Medicaid Member News

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Medicaid Member E-Newsletters

Get the most from ND Medicaid with program updates, seasonal reminders for staying healthy, resources for help, and more! Together we can make North Dakota the healthiest state in the nation!

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Make sure your medical bills are paid

Your health care providers and ND Medicaid must have all your health care coverage information. Health care providers include your pharmacies and health care facilities.

ND Medicaid and other health care coverage

Some of our members have more than one source of health care coverage. If you have other health insurance and ND Medicaid coverage, both parties work together to cover your medical costs. When your health care providers and ND Medicaid don’t know about your other health insurance, certain billing errors can happen. You must tell all your health care providers and ND Medicaid about all active health insurance you have. You must also let your health care providers and ND Medicaid know when your other health insurance ends. When this happens, you need to send ND Medicaid a document from your other health insurance company stating the dates your coverage ended.

Client share

Some of our members have a recipient liability or a client share. This means that the member must help pay their medical costs. Your client share is the amount of health care costs that you are responsible for paying. You must pay your client share amount every month before ND Medicaid starts covering the remaining costs. 

You can learn more about your costs and member responsibilities in the “Understanding Cost” and “Your Responsibilities” chapters of the Medicaid Member Handbook.

If you have any questions or concerns, contact the Customer Support Center, Monday-Friday, 8 a.m. – 5 p.m. CT:

Best practices for therapy appointments 

Each calendar year, our members can have one evaluation for each: physical, occupational and speech therapy. 

A therapy evaluation is the first appointment where your therapist reviews your condition and makes a plan to treat you. Your health care provider will order your therapy evaluation. Evaluations must be done by the therapist or facility you will see for your full treatment plan. Consider requesting a therapist or facility that is located near you, so you don’t miss appointments.  

You should not have more than one evaluation for the same condition. If you feel you need another evaluation or a different therapist, you should talk to the provider who ordered your evaluation. You may not get a new evaluation approved if you have missed appointments or failed to follow your current treatment plan. 

Evaluations are just the beginning of your treatment. Your full treatment plan may include more appointments and a home exercise program. You should attend all the appointments your therapist recommends. You should follow all your therapist’s instructions for activities to do at home that support your therapy. Ending your treatment plan early because you start feeling better may result in your symptoms returning because you weren’t fully treated.

Community health worker services now covered

Now, you can get covered services from a community health worker (CHW). CHWs work with members who have chronic health conditions, are at risk of or already have a chronic health condition or have documented barriers to getting regular health care. 

CHWs work with you to slow the development of and manage your chronic health condition. Your CHW can help you better understand your health through coaching, education and training. They can help you use preventive health care practices instead of emergency health care services. They can connect you to health care systems and social service resources.

CHWs can offer services in health care clinics, community settings, through telehealth or in your home. CHWs are supervised by a doctor, dentist, pharmacist or other licensed practitioners.

For more information on whether there is a CHW in your area, check in with your provider. If there is a CHW working near you, your provider can put in a referral to get you started with a CHW.

Human service centers become behavioral health clinics

North Dakota Health and Human Services has renamed the state’s regional human service centers. They are now called regional behavioral health clinics. This name better reflects the behavioral health care and supports they offer.

The clinics continue to offer therapy, case management, medication support, substance use treatment, walk-in assessments and 24/7 crisis care. There are no changes to locations or hours. You can learn more about these changes!

Find a regional behavioral health clinic near you. 

Prior authorization updates

A prior authorization (PA) is the process of approval for medication costs to be covered.  

As of January 1, 2026, a PA is required for generic liraglutide. If you use this product, you may have to switch to a similar medication, either Ozempic or Rybelsus.

You can see if Medicaid covers your medications with our look-up tool. If these changes affect you, visit with your doctor or pharmacist so they can work with us and make sure you get the medications you need!

Take charge of your coverage with the SSP

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 will need your client ID number to log in. You can find this by calling our Customer Support Center, Monday-Friday, 8 a.m. – 5 p.m. CT:

Explore the Self-Service Portal
Find help using the SSP

Winter prep: coats, mittens, vaccines, go

Flu and other respiratory viruses circulate in the winter. Vaccines are the best way to keep you from getting sick from serious respiratory viruses. Those most at risk include children ages 5 and younger, pregnant women, older adults and those with underlying health conditions.

Be prepared by getting your seasonal respiratory immunizations. It's not too late. Your trusted clinic or pharmacy can get you up to date on your immunizations.

Know which immunizations are suggested at different ages. You can also check with your family’s health care provider. 

Check your family’s immunization records online. You can also check with your local public health unit or your health care provider.

Find out why you should vaccinate. 

Pre-plan when you can 

Pre-planning your health care appointments can make all the difference in your treatment experience.  

We've got some great tips for working with your health care professionals and how to know where to go for treatment! 

Pre-planning your health care appointments can make all the difference in your treatment experience.  

Cancel appointments as soon as you know you can’t attend:
When you can’t attend your appointment, cancel and/or reschedule.

Pre-plan your health care:
Schedule health care appointments ahead of time. Schedule summer child wellness checks and combine them with sports physicals!

Ask about your Medicaid coverage:
Ask your provider if Medicaid will cover your medical care. Review our Medicaid Member Handbook to learn more about your coverage.

