nd.gov - The Official Portal for North Dakota State Government
North Dakota: Legendary. Follow the trail of legends
NDDHS logo Mother and daughter graphic
 arrowDHS Home arrowContact DHS arrowSkip Navigation
Search:

North Dakota Medicaid and Children's Health Insurance Program

Tribal Health and Indian Health Services

The North Dakota Department of Human Services' mission is to provide quality, effecient, and effective human services, which improve the lives of people.

What is North Dakota Medicaid? Medicaid is a federal and state partnership program that makes coverage available for basic health services for qualified families with children, women who are pregnant, and the elderly or disabled. Medicaid is overseen at the federal level by the Centers for Medicare and Medicaid Services (CMS) within the United States Department of Health and Human Services (HHS). In North Dakota, Medicaid is administered in the North Dakota Department of Human Services. Medicaid was federally authorized in 1965; North Dakota implemented Medicaid in 1966.

How does someone become eligible for Medicaid? A person can meet income guidelines and be under age 21, a woman who is pregnant, those that have breast or cervical cancer, are blind or disabled, are age 65 and older, or individuals who are a member of a family with children.

Eligibility is also based on income and, in some situations, assets. Not all assets a person owns are counted. Some assets that are not counted include: the home the applicant lives in, one car or other vehicle for personal use, personal belongings, burial plans or property that produced earned income such as a farm.

What is the North Dakota Children's Health Insurance Program (CHIP)? The Children's Health Insurance Program (CHIP), also known as Healthy Steps, is a state and federal partnership that provides health insurance coverage for children in families who earn too much income to qualify for Medicaid, but cannot afford to purchase private health insurance coverage. CHIP was federally authorized in 1997; North Dakota adopted CHIP October 1, 1999.

How does someone become eligible for CHIP? Eligible children cannot have health insurance coverage (Indian Health Services is not considered health insurance coverage), must be 18 years of age or younger, does not qualify for the North Dakota Medicaid program, and live with families with qualifying incomes.

How can an individual apply for Medicaid or CHIP services? http://www.nd.gov/dhs/services/medicalserv/medicaid/apply.html

How does Medicaid and CHIP work with Indian Health Services? Native Americans who are eligible for health care through the Indian Health Services (IHS) are also entitled to Medicaid and CHIP coverage if they meet the categorical and financial eligibility requirements for the North Dakota Medicaid and CHIP programs. In cases in which a recipient is eligible for both Medicaid and IHS services, and a service (such as hospital care) is covered both by Medicaid and by the IHS, the Medicaid program is required to pay for the service. When a Medicaid recipient receives a service provided by the IHS that is not included as a Medicaid services, IHS has the responsibility to pay.

Centers for Medicare and Medicaid Services (CMS) Approved North Dakota State Plan Amendments (SPA):

Tribal Consultation State Plan Amendment

North Dakota Medicaid Information:

Home and Community Based Services

The Coordinated Services Program

Health Coverage for Children

Primary Care Provider Information

Eligibility Information:

North Dakota Health Tracks Information (EPSDT)

Asset Information for Medicaid and CHIP Eligibility

Federal Guidelines

State Medicaid Director Letters

Federal Indian Health Service (IHS.gov)

CMS Medicaid Information (Medicaid.gov)

Other Information:

Tribal Consultation Letters

Medicaid SPAs and Waivers Open for Consultation

IHS Encounter Rates

Current IHS Encournter Rates - Reimbursement to IHS facilities will be on a daily encounter basis and based on the approved all-inclusive rates published each year in the Federal Register by the U.S. Department of Health and Human Services.

Upcoming Meetings

Date: Wednesday, May 8, 2013
Time: 10:00 a.m. CDT
Place: Healing Room, United Tribes Technical College, 3315 University Drive, Bismarck ND

Contact Information

Medical Services Division
North Dakota Department of Human Services
600 E Boulevard Ave Dept 325
Bismarck ND 58505-0250
Telephone: (701) 328-2321
Toll free: (800) 755-2604
ND Relay TTY: (800) 366-6888 or 711
Fax: (701) 328-1544
Email: dhsmed@nd.gov

 

Return to the top of the page Top of page   Go back to the previous page Back to previous page

 Get Adobe Acrobat Reader Tested for W3C WAI AA Accessibility Tested for W3C Well-Formed XHTML Code Tested for W3C Well Formed Cascading Style Sheet Code