dakota Medicaid Eligibility Requirements - Non Income

The enrollee must be a North Dakota resident and a U.S. citizen or legal permanent resident. Some legal permanent residents may have to wait for 5 years for full Medicaid benefits but there is no waiting period for emergency services.


Documents Needed For North Dakota Medicaid Application

  • Proof of citizenship/immigration status
  • Proof of identity
  • Proof of income
  • Proof of other income
  • Proof of expenses
  • Proof of pregnancy if pregnant

North Dakota Medicaid Benefits

Coverage includes hospital, nursing facility, clinics, rural health clinics, hospice, physicians, prescription drugs, chiropractor, EPDST, home health, durable medical equipment, and supplies, dental, family planning, sterilization, podiatry, mental health, ambulance, transportation, vision, therapies, waivers for certain services, home and community based services, traumatic brain injury, out-of-state services.


North Dakota Medicaid & CHIP Eligibility Levels

Below is the modified adjusted gross income (MAGI) eligibility levels for North Dakota Medicaid and Children's Health Insurance Program (CHIP).

Eligibility Levels - By Percentage Of Federal Poverty Level (FPL)

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: 147%
Age 1-5: 147%
Age 6-18: 133%
 170% Medicaid: 147%
CHIP: N/A		 133% 133%

Eligibility Levels - Individual By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $1,430
Age 1-5: $1,430
Age 6-18: $1,293
 $1,653 Medicaid: N/A
CHIP: N/A		 $1,293 $1,293

Eligibility Levels - Family Of Two By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $1,927
Age 1-5: $1,927
Age 6-18: $1,743
 $2,228 Medicaid: $1,927
CHIP: N/A		 $1,743 $1,743

Eligibility Levels - Family Of Three By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $2,424
Age 1-5: $2,424
Age 6-18: $2,193
 $2,804 Medicaid: $2,424
CHIP: N/A		 $2,193 $2,193

Eligibility Levels - Family Of Four By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $2,922
Age 1-5: $2,922
Age 6-18: $2,643
 $3,379 Medicaid: $2,922
CHIP: N/A		 $2,643 $2,643

Medicaid Eligibility

State Medicaid Office

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