North Dakota Medicaid Eligibility Calculator (2026)
North Dakota covers children inside Medicaid up to $4,668 a month for a family of three and adults up to $1,836 a month; pregnancy stops lower, at $3,985.
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Eligibility checklist
Children and pregnancy
Regular Medicaid covers children under six to 147% of the poverty line and older children to 133%; CHIP funds extend all of them to 200% within Medicaid, so there is no separate CHIP application.[MACPAC] Pregnancy coverage ends at 170%, below the children’s line.[MACPAC]
| Group | FPL | 1 | 2 | 3 | 4 | 6 |
|---|---|---|---|---|---|---|
| Adults 19–64 | 138% | $1,836 | $2,489 | $3,142 | $3,795 | $5,102 |
| Pregnancy | 175% | $2,328 | $3,156 | $3,985 | $4,813 | $6,470 |
| Children | 205% | $2,727 | $3,697 | $4,668 | $5,638 | $7,579 |
A 209(b) state with a built-in disregard
For aged, blind and disabled residents North Dakota applies its own standard of about 90% of the poverty line. Its medically needy income limit is only about $500 a month, but the state disregards income between that figure and 90% of the poverty line, which effectively raises the spend-down threshold to 90%.[MACPAC]
Postpartum
North Dakota’s 12-month postpartum extension was approved January 12, 2023.[KFF] Newborns of covered mothers are deemed eligible to 170% of the poverty line.[MACPAC]
Applying
Use the Apply for Help portal from North Dakota Health and Human Services. Parents have their own group to 40% of the poverty line; the expansion, in place since January 1, 2014, covers them above it.[MACPAC][KFF]
Worked example
A Fargo couple expecting a baby (three people for Medicaid) earns $4,700 a month. That is 206.4% of the poverty line for 3.
| Pregnant | over by $715 | $3,985 |
| Adult 19–64 | over by $1,558 | $3,142 |
Nearby: Minnesota · South Dakota · Montana. How limits are applied · Apply for Help (ND HHS) · Report a correction