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This handbook is for Medicaid members, their families, and caregivers. We want you to understand your Medicaid coverage. You can explore your covered health care services, find contact information, access provider lists, and follow links to our webpages. You can select a section that interests you by expanding the title. 

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Medicaid Member Engagement Handbook

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Medicaid Member Engagement Handbook
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About North Dakota Medicaid

Health care coverage is important because it can help you and your loved ones live healthier by helping you pay for medical expenses. Your Medicaid coverage gives you access to routine health care, specialist, testing, prescriptions, and more. We want you to live a safe and healthy life and for North Dakota to become the healthiest state in the nation. 

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Welcome to ND Medicaid

Getting Information About Your New CoverageGreen and white Medicaid card

Welcome to Medicaid! You will be getting a notice about your new Medicaid coverage with Identification (ID) numbers for each member of your household. You will get your Medicaid ID cards about 4 to 6 weeks after your notice arrives.

Always carry your Medicaid ID card with you because an emergency could happen at any time. You should show your ID card every time you go to an appointment or fill a prescription. 

 

Terms and Meanings

Household

The people who are part of your family, living in your home, and/or are listed on your Medicaid application.

Prescription

An order from your provider for medications, equipment, testing, or supplies.

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How to Connect with ND Medicaid

Self-Service Portal

The Self-Service Portal (SSP) is your online space to apply for assistance, complete a review, update your information, view details about your case, report changes, upload documents, and view notices.  You can:

ND Medicaid Webpage

Our website shares information and updates about our programs, resources, and more. We offer ways to connect with us to ask a question or apply for help. Throughout this handbook you will find links to webpages for many topics.

ND Medicaid Call Centers

Customer Support Call Center: 

Our Customer Support Call Center helps our Medicaid members with questions about coverage, getting help from other assistance programs, arranging out-of-state travel, or updating personal information like your phone number or address change. 

  • Toll-Free: 1-866-614-6005
  • Local: 1-701-328-1000
  • TTY: 711
  • Email: applyforhelp@nd.gov 
  • Mail: Customer Support Call Center 
    PO Box 5562 
    Bismarck, ND 58506

Provider Relations:

If you have questions about coverage for filling prescriptions for medications or medical supplies, you can contact our Provider Relations department.

Health Tracks:

If you need help with your child’s Health Tracks checkups, , referrals, or to arrange rides to your child’s Health Tracks appointments, you contact our Health Tracks Call Center.

Human Service Zone Offices

North Dakota is divided into 19 human service zones. Human service zones process eligibility for HHS programs. Every zone has an office where you can get help with Medicaid, Child Care Assistance Program (CCAP), Low Income Home Energy Assistance Program (LIHEAP), Temporary Assistance for Needy Families (TANF), Supplemental Nutrition Assistance Program (SNAP), and more. Most zones support more than one county. 

Help with Auxiliary Aids and Services

  • Text Telephone Devices (TTY or TTD): HHS phone lines offer the TTY feature for people with hearing impairments. TTY users may use relay North Dakota at 711 or 1-800-366-6888. 
  • ND Medicaid covers sign and oral language interpreter services to make sure our members who have limited English proficiency or hearing loss can understand their health care services.

Translation HelpWebsite

Translate this handbook on our website with this button.
If you need translation assistance, you can contact 1-844-854-4825.

Member Feedback

We want to know if there is information you would like to see added to this handbook or if you have other related concerns. To share your feedback about this handbook:

Terms and Meanings

Assistance

Programs that can help you.

Prescription

An order from your provider for medications, equipment, testing, or supplies.

Provider

A doctor, nurse, therapist, or another qualified professional.

Services

Care, treatments, testing, checkups, equipment, supplies, and other ways your health care providers help you stay healthy.

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Communicating About Your Coverage

Why We Will Communicate with You

  • It is time to review your coverage. 
  • We need to update you about our program changes.
  • We are sending you our yearly newsletter.

Changes You Need to Tell Us About

We need to know about any changes for you or the people in your household. Some common changes are:

  • You moved to a new address.
  • The size of your household has changed. This may happen when someone becomes an adult, moves out, passes away, or is born.
  • Someone in your household’s job or income changed.
  • You started, changed, or ended another health care insurance.
  • Someone in your household has become pregnant.

