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Medicaid Long Term Care Services

Nursing Facility Services

Nursing facility services are provided to approximately 2,900 Medicaid eligible residents who require regular or daily services of a licensed nurse in nursing facilities and swing beds located throughout the state. Out of 80 licensed nursing facilities, there are 79 facilities with 5,944 beds available participating in the Medicaid program and approximately 800 beds in 36 swing bed facilities throughout the state.

Approximately fifty-one percent of licensed nursing facility beds are funded through the Medicaid program. The average nursing facility rate is $280.44 per day as of January 1, 2019. The swing bed rate is $257.41 per day as of April 1, 2018.

Since 1990, North Dakota has had a case mix payment system and rate equalization for Medicaid and self-pay residents in nursing facilities. Rates for each of the 48 case-mix classifications for all residents in nursing facilities are established annually, effective January 1, based on cost reports submitted by the nursing facilities.


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