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Medicaid Expansion

Access to the expanded Medicaid Program for North Dakotans

North Dakota has expanded access to Medicaid to cover more individuals.

Why Medicaid Expansion?

Expansion of Medicaid gives more individuals the opportunity to have affordable coverage, preventive services and greater economic security in the event of accidents or illness. We are building on the success of Medicaid to make health care coverage more accessible for North Dakotans.

Do You Qualify?

The expanded Medicaid program is available to individuals between 19-64 with household incomes up to 138% of the federal poverty level (FPL). Individuals eligible for Medicare or Supplemental Security Income (SSI) are not eligible for coverage under Medicaid expansion. If your household’s annual income is equal to or lower than the figures below, you will probably qualify for Medicaid. Rates effective April 1, 2022.

For households with more than 8 people, add $6,514 for each additional person.

How to Apply for the Medicaid Expansion

Apply online for Medicaid coverage.

Individuals can also apply by submitting a paper application by telephone toll free (844) 854-4825 or 711 (TTY) for people with hearing impairments, mail, or in-person at their Human Service Zone office (formerly known as county social service office).

If an individual does not qualify for Medicaid, the individual can explore whether he or she may qualify for federal health insurance marketplace coverage at www.healthcare.gov.

Medicaid Expansion Coverage

For questions on services and other support through Dec. 31, 2021, contact Sanford Health Plan Member Services.

People who have been notified that they qualify for North Dakota Medicaid Expansion coverage, can get plan information at http://sanfordhealthplan.org/shopsanfordhealthplan/medicaid/ndmedicaidexpansion.

Note: Sending an email to this Sanford Health Plan email address is not a secure form of communication. There is some risk that confidential information sent in an email may be misdirected, disclosed to or intercepted by, unauthorized third parties. To protect privacy, members or visitors concerned about security of email communications should call the numbers listed above. If you choose to send an email, you consent and accept the risk of transmitting confidential information via unencrypted email.

For questions on services and other support starting Jan. 1, 2022, contact Blue Cross Blue Shield of North Dakota Member Services.

The Health Insurance Marketplace

Beginning January 2014, most Americans were required to have health insurance. If individuals do not qualify for Medicaid, they may be able to research and buy health insurance through the federal government’s Health Insurance Marketplace at www.healthcare.gov or by calling the federal help line at 1-800-318-2596 (TTY Users Call: 1-855-889-4325) during open enrollment periods. The federal Marketplace website and help line provide information about private health insurance choices and tax subsidies. Details about 2014 tax preparation requirements related to health care coverage and the special enrollment period are also available on the federal website at www.healthcare.gov/taxes or by calling the federal help line listed above.


Brochure (421kb pdf)

General Information Flyer (345kb pdf)

Information Flyer for American Indians (314kb pdf)

Poster - general population (212kb pdf)

Poster - American Indian audience (190kb pdf)

30 Second Television Public Service Announcement (27Mb .MOV) - May be a short delay before this plays

30 Second Radio Public Service Announcement (501kb MP3)

60 Second Television Public Service Announcement (50Mb .MOV) - May be a short delay before this plays

60 Second Radio Public Service Announcement (944kb MP3)

Drop-in Newsletter Article

Center for Consumer Information and Insurance Oversight (CCIIO) - State Planning and Establishment Grant Information


For questions about the Medicaid Expansion, contact:

Medical Service Division
North Dakota Department of Human Services
600 East Boulevard Avenue, Dept. 325
Bismarck, ND 58505-0250
Call: (701) 328-7068
Toll-free: (800) 755-2604
711 (TTY)
E-mail: dhsmed@nd.gov


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