Different Ways to Update Us

You can select different ways to communicate with us: 

  • Receive messages, upload documents, and upload documents, and enter information in your Self-Service Portal.
  • Sign up for text message notifications by selecting this option in your Self-Service Portal
  • Sign up to receive email notifications in your Self-Service Portal.
  • Email and attached your uploaded documents to the Customer Support Call Center. 
  • Send your information, through the mail, to the Customer Support Call Center address.

Contact Information

Customer Support Call Center

  • Toll-Free: 1-866-614-6005
  • Local: 1-701-328-1000
  • TTY: 711
  • Email: applyforhelp@nd.gov   
  • Mail: Customer Support Call Center 

PO Box 5562 

Bismarck, ND 58506

 

Terms and Meanings

Household

The people who are part of your family, living in your home, and/or are listed on your Medicaid application.

Services

Care, treatments, testing, checkups, equipment, supplies, and other ways your health care providers help you stay healthy.

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Understanding Your Preventive Health Care

Your health care provider can prevent or treat common illnesses and conditions when you see them regularly. You can call your provider’s office to ask for a yearly exam or to visit about a specific health concern. 

Adult Wellness

Adults need to see their primary care provider yearly to make sure they are healthy. This exam is meant to check your overall wellness, lifestyle, or specific health concerns. During your yearly wellness visit, your provider may take your height, weight, temperature, and blood pressure. Depending on your age or gender, your provider may suggest certain screenings or tests. 

Your provider may talk to you about screenings for chronic health conditions, such as diabetes, and cancer, care for chronic conditions, or visit with you about your diet, reproductive health, mental health, or lifestyle practices. 

Seeing your health care provider isn’t the only yearly exam you need. You should also visit your dental and eye care providers. 

This section covers some common ways your provider may examine your health.  

Behavioral Health Care

Your mental health is just as important as your physical health for well-being. Your primary care provider can visit with you about your lifestyle and mental health at your yearly wellness visit, or at a separate appointment. You can also visit your local human service center for behavioral health concerns. You can learn more about behavioral health care benefits in the Behavioral Health Care and Substance Use Disorder section of this handbook.

Screenings

Preventive services detect health concerns early. Medicaid covers many preventive services. Some of these are:

Breast and Cervical Cancer Screenings

Medicaid pays for breast and cervical cancer screenings. Medicaid’s Breast or Cervical Cancer Early Detection program covers treatment for breast cancer, cervical cancer, or pre-cancer.

Screenings save lives. Early detection is your best protection. A mammogram is the best way to find breast cancer in its earliest most treatable stage. A Pap test and HPV test are the best way to find cervical cancer early so that it can be treated successfully. 

Women’s Way offers breast and cervical cancer services throughout North Dakota. To learn more about Women’s Way, visit our Women’s Way webpage.

There is a specific Medicaid treatment program for individuals who were enrolled in Women’s Way when they were diagnosed with breast or cervical cancer through Women’s Way and are needing treatment for breast cancer, cervical cancer, or a pre-cancerous condition related to breast or cervical cancer. 

To learn more about Medicaid’s Breast or Cervical Cancer Early Detection Program contact:

Colorectal Cancer Screenings

Colorectal cancer is one of the most commonly diagnosed cancers. It affects both men and women. Recent trends show rates rising in younger people. Screenings find cancer, and in some instances, can even prevent it. Your outcomes can be greatly improved by finding colorectal cancer in its early stage. People of average risk should start screening at age 45 and continue through age 75. People of increased risk should be screened sooner and/or more often. You may be at increased risk if you have a family history of colorectal cancer, polyps, or have certain medical conditions like ulcerative colitis. There are different test options. Some tests can be done at home. Ask your primary provider how to make an appointment for your screening.

Visit our Colorectal Cancer Screening program webpage to find out more.

