Qualifications for Medicaid in North Dakota

What are the requirements for Medicaid in North Dakota when applying for health care coverage? North Dakota Medicaid benefits eligibility is available to qualifying North Dakota residents in need of low-cost medical services. North Dakota Medicaid eligibility requirements allow officials to select applicants in need of financial aid for health services. Medicaid in North Dakota covers children younger than 19 years of age, low-income pregnant women and disabled workers. Medicaid benefits eligibility also applies to low-income Medicare beneficiaries who have household earnings under a certain threshold. However, asset and income limits do not interfere with the North Dakota Medicaid eligibility requirements for pregnant women, those enrolled in the Women’s Way program and the Adult Expansion group as well as families and children who are a part of the Children and Families Coverage group.

To find out how to qualify for Medicaid in North Dakota, read the following topics:

  • Who is eligible for Medicaid in North Dakota?

  • What are the requirements for Medicaid in North Dakota?

  • What are the income requirements for Medicaid in North Dakota?

  • What are the Medicaid application guidelines in North Dakota?

Who is eligible for Medicaid in North Dakota?

What are the Medicaid applications guidelines in North Dakota for selecting eligible candidates? Determining who is eligible for Medicaid in North Dakota depends on several important factors. Medicaid benefits eligibility covers low-income applicants including children in foster care or subsidized adoption, former foster children up to 26 years of age (under certain circumstances), children with disabilities up to 19 years of age, pregnant women, women with cervical or breast cancer, workers with disabilities, blind applicants and low-income Medicare recipients.

Continued Medicaid benefits eligibility also applies to children older than 19 years of age. Once a child turns 19 years of age, he or she will remain Medicaid eligible for up to 12 months. Pregnant women who meet Medicaid benefits eligibility initially will remain Medicaid eligible throughout the pregnancy and for at least 60 days after giving birth.

To find out how to qualify for Medicaid in North Dakota, a free screening tool is available through North Dakota Bridge to Benefits. The Medicaid benefits eligibility screening tool does not apply or enroll interested parties in any programs but instead is an estimation to help applicants see which financial assistance programs may be available to them. The tool helps applicants estimate Medicaid benefits eligibility as well eligibility for North Dakota’s Child Care Assistance Program, Earned Income Tax Credit, Healthy Steps program, Low-Income Home Energy Assistance Program, the School Meal Program and Supplemental Nutrition Assistance Program (SNAP).

What are the requirements for Medicaid in North Dakota?

To determine ND Medicaid eligibility requirements, applicants must meet several important residency and asset restrictions. North Dakota Medicaid benefits eligibility groups must be residents of North Dakota as well as U.S. citizens or lawfully admitted aliens. Medicaid eligibility requirements involve asset limitations. Assets that affect Medicaid benefits eligibility include a checking account, savings account, bonds, stocks or other type of resources. Blind, disabled and applicants who are 65 years of age and older may have up to $3,000 in assets. Couples have an asset limit of $6,000. For each additional household member, add $25 to the asset limit.

However, there are certain exceptions to these Medicaid benefits eligibility assets restrictions. Applicants who meet ND Medicaid benefits eligibility and are eligibleto receive Workers with Disabilities coverage can have an additional $10,000 in assets. Medicaid does not count all assets of applicants including the applicant’s home, one vehicle, burial plans, self-employment property, non-saleable property, household goods, furniture and clothing as well as Indian trusts. Assets are not the only financial factor officials consider. Since Medicaid benefits impoverish households, there are income limits to qualify for coverage. Read the next section to find out what the income requirements for Medicaid in North Dakota are for officials to declare eligibility.

What are the income requirements for Medicaid in North Dakota?

What are the income requirements for Medicaid after determining an applicant’s assets? Part of Medicaid eligibility requirements include being in financially need. A petitioner who is eligible for Medicaid is a low-come earner that meets the financial restrictions.

Income levels determine whether an applicant is eligible to receive full Medicaid benefits or partial Medicaid benefits. For example, households of one who earns less than $517 per month may be eligible to receive full Medicaid benefits. Likewise, households of two who must not exceed $694 monthly, households of three must not exceed $871 monthly, households of four must not exceed $1,048 monthly and households of five must not exceed $1,226. Applicants who meet these Medicaid benefits eligibility income restrictions may be eligible to receive full Medicaid coverage for the entire family.

However, other families who meet Medicaid benefits eligibility including aged, disabled or blind applicants and families who are medically needy but make more than the income restrictions will be responsible for paying a portion of their medical bills.

To meet the Medicaid eligibility requirements that under this category, monthly incomes must not exceed the following:

  • $821 for a household of one

  • $1,108 for households of two

  • $1,394 for households of three

  • $1,680 for households of four

  • $1,967 for households of five

Medicaid eligibility requirements differ for households with adults and children between the ages of 6 and 64 years. To meet Medicaid eligibility requirements, households of one must not exceed $1,366 monthly, households of two must not exceed $1,842 monthly, households of three must not exceed $2,318 monthly, households of four must not exceed $2,794 monthly and households of five must not exceed $3,270.

Additionally, Medicaid eligibility requirements differ for pregnant women and children younger than 6 years of age. To meet Medicaid eligibility requirements, households of one must not exceed $1,504 monthly, households of two must not exceed $2,029 monthly, households of three must not exceed $2,553 monthly, households of four must not exceed $3,078 monthly and households of five must not exceed $3,602.

What are the Medicaid application guidelines in North Dakota?

Candidates who meet ND Medicaid eligibility requirements may apply for Medicaid in three different ways. Qualifying applicants may apply for Medicaid online, in-person or by mail. Candidates who meet Medicaid eligibility requirements may apply online by submitting a completed Application for Assistance form or they may contact a local social service office to request a mailed application. Other applicants who meet North Dakota Medicaid benefits eligibility may apply for Medicaid benefits manually. However, the manual application process varies depending on each specific situation:

  • Applicants who meet Medicaid benefits eligibility but are younger than 65 years of age and not disabled should complete an Application for Health Care Coverage form and return it to a local Social Service office. These forms are available through the North Dakota Department of Human Services.

  • Applicants who meet Medicaid benefits eligibility and who wish to apply for food, cash or child care assistance should fill out the Application for Assistance form and return it to a local Social Service office.

  • Applicants who meet Medicaid benefits eligibility and are aged, blind or disabled and want to apply for Medicaid benefits, coverage in a basic care facility and the Medicare Savings Program should complete a Health Care Application for the Elderly and Disabled form.



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