Important changes coming to North Dakota Medicaid.
Starting January 1, 2027, some North Dakota Medicaid Expansion members ages 19 to 64 will need to complete 80 hours of work or other qualifying activities each month to keep their coverage.
This federal change is to encourage people to work, learn skills for a job and give back to their communities.
Most North Dakota Medicaid Expansion members will not be impacted.
Does this apply to you?
The new federal rules do not apply to:
- Children (0-18)
- Older adults (65 and older)
- Parents, guardians or family caregivers of a child age 13 or younger
- Parents, guardians or family caregivers to someone with a disability
- People with a serious or complex medical condition that impacts daily living
- People in a drug or alcohol treatment program
- Pregnant women or current members who were pregnant in the last 12 months
- American Indians
- People who were released from jail or prison in the last 90 days
- Current and former foster youth under age 26
- A veteran with a total disability rating from Veterans Affairs
- People already meeting work requirements under the Temporary Assistance for Needy Families (TANF) or Supplemental Nutrition Assistance Program (SNAP)
What counts toward 80 hours?
Work
Job, internship or earn at least $580 per month
Job Training
Take part in job training or work program
Education
Attend college or career/technical education program at least half-time
Community Service
Volunteer in your community
You can combine activities to reach 80 hours.
Example: 60 hours of work + 20 hours of volunteering = 80 hours.
If you are required to meet these new rules and you don’t, you could lose your Medicaid Expansion coverage.
Applying for Medicaid Expansion for the first time?
You'll need to show that you met the required work or other approved activities during the month before you applied.
Take Action: Here’s how you can prepare
We want everyone who qualifies for Medicaid Expansion to stay covered. Be sure to keep your contact information up to date, so we can send you important updates. Also, check this page often for new information.
Update Information
If you have moved or your contact information has changed, let us know!
Check Your Mail
If you get a letter from North Dakota Medicaid, open and read it.
Respond
Missing deadlines could result in a loss of coverage.
Update your information in the Self-Service Portal (SSP)
New to the SSP? Visit the SSP Help Page for videos, FAQs and more.
You can also update your contact information or ask questions about your coverage by contacting the Customer Support Center.
Phone: Toll-Free 866-614-6005 or 711 (TTY)
Email: applyforhelp@nd.gov
Mail: P.O. Box 5562 Bismarck, ND 58506
In-Person: Visit a human service zone office. Find one near you.
Customer Support Center is available Monday-Friday, 8 a.m.- 5 p.m. CT.
Other changes coming
The new work requirements are just one of several changes coming to Medicaid. Other updates include more frequent eligibility reviews and new cost-sharing requirements for some members. Learn more at hhs.nd.gov/stayenrolled.