Lung Cancer Screenings

In North Dakota, lung cancer is the most diagnosed cancer that affects both men and women. Lung cancer has the highest rate of late-stage diagnosis and has the highest mortality rate. Lung cancer screenings are recommended for older adults who are current or previous longtime smokers who do not have any signs or symptoms of lung cancer. Doctors use a low-dose CT (LDCT) scan of the lungs to look for lung cancer. If lung cancer is detected at an early stage, it's more likely to be cured with treatment. Ask your primary care provider if you should be screened. Below are resources for understanding more about lung cancer screenings. 

You can learn more about getting help to quit smoking in the Tobacco Cessation section found in the Medicaid Programs section of this handbook.

Vaccines

Vaccines aren’t just for children. There are several routine vaccines you may need as an adult. Adults need to keep their vaccinations up to date because immunity from childhood vaccines can wear off over time. You are also at risk for different diseases as an adult. Vaccines are one of the most convenient and safe preventive care measures available. You may need other vaccines based on your age, health conditions, job, lifestyle, or travel habits. Your provider can help you understand which vaccines are right for you. 

Child Wellness

Children go through many changes as they develop so they need to see their health care provider more frequently than adults. Health Tracks can help you make sure your child’s mental and physical health care is on track.

Health Tracks

Health Tracks is a Medicaid benefit that covers your child’s checkups, vaccines, screenings for health concerns, referrals for further care, and other preventive health care from the time they are born through age 20. Health Tracks can even help arrange rides to your child’s Health Tracks appointments. You can learn more about Health Tracks: 

Medicaid members do not need to apply for Health Tracks separately from Medicaid.  

Dental Care

Regular dental care is also important for your well-being. By addressing dental issues early, dentists can help you maintain good oral hygiene, reduce the risk of tooth decay and gum disease, and other dental problems. You can learn more about preventive dental care in the Dental section of this handbook.

Vision Care

Getting your yearly visit with an eye care provider can help you correct your vision, address concerns you have for your eyes, or maintain good vision. You can learn more about preventive vision care in the Vision chapter of this handbook.

How to Choose a Primary Care Provider

Staying healthy is more than just going to the doctor when you’re sick. Your primary care provider helps you stay healthy by overseeing routine health care and offering preventive services. Regular preventive services help you know if you are developing a serious illness, giving you the best chance for a healthy life. Tips for choosing your primary care provider are:

  • Pick someone who makes you feel comfortable: You may want to go to a provider who knows your health history. Your provider should be able to communicate with you in a way you understand. You should feel that your provider understands your health concerns. Decide if you want one primary care provider for your whole family or a different provider for each family member.
  • Ask about special needs: If you or someone in your house has special health care needs, ask if the provider can meet your needs.
  • Choose a location close to home, school, or work: Make sure that you can easily get to your provider’s office.  
  • Make sure your provider accepts ND Medicaid: The provider you choose must be enrolled as a ND Medicaid provider.  
  • Ask if your provider is accepting new Medicaid patients.
  • Make your first appointment: After you choose your primary care provider, call their office to schedule a preventive visit. 

Talking to Your Doctor

Your primary provider can help you navigate your health care. Clear and honest talks with your provider can help you both make informed choices about your health care. It’s important to be honest and upfront about your symptoms even if you feel embarrassed or shy. Have an open dialogue with your provider— ask questions to make sure you understand your diagnosis, treatment, and recovery. Here are a few tips to make the most of your appointment:

  • Write down a list of questions and concerns before your appointment.
  • Consider bringing a close friend or family member with you.
  • Take notes about what the provider says or ask a friend or family member to take notes for you.
  • Learn how to access your medical records, so you can keep track of test results, diagnoses, treatments plans, and medications and prepare for your next appointment.
  • Ask for the provider’s contact information and how you should ask for additional information or help.
  • Remember that nurses and pharmacists are also good sources of information.

Finding Your Primary Care Provider

We can help you find a primary care provider. To find a primary care provider:

  • See our list of Provider Directory
    •  Once you have chosen a provider, make sure to call their office and ask if they are:
      • Accepting new patients
      • Accepting Medicaid
  • Contact Medical Services 

Patient Expectations

  • Appointment Scheduling: When you have a scheduled appointment but feel that you cannot make it, call your provider, and cancel or reschedule the appointment as soon as you know you cannot go.
  • Pre-planning health care: Make appointments further out for health care you know will be needed, such as a vaccine or your yearly wellness check and sports physical.

