North Dakota Medicaid

Medicaid eligibility rules are changing in 2026. Members are encouraged to visit the Stay Enrolled page to update their information.

North Dakota Medicaid is a program designed to provide comprehensive health insurance to eligible residents with limited income and resources, including families with children up to age 18, pregnant women, women with breast or cervical cancer and people who are aging, blind and disabled.

In North Dakota, Blue Cross Blue Shield of North Dakota (BCBSND) has been the sole Medicaid managed care plan since January 1, 2022, covering adults aged 19–64. Children under age 19 and certain disabled individuals primarily receive services through a traditional fee-for-service model instead.

FAQ

What are the income guidelines for Medicaid in North Dakota?

As North Dakota is expanding Medicaid coverage, all non-elderly adults age 19—64 and children age 6—18 with income up to at least 138% of poverty level may now gain coverage.

Pregnant women are covered up to 175% of the poverty level, covering prenatal care, labor, delivery, and postpartum care for up to 12 months after birth.

ND Medicaid income limits by household size
ND MedicaidHousehold Size	152% Child 0—5	175% Pregnant Women	138% Adults 19—64
1	$2,022	$2,328	$1,835
2	$2,741	$3,156	$2,489
3	$3,461	$3,984	$3,142
4	$4,180	$4,813	$3,795
5	$4,899	$5,641	$4,448
6	$5,619	$6,469	$5,101
7	$6,338	$7,298	$5,755
8	$7,058	$8,126	$6,408

A 5% disregard based on the federal poverty level (FPL) for the household size may be applied and is reflected in the amounts shown above. Source: Kaiser Family Foundation (KFF).

How do I apply for Medicaid in North Dakota?

Medicaid enrollment is year-round; you do not need to wait for an open enrollment period to apply for Medicaid in North Dakota.

Complete and submit an Application for Medicaid using the Self-Service Portal (SSP). The completed application will be directed to the appropriate county social service office.

There is no specific “open enrollment” period. Applications are accepted at any time of the year. Benefits may be covered retroactively for up to three months prior to the month of application.

North Dakota Department of Health and Human Services
Medical Services / Medicaid
(866) 614-6005