The Uncovered Services Policy contains a general list of services that North Dakota Medicaid does not cover. It covers a wide range of prescription drugs, insulin, family planning prescriptions, supplies and devices, but not all. Requires a prescription from a doctor. Pharmacists can tell you if Medicaid covers a particular drug.
Medicaid is a program funded by the state and the federal government that helps pay for health care services for eligible adults, children, pregnant women, older adults and people with disabilities. Children with disabilities often have great medical needs. These needs may cost more than private insurance covers. This coverage allows families to “buy” North Dakota Medicaid. Families pay a monthly premium based on the family's income.
The monthly premium is equivalent to five percent of the family's gross accounting income. There is no asset limit for this coverage. Children can be eligible even if their family owns a home, has more than one car, or has other assets. ND Medicaid provides additional income-based coverage for pregnant women, the elderly, and people with disabilities. Eligibility for traditional Medicaid includes the submission of detailed information about income and assets.
These requests must be made through an eligible worker in your local human service area. ND Navigators are not qualified to help with these registrations. Medicaid is a health care program for low-income people of all ages. While there are many different coverage groups, we focus exclusively on Medicaid eligibility for long-term care for older North Dakota residents who are 65 years of age or older.
In addition to nursing home care services, adult foster care and assisted living facilities, North Dakota Medicaid pays for non-medical services and supports to help frail older people live in their homes. There are three categories of Medicaid long-term care programs that older people in North Dakota may be eligible for. This coverage is for non-citizens who don't qualify for Medicaid, but who have an urgent health need, such as giving birth. Medicaid expansion coverage is for adults ages 19 to 64 who don't qualify for another Medicaid coverage group.
This Medicaid exemption helps families care for a child diagnosed with an autism spectrum disorder at home, instead of having to admit him to a care facility. North Dakota seniors can apply for Medicaid online or fill out a health care request form for the elderly and disabled and send it to their county's Human Services Zone office (formerly called the county's social services office). If proper planning strategies are not implemented, housing will be used to reimburse Medicaid for the care provided, rather than passed on to the family as an inheritance. Itinerary in case of medical need: Older people who have incomes that exceed the Medicaid income limit may continue to be eligible for Medicaid services if they have high medical expenses relative to their income.
Medicaid in North Dakota provides health care coverage to people who apply and are eligible to receive coverage. When you fill out an application in the Marketplace, if it seems that you might be eligible for Medicaid in North Dakota, your application will be sent to ND Medicaid for further review by a worker who specializes in eligibility. Once approved, children are entitled to receive benefits for up to 12 months if they continue to live in North Dakota. Within a few weeks, you may be sent a letter asking for additional information or stating that you have been approved or denied Medicaid coverage, stating the reason for the denial. Treatment of a couple's assets All of a married couple's assets are considered to be jointly owned (regardless of the Medicaid long-term care program that one or both of the spouses apply for).
Money follows the person: This federal program helps institutionalized people who are eligible for Medicaid to return to their homes or to the community. The following table provides a quick reference for older people to determine if they might be immediately eligible for long-term care from a North Dakota Medicaid program. Women who need ongoing treatment for breast or cervical cancer may be eligible for Medicaid coverage through the Women's Way. This short-term coverage is for legally admitted refugees who are not eligible for Medicaid or other health care services.
Families that are below 138% of the current federal poverty level (FPL) considering the size of their taxable household are often eligible for Medicaid expansion (see table below)).