CMS Coverage to Care

Coverage to Care, or C2C, is an initiative developed by the Centers for Medicare & Medicaid Services (CMS). CMS oversees how each state provides Medicaid to their residents. The C2C materials below can help you understand your health coverage and connect you to the primary care and preventive services that are right for you.

Contact Information

Customer Support Call Center

  • Toll-Free: 1-866-614-6005
  • Local: 1-701-328-1000
  • 711 (TTY)
  • Email: applyforhelp@nd.gov 
  • Mail: Customer Support Call Center 

PO Box 5562 

Bismarck, ND 58506

Medical Services

  • Call: 1-877-328-7098
  • Local: 701-328-7098
  • 711 (TTY) 

Health Tracks

 

Terms and Meanings

Cessation

To stop or end a process.

Primary Care Provider

Your main provider that cares for your basic health needs.

Referral

A written order from your primary care doctor for you to see a specialist or get certain medical services.

Screening

To look for serious health concerns.

Services

Care, treatments, testing, checkups, equipment, supplies, and other ways your health care providers help you stay healthy.

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Understanding Your Specialty Health Care

Seeing a Specialist

When your primary care provider cannot offer the care you need, they may send you to a Medicaid enrolled specialist. Your primary care provider will still oversee your routine health care needs. To see a list of covered services, see the Covered Services List in the Covered Medicaid Services list of this handbook. 

Getting a Referral to a Specialist

You may need a referral to see a specialist. A referral is an order from your primary care provider saying you are needing medical treatment in a specialized area of health care. Some specialists may still need a referral from your primary provider. Your primary provider will still oversee your routine health care needs.

Terms and Meanings

Primary Care Provider

Your main provider that cares for your basic health needs.

Referral

A written order from your primary care provider for you to see a specialist or get certain medical services.

Specialist

A provider that focuses on a specific area of medicine, or a group of patients, to diagnose, manage, prevent, or treat certain types of symptoms and conditions.

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Covered Medical Services

COVERED SERVICES

ND Medicaid covers preventive, emergency, and specialty care for your mental and physical health. All covered services must be medically necessary for ND Medicaid to cover the cost of services. Medically necessary means that you truly need to have the service. Your provider can help guide you in understanding if the medical care you want would be medically necessary for you.

Your provider can help you know whether ND Medicaid covers a service. 

ND Medicaid generally covers medical services, which are:

  • Provided by an ND Medicaid enrolled provider
  • Medically necessary
  • A ND Medicaid covered service

Some services have:

  • Limits, and/or
  • Authorizations or referrals required before receiving a service

If you are unsure whether a service is covered, ask your provider before you receive the service. Your provider should be able to help you.

NONCOVERED SERVICES

ND Medicaid does not cover all health care services. ND Medicaid will not cover your medical care if you are getting:

  • Services, drugs, or supplies that are meant for cometic purposes or do not directly relate to your health care
  • Drugs that are not FDA approved
  • Care more than 50 miles outside of North Dakota without being approved by ND Medicaid
  • Care from a provider who is not enrolled in ND Medicaid
  • Services and hospital stays that are not medically necessary 
  • Not a ND Medicaid covered service

You may be responsible for your medical costs if you get medical care that is not covered by ND Medicaid.

ENROLLED PROVIDERS

Your medical costs may be covered when they are billed by providers who are enrolled in ND Medicaid. This means that the provider has a contract with the ND Medicaid program. Your medical costs may not be covered if you see a provider who is not enrolled in ND Medicaid. Sometimes you may need to see a provider who is out-of-state. These providers will need to enroll with ND Medicaid to cover your medical costs. 

You can learn more about seeing a provider outside of North Dakota in the Out of State Services chapter of this handbook.

Terms and Meanings

Approved/Authorization

The decision Medicaid makes to pay for and allow you to have a service.

Durable Medical Equipment

Items or supplies you need to use regularly because of an injury or illness.

Hospice

Special services for a person who is in the final stages of their life and after their death.

Inpatient Care

Health care that you get when you're admitted as an inpatient to a health care facility, like a hospital.

