Apply Online

Complete and submit an Application for Assistance for Medicaid (health care) coverage using our self-service portal. 

Apply now


On Paper

Complete the appropriate form below and return to a human service zone office. Find your local zone office. All applications are fillable .pdfs.


By Mail

Contact the Customer Support Center at (866) 614-6005 or 701-328-1000; 711 (TTY), or a human service zone office and request an application by mail. 

Application Assistance

NOTE: For free application assistance in person or virtually, call a ND Navigator at 800-233-1737 or visit their website. ND Navigators are a federally-funded enrollment assistance grant program and are not part of North Dakota Medicaid.


Additional Information

For information about public assistance programs, view the Application for Assistance Guidebook - Which contains IMPORTANT information about programs and client rights.