How to apply for North Dakota Medicaid in North Dakota
North Dakota uses the Self-Service Portal and Human Service Zones. The zone directory groups counties and gives a statewide Customer Support Center contact. Official access instructions checked. We did not submit an application or test a signed-in account.
What this guide helps you do
- Where it applies
- North Dakota · Medicaid
- Your next action
- Prepare an application, respond to requests and identify your next action.
- Who decides
- This guide explains a process. The responsible agency decides eligibility, amounts and deadlines for your case.
Start here
Open the official instructions below. Check which route matches your program and circumstances before starting an application.
Who this guide is for
People seeking North Dakota Medicaid in North Dakota, or helping someone apply, follow up or find the right office.
Have these ready if available
- The name of the program and the state where you are applying.
- Any notice or document request you have received, including its date.
- The information and evidence requested by the agency for your situation. Ask what alternatives it accepts if something is missing.
- A safe way for the agency to contact you. Do not enter personal or case details on GetBenefits.
Your steps
Choose your application route
Apply for Medicaid in the Self-Service Portal linked from the official guide.
Prepare the next action
For paper, choose the form for your situation: combined assistance, health coverage only, or elderly/disabled coverage. The guide distinguishes these forms.
Get help and follow up
Send the selected form to a Human Service Zone office, or ask the Customer Support Center for a mailed application and language help.
Keep proof and a way to follow up
If you submit an application or documents, keep the receipt or confirmation the agency provides. Check that it received the correct material; a saved draft may not have been submitted.
Read the decision and the next instructions
Look for the result, any missing information and the date for the action requested. If you disagree, use the review or appeal instructions on your notice. Do not assume that asking for help extends a deadline.
After you apply
Keep the confirmation and read each notice. Check whether the agency needs documents, an interview or another action. A submitted application is not an approval.
If you get stuck
“I am trying to apply for this program. Which route applies to my situation, what information is missing and what is my next action?”
If something gets in the way
I cannot use the website
Ask the agency about another application or contact method. Use the official instructions and avoid giving documents to an unverified intermediary.
I do not have a requested document
Ask what evidence the agency can accept and how to provide it. Read the due date in the actual request; do not choose a deadline from a general guide.
I need language or accessibility help
Describe the language or accommodation you need before the interview or appointment. Ask how the agency provides that help.
I have not received a response
Check the official account or contact the responsible office with the confirmation available. Ask whether the application was received and what is still needed.
I received a denial or closure notice
Read the reason and the review or appeal instructions. Keep the notice and seek qualified help if needed; sending a new application may not replace the response requested.
After you apply: keep the process moving
Check receipt
Confirm that the agency received what you meant to submit.
Keep contact details current
Use the agency’s official method to report changes in your contact details.
Answer document requests
Read what is needed, how to send it and the date stated in the request.
Check for an interview or appointment
If one is requested, confirm the time, format and any language or accessibility support.
Read the written decision
Check what was decided, the effective dates and how to question the decision.
Keep renewal instructions
Read the next renewal or review notice and act on its actual instructions.
Find the office that handles your area
Use the official contact listing to confirm the office serving your area before travelling.
Agency or program
North Dakota Health and Human Services
More detail from the previous guide
Read the complete details, tables and questions
The previous guide is preserved below with its original dates. The new access instructions do not reverify every older rule or income figure. Check the dated source and the agency before relying on a figure or deadline.
Medicaid in North Dakota: 2026 Eligibility and How to Apply
North Dakota uses different Medicaid categories for expansion adults, children, pregnancy and disability-related coverage. Use the state table for your category and the Apply for Help route to start.
An income figure is a starting point, not approval. Ask the agency to check the right category for each person. A parent and a child in the same home can have different coverage results.
Start with the right coverage route
The adult expansion table belongs to that coverage route. It is not a universal limit for children, pregnancy, disability-related coverage, or long-term care.
Who qualifies for Medicaid in North Dakota
Ask the agency to consider every relevant route:
- Adults ages 19–64: the expansion group, subject to income, Medicare status, residency, and other eligibility rules.
- Children: Medicaid or CHIP, with age-specific income rules.
- Pregnancy: a separate category, with its own income and coverage rules.
- Older adults, people with disabilities, and people who need long-term care: separate rules may consider assets as well as income.
SSI and expansion are different North Dakota routes
North Dakota’s adult expansion group is for ages 19–64 who do not qualify for another Medicaid coverage group; Medicare or Supplemental Security Income (SSI) leads to a different review. Do not treat SSDI and SSI as the same program.
The state says people who qualify for SSI qualify for Medicaid, but a North Dakota Medicaid application is still needed to get coverage. If you already receive SSI and have no Medicaid card, use Apply for Help or ask HHS to check your application.
If income is above a category’s limit and medical needs are high, ask whether a client-share category is relevant. It is available only for specified groups, not all expansion adults. The state also has separate child and pregnancy tables, so request a review for each person.
State sources: North Dakota HHS: Medicaid eligibility · North Dakota HHS: Apply for Help · Checked September 8, 2026.
2026 Medicaid income limits in North Dakota
This table uses the state agency’s published adult expansion amounts for the stated period. It is not a limit for children, pregnancy, older age, disability-related coverage or long-term care. The agency still decides the applicable household, countable income and other requirements.
| Household size under program rules | Monthly income limit |
|---|---|
| 1 | $1,836 |
| 2 | $2,489 |
| 3 | $3,142 |
| 4 | $3,795 |
State sources: North Dakota HHS: Medicaid eligibility · Checked September 8, 2026.
Near an income boundary, ask the agency to calculate your case. Do not substitute take-home pay, a table for another category or a national percentage calculation for its decision.
How to apply for Medicaid in North Dakota
- Use Apply for Help. Open North Dakota Apply for Help and follow the Self-Service Portal or application alternatives.
- Identify the category. Tell HHS if the applicant receives SSI or Medicare, is pregnant, has a disability or needs long-term care. SSI-related Medicaid still needs a state application.
- Keep your record. Save the application confirmation and submit information HHS requests. Follow the dates on your renewal or document notice.
Application instructions: North Dakota HHS: Apply for Help · Checked September 8, 2026.
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Explore your next stepCommon questions
Did North Dakota expand Medicaid?
Yes. North Dakota adopted adult Medicaid expansion. Income is one requirement; age, Medicare status, residency, and the applicable category still matter.
What is the Medicaid income limit in North Dakota for 2026?
North Dakota publishes the adult expansion table shown above for April 1, 2026 onward. Other categories use different limits. The agency must still assess household composition, countable income and all other requirements; the table is not an approval.
Does receiving SSI mean I can skip the North Dakota Medicaid application?
No. North Dakota HHS says people who qualify for Supplemental Security Income qualify for Medicaid, but they still need a North Dakota Medicaid application to obtain coverage. SSI is a different program from Social Security Disability Insurance. Ask HHS to check your Medicaid case if you have SSI but no coverage.
Eligibility guidance reviewed September 8, 2026. Sources and reference periods are shown above. Confirm current category rules with the agency before applying.
Common questions
Does this guide decide if I qualify?
No. The state agency evaluates the applicable program rules and your circumstances. Ask the agency to explain the route and documents for your case.
What if I cannot use the online route?
Open the official information or local office link and ask which phone, paper or in-person option is available for this program. Do not assume all programs use the same portal.
Is the linked service available in these four languages?
Our guide is translated. The external site, forms and interpretation options may differ. Tell the agency which spoken and written language you need.
Official sources
- ND HHS — Medicaid Ways to ApplySources checked: 2026-09-14
- ND HHS — Human Service ZonesSources checked: 2026-09-14