Limits

The most Medicaid will cover for costs or services.

Long-Term Care

Cares for elderly or disabled members to get in their homes, communities, or facilities.

Manipulation

To adjust your joints or other body parts to relieve pressure or pain.

Primary Care Provider

Your main provider that cares for your basic health needs.

Prescription

An order from your provider for medications, equipment, testing, or supplies.

Referral

A written order from your primary care doctor for you to see a specialist or get certain medical services.

Requirements

Details that are needed to approve a service or program.

Services

Care, treatments, testing, checkups, equipment, supplies, and other ways your health care providers help you stay healthy.

Substance Use

The use of alcohol or drugs causing impairment, health problems, or failure to meet responsibilities at work, school, or home.

Targeted Case Management

Planning of assistance for members with special needs or conditions to gain access to medical, social, educational, and other services.

Non-Emergency Medical Transportation

Helps members travel to and from their medical appointments or services.

Vaccines

A substance that keeps you from getting sick with dangerous illnesses or diseases.

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Behavioral Health Care and Substance Use Disorder

Understanding Behavioral Health and Substance Use Disorder

Behavioral health services offer:  

  • Psychiatric and Psychological exams
  • Psychotherapy
    • Just for you
    • In a small group
    • With your family
  • Psychiatric treatment with a hospital or psychiatric unit stay (in-patient treatment)
  • Psychiatric treatment without a hospital stay (partial hospitalization)
  • Residential Treatment Centers for people under age 21
  • Substance Use Disorder Treatment Centers

How to Get Support

You can visit our Behavioral Health webpage to find out more. 
Call or Text: 988 (Suicide and Crisis Lifeline) if you are having a behavioral health emergency

Find a Human Service Center, Mental Health Program, or a Provider

North Dakota is divided into eight regions. Each region is made of counties that are close together. There is a human service center in each region. Human service centers offer behavioral health services to North Dakotans.
For more information about services in your area:

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Dental Care

Medicaid helps cover dental care for children and adults. Healthy teeth and gums have a big impact on your health. Some medical conditions and medications can put you at risk for oral health problems like gum disease.

You can take care of your oral health by seeing your dentist for regular cleanings and exams. Your exams may include getting x-rays, preventative treatments, and more. Coverage starts over for each person every January 1.


Some covered dental services include:

  • 2 cleanings per year
  • 2 exams per year
  • Cleanings
  • Tooth removal
  • Anesthesia
  • Dentures (partial and full)
  • X-Rays
  • Fluoride varnish 
  • Sealants (children only)
  • Braces (children only)
  • Fillings

To find a dentist in your area:

  • Visit www.insurekidsnow.gov.
  • Medicaid Eligibility Call Center contact information:
    • Toll-Free: 1-844-854-4825
    • Local: 1-701-328-1015
    • TTY: 711
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Emergency Health Care

Coverage for Emergency Services

A medical emergency is an event that could result in harm or danger for your health. If you are pregnant this includes your health and the health of your unborn child. During an emergency you should go to the nearest hospital or call 911. An ambulance can bring you to the hospital and care for you during your ride. Medicaid helps pay for these costs. Medicaid only covers ambulance services for medical emergencies. If you use an ambulance for a non-emergency, you will need to pay for the ambulance charges. You should find other ways to get to the hospital or emergency room if you feel like you need to be seen but are not having an emergency.

Urgent care services are for an illness or injury that is not life threatening but needs to be treated right away. Urgent care clinics (or walk-in clinics) can see you the same day. They can be used outside of normal office hours or when your regular provider cannot offer a timely appointment.

After care is the care that your provider may give you after you have had a medical emergency. Your emergency room providers will help you to know when you should get after care. 

Getting Help in an Emergency

If you are having an emergency: 

  • Call: 911
  • Call or Text: 988 (Suicide and Crisis Lifeline) if you are having a behavioral health emergency
  • Go to your nearest hospital emergency room 
     
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Non-Emergency Medical Transportation

Medicaid pays for Non-Emergency Medical Transportation (NEMT) for any covered medical service for members who need help getting to their appointments. NEMT may use public transport, taxis, personal vehicle transport, non-emergency ambulances, air transport, and transportation network companies.