Know where to go for treatment:

  • Provider’s office
    • For services like: Wellness checks, counseling, vaccines, non-emergent concerns, manageable pain
    • Wait: You will have less wait time at the office because you have an appointment
    • Cost: Less costly for members with recipient liability
  • Urgent care clinic
    • For services like: Unmanageable pain or illness, a worsening condition, minor injuries
    • Wait: Wait times vary depending on how many patients need to be seen
    • Cost: Moderate cost for members with recipient liability
  • Emergency room (ER)
    • For services like: Life-threatening conditions, uncontrolled bleeding, extreme fever, severe cuts, difficulty breathing, broken bones
    • Wait: Wait times can be lengthy depending on how many patients are at the ER
    • Cost: Most costly for members with recipient liability

Medicaid Member Handbook 

Hey members, did you know you have a handbook? You do! The ND Medicaid Member Handbook teaches you more about covered services, shares contact information and offers web links. This handbook covers dental, vision, behavioral health, out-of-state services, understanding cost, keeping your coverage and the list goes on. We even added a search bar.

Check out your ND Medicaid Member Handbook

Winter wellness reminders

Our weather is getting colder, and flu season is arriving. Keep your child healthy with these seasonal tips:

  • Keep your child’s immunization record accurate by getting their vaccines on time.
  • Ask your provider to vaccinate your child during their wellness visit or at an already scheduled, upcoming appointment.
  • Teach your children when to wash their hands and why washing matters.
  • Make sure your child is eating a healthy diet, staying hydrated and getting enough sleep.
  • Keep your child home when they aren’t feeling well.

Learn more ways to keep your child healthy at school this season

Medicaid Member Engagement Committee 

ND Medicaid wants YOU! Our member-based committee has three open seats. ND Medicaid members, former members and family caregivers to current members can apply. We want the MMEC to be a diverse group of people who want to make a difference.

Together, we can improve ND Medicaid with our experiences, ideas and suggestions. Apply today and make a difference in the health care coverage experience for your family, your community and yourself.

Learn how to use your experience to make a difference

Member engagement and resources webpage 

Do you need to find a provider? Do you need to ask a question about your Medicaid coverage? Do you want to access your Self-Service Portal? You can do it all and so much more from the webpage we built just for you.

Visit your member resources webpage

Using your Medicaid coverage with other insurance 

Billing delays and problems can happen when active health insurance policies are not billed in the right order. 

You should tell your health care providers about every insurance policy that you have. This includes health care providers, pharmacies and medical facilities. 

You should review the Medicaid Member Handbook to know how to properly use your Medicaid coverage. 

Contact the Customer Support Center if you have questions:

Customer Support Center, Monday through Friday, 8 a.m. – 5 p.m. CT

Member feedback 

Want to know what we’ve been hearing from members like you? You can explore our past, current and upcoming member feedback events and what we’ve learned so far. 

Do you have an idea or suggestion for ND Medicaid? ND Medicaid and the Medicaid Member Engagement Committee want to work on improvements that matter most to you. 

Share your thoughts for a better experience with us

New Provider Directory

We have updated our Provider Directory. The new Provider Directory is easier to use and offers a map. Now, you can narrow your search for a health care provider using filters. 

Filters include provider name, type, location, available accommodations and so much more.

You can find the Provider Directory on the Member Engagement and Resources webpage, within the Medicaid Member Handbook and on our North Dakota Medicaid webpage.

Find a provider

Medicaid member feedback summary

Recently, we held a virtual member listening session, month-long survey, and focus group. Here is what we learned:

Feedback for the MMEC:

The Medicaid Member Engagement Committee (MMEC) is a member-based committee that advises ND Medicaid based on their experiences. 
The MMEC should be a meaningful team that supports better health outcomes. MMEC members should come from different walks of life and ND Medicaid coverage experiences. The MMEC should promote itself using fliers, social media, and storytelling through videos. 

Feedback for ND Medicaid:

ND Medicaid should continue to support equal access to health care, engage with the community, reduce barriers, and connect members to health care providers and support staff. Members need more information on services and coverage. Members want to easily connect with E-News, the Customer Support Center, website content, and the Self-Service Portal (SSP). Members are asking us to make the SSP, our notices, and our website easier to use and understand.

Members want another focus group, survey, and listening session to check on the improvement process. See the full summary.

Have you tried our Self-Service Portal?

Our Self-Service Portal (SSP) is a website where you can complete your reviews, update your information, upload documents, and view notices. Sign up or login to get started!

Sign up for the SSP 

Get help using the SSP

Medication prior authorization updates 

A prior authorization (PA) is a process used to approve medication costs. The need for a PA is changing for some medications. There may be other medication options for you. 

As of July 1, 2025, PA is needed for the following diabetes medications. If you use these products, you may have to switch to a similar medication, either Tradjenta or Jentadueto.

  • Januvia
  • Janumet
  • Janumet XR
  • Jentadueto XR

Starting on Oct. 1, 2025, PA will be needed for the following asthma and COPD medications. If you use these products, you may have to switch to a similar medication called Dulera.

  • Advair HFA
  • Advair Diskus
  • Airduo Respiclick

You can see if Medicaid covers your medications with our look-up tool. If these changes affect you, visit with your doctor or pharmacist so they can work with Medicaid and make sure you get the medications you need!

Health Tracks team gets a new name! 

Medicaid is excited to share a new chapter for the former Health Tracks team, who will now be called the “Quality Outreach Team”!  

We’ve updated our name to better reflect the work of our dedicated team. While “Health Tracks” focused on children’s preventive services, our mission has grown to support the quality and health goals of all our members.

You will still connect with the same staff for you and your child’s wellness questions. Our email has changed to reflect our new name. You can email your member-related wellness questions to qualitymemberoutreach@nd.gov. You can call us to ask member-related wellness questions at (701) 328-2014, press 1, or 711 (TