North Dakota Medicaid Program

Centers for Medicare & Medicaid Services (CMS) in

Medicaid/Medicare


December 19, 2018

Overview

Medicaid is a program designed to assist individuals and families who do not have health insurance, or who have health insurance that does not cover all of the individual's or family's medical needs. Medicaid eligibility is based on income, and in some cases, assets. It provides comprehensive health coverage, as well as assistance with Medicare premiums, coinsurance and deductibles. Coverage may begin up to three months prior to the month of application. Medicaid benefits are extended to the elderly, blind or disabled individuals, pregnant women, children to the age of 21 years, and parents of eligible children.

Administration

North Dakota Medicaid Program is administered by Centers for Medicare & Medicaid Services (CMS).

Program Requirements:

In order to qualify for this benefit program, you must be a resident of the state of North Dakota, a U.S. national, citizen or permanent resident in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income (or have high or very high medical expenses). You must also be either pregnant, have a household member with a disability, or be responsible for children under 21 years of age. Adults age 65 and older may also qualify.

In order to qualify, you must have an annual household income (before taxes) that is below the following amounts:

Household Size* Maximum Income Level (Per Year)
1 $15,800
2 $21,307
3 $26,813
4 $32,319
5 $37,825
6 $43,331
7 $48,851
8 $54,384

*For households with more than eight people, add $5,533 per additional person. Always check with the appropriate managing agency to ensure the most accurate guidelines.

Application Details

None

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