To get more help with a ride, call the Customer Support Call Center.

Customer Support Call Center contact information:

  • Toll-Free: 1-866-614-6005
  • Local: 1-701-328-1000
  • TTY: 711
  • Email: applyforhelp.nd.gov
  • Mail: Customer Support Call Center PO Box 5562, Bismarck, ND 58506
  • Fax: 1-701-382-1006
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Out-of-State Services

Getting Serices in Another State

Sometimes you need to see a provider that is not in North Dakota. Your current provider may send you to a provider in another state. Medicaid can help with these costs. Before you get services outside of North Dakota, Medicaid needs to approve your medical services to pay for them. Your provider will help you get your out-of-state services approved. 

Planning Your Travel

You may need help planning your travel for out-of-state services. Once your human service zone worker gets your out-of-state approval and they authorize your services, they can help you plan your travel, including help finding a ride, meals, or lodging.

  • Contact your Human Service Zone Eligibility Worker
  • Customer Support Call Center contact information:
    • Toll-Free: 1-866-614-6005
    • Local: 1-701-328-1000
    • TTY: 711
    • Email: applyforhelp.nd.gov
    • Mail: Customer Support Call Center PO Box 5562, Bismarck, ND 58506
    • Fax: 1-701-382-1006
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Telehealth

Telehealth uses technology so patients can be seen by their provider without going into the office. Telehealth may be covered when it is offered by providers who are enrolled with ND Medicaid.
 

Telehealth can be used for services including:

  • Psychotherapy
  • Vision
  • Speech & Hearing
  • Neuropsychology
  • Physical & Occupational Therapy
  • Diabetes Management
  • 1915(i) Services
  • Behavioral Services
  • Dental

Call your provider and ask if you can use telehealth for your appointment. They will tell you how to use telehealth with the provider. 

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Tribal Health and Indian Health Services

More information coming soon!

Visit our webpage for Tribal Health and Indian Health Services 

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Vision Care

Medicaid helps pay for vision care so you can keep your eyes healthy, check your vision, and correct your vision when needed. 

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Medicaid Programs

North Dakota Medicaid offers additional programs that are listed below:

Breast and Cervical Cancer Screening Program


Medicaid pays for breast and cervical cancer screenings. Medicaid also pays for tools and tests that a provider uses to know if a patient has cancer. Medicaid covers women who don't have insurance and need medical care for breast cancer, cervical cancer, or pre-cancer.
To learn more about Medicaid Breast and Cervical Cancer Early Detection Program contact:

  • Customer Support Call Center contact information:
    • Toll-Free: 1-866-614-6005
    • Local: 1-701-328-1000
    • TTY: 711
    • Email: applyforhelp.nd.gov
    • Mail: Customer Support Call Center PO Box 5562, Bismarck, ND 58506
    • Fax: 1-701-382-1006
  • Medicaid Eligibility Call Center contact information:
    • Toll-Free: 1-844-854-4825
    • Local: 1-701-328-1015
    • TTY: 711
  • Email: medicaidcc@nd.gov
  • Visit our Human Service Zone office webpage to locate your local office and talk to an Eligibility Worker

To learn more about our Women’s Way program:

Children's Health Insurance Plan (CHIP)

This is a Medicaid plan that can cover health care for a child that does not qualify for Medicaid.

You can contact us for more questions about CHIP:

Colorectal Cancer Screenings

Colorectal screenings regularly check on the health of your colon and rectum. These screenings are important because cancer can develop in these areas of the body. This cancer may grow without you knowing it. When this happens, your provider may not know you have this cancer until it has grown into a later stage. Finding this form of cancer earlier offers you a better chance of surviving and tolerating the treatment.  
People who are ages 45-64 should get regular colorectal screenings regularly.

You can ask your primary provider how often you should be screened and how to make an appointment for your screening.

Visit our Colorectal Cancer Screening program webpage to find out more
 

Tobacco Cessation

North Dakota’s Medicaid program covers medication and counseling to help you quit using tobacco. Medicaid members do not need a prior authorization from their provider to get medication or counseling. 


