North Dakota will implement Dual Special Needs Plans (D-SNPs) on Jan. 1, 2025. The North Dakota Legislature authorized D-SNPs in Senate Bill 2265 in 2023.


Dual Special Needs Plans, or D-SNPs for short, are Medicare Advantage Plans that only enroll individuals that qualify for both Medicare and Medicaid.

Medicare Advantage Plans combine hospital, medical and some prescription coverage into a single plan. They offer a variety of additional services not covered by traditional Medicare like dental, hearing, vision and other benefits.

The plans are administered by private insurance companies and overseen by the Centers for Medicare and Medicaid Services.

D-SNPs differ from other Medicare Advantage plans because ND Medicaid is required to coordinate with the Medicare Advantage Organizations through a contract. The contract includes requirements to meet the unique needs of North Dakota’s dually eligible individuals.


ND Health and Human Services is now accepting contracts from private insurance companies for year 2025.  Completed contracts and questions can be sent to   

State Medicaid Agency Contract