Medicaid in
North Dakota
North Dakota expanded Medicaid, so adults qualify for North Dakota Medicaid at 138% of the federal poverty level — about $2,969 a month for a household of three, with or without children.
Who Qualifies for North Dakota Medicaid in North Dakota?
North Dakota expanded Medicaid
Adults aged 19–64 in North Dakota qualify for North Dakota Medicaid on income alone, at or below 138% of the federal poverty level, whether or not they have children and with no asset test for this group.
| Household Size | Monthly Limit | Annual Limit |
|---|---|---|
| 1 person | $1,732 | $20,783 |
| 2 people | $2,351 | $28,207 |
| 3 people | $2,969 | $35,632 |
| 4 people | $3,588 | $43,056 |
| 5 people | $4,207 | $50,480 |
| 6 people | $4,825 | $57,905 |
| 7 people | $5,444 | $65,329 |
| 8 people | $6,063 | $72,754 |
Limits shown at 138% of the federal poverty level for North Dakota — the level a parent or caretaker adult is measured against. Source: state Medicaid eligibility levels as most recently published (2024); states may revise them. Children, pregnant women and people who are 65+, blind or disabled use different and generally higher limits.
Eligibility Requirements
Here's what you need to qualify for Medicaid in North Dakota.
Income Limit
$2,969/mo for a household of three (138% FPL)
Adults Without Children
Covered in North Dakota up to 138% of the federal poverty level
Citizenship
U.S. citizen, permanent resident, or qualified non-citizen
Non-expansion states limit adults to ~100% FPL.
Required Documents
Have these ready before you start your Medicaid application.
How to Apply
Follow these steps to apply for Medicaid in North Dakota.
Gather your documents
Collect all required documents listed above before starting.
Submit your application
Apply online through ND HHS online application, or by phone at 866-614-6005. North Dakota HHS handles North Dakota applications.
Wait for processing
Processing takes 15–45 days. Keep copies of everything.
Frequently Asked Questions
What is the income limit for Medicaid in North Dakota in 2026?
North Dakota expanded Medicaid, so an adult under 65 qualifies for North Dakota Medicaid with monthly income at or below 138% of the federal poverty level: about $1,732 a month for one person, $2,969 for a household of three and $3,588 for four — $20,783 and $35,632 a year respectively. Children, pregnant women and people who are 65+, blind or disabled are measured against different and generally higher limits.
Can I get Medicaid in North Dakota if I have no children?
Yes. Because North Dakota expanded Medicaid, adults aged 19–64 with no children qualify for North Dakota Medicaid on income alone, at or below 138% of the federal poverty level. You do not need to be disabled, pregnant or a parent.
How do I apply for Medicaid in North Dakota?
Apply for North Dakota Medicaid online through ND HHS online application at www.hhs.nd.gov, run by the North Dakota HHS, or by phone at 866-614-6005. Medicaid has no open-enrolment window — you can apply any day of the year, and coverage can be backdated up to three months if you were eligible then.
How long does North Dakota take to approve Medicaid?
15–45 days is the normal range. Federal rules give North Dakota 45 days to decide most applications and 90 days when a disability determination is required. Coverage, once granted, is generally backdated to the first day of the month you applied.
What if I earn too much for Medicaid in North Dakota?
Children are covered at much higher incomes than adults everywhere — North Dakota covers children through Medicaid and CHIP well above the adult limit, so apply for them separately even if you are denied. Pregnancy coverage also uses a higher limit. Above those, a Marketplace plan with a premium tax credit is the next step, and people who are 65+ or on Medicare should check the Medicare Savings Programs instead.
Medicaid in Other States
Whether a state expanded Medicaid changes the adult income limit from 138% of poverty to as little as 15%.