North Dakota offers NDQuits to help North Dakotan’s quit smoking. This program also helps you quit using smokeless tobacco products like vapes or electronic cigarettes. You can begin a free program that helps you quit your way With NDQuits.

Find out more or sign-up:

 

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Understanding Cost

Medicare Savings Programs

These programs assist with Medicare costs for members who have low income and assets.

  • Medicaid Saving Programs pay for:
    • Medicare Part B monthly cost and yearly cost
    • Medicare co-insurance costs (20% of costs for services that Medicare allows
    • Monthly Medicare part A monthly cost (if not free)
  • Income and Assets
    • Monthly income is:
      • Wages
      • Social Security
      • Pensions 
      • Veteran’s benefits
      • Other sources
    • Monthly income must be less than the current income eligibility level. Only a portion of your wage is counted. Some assets are not counted. Your savings and other assets must be less than the Medicare Part D Low Income Subsidy asset levels for the year you apply. Income levels change yearly. Contact the Medicaid Eligibility Call Center for the current levels.
  • Eligibility
    • These plans are for people who have Medicare Part A and Premium-Part A
    • If you are eligible for one of the Medicare Savings Programs you are automatically able to get extra help with Medicare Part D Drug Plans
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Frequently Asked Questions

We get many questions about Medicaid. You can see some of our most frequently asked questions (FAQ) to see if you can find an answer!

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Your Rights and Responsibilities

Health Information Privacy Rights

By law, Medicaid must keep your PHI private. Medicaid gets PHI from you when:

  • You apply for Medicaid
  • When your health care providers send PHI to Medicaid to request approval and payment for your health care. 

Protected Health Information (PHI) is:

  • Any information that could be used to identify you like your:
    • Name
    • Address
    • Birth date
    • Phone number
    • Social Security number
    • Medicare or Medicaid number
    • Health information
    • Diagnosis
    • Treatments you have had
  • Information that is created or received by Medicaid that relates to your:
    • Past, present, or future physical or mental health condition
    • Health care services given to you
    • Payment for health care services
  • Information about your health insurance policies

The law makes Medicaid give you it’s Notice of Privacy Practices (NPP). The NPP describes Medicaid’s legal duties and privacy practices about your PHI. The NPP is shared in our facilities, on our website at: Notice of HIPAA Privacy Practices, and upon request. To request a copy of the NPP, please contact the Privacy Officer:

  • Toll-Free 1-800-472-2622
  • TTY: 1-800-366-6888
  • Mail: Privacy Officer, North Dakota Department of Human Services, State Capitol, 600 East Boulevard Ave. Dept. 325, Bismarck, ND 58505-0250
     
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Help Beyond Medical Care

Economic Assistance helps lower income North Dakotans when they are struggling to live safe and healthy lives. We can connect you to resources that can help meet your basic needs. There are several programs that assist in different ways.


Child Care Assistance Program (CCAP)


The CCAP helps pay for a portion of your childcare. This help is for low-income families who are working or in training or education programs. 


Supplemental Nutrition Assistance Program (SNAP)


SNAP offers help to buy food for lower income families so they can have a healthy diet and move toward self-sufficiency. 


Low Income Home Energy Assistance Program (LIHEAP)


LIHEAP assists households with the cost of heating, cooling, winterizing, emergency fuel assistance and more. 


Temporary Assistance for Needy Families (TANF) Program


TANF helps low-income families move from needing public assistance to being self-sufficient. TANF offers cash assistance, work readiness, training, and job placement services.


You may have already applied for these programs when you filled out your application for Medicaid. If you did not apply, are unsure if you applied, or would like to apply for any of these programs now:

  • Visit our Apply for Help webpage
  • Customer Support Call Center contact information:
    • Toll-Free: 1-866-614-6005
    • Local: 1-701-328-1000
    • TTY: 711
    • Email: applyforhelp.nd.gov
    • Mail: Customer Support Call Center PO Box 5562, Bismarck, ND 58506
    • Fax: 1-701-382-1006
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For more information on Medicaid Member Engagement or to share your feedback about our Medicaid Member Handbook:

Email: medicaidmembers@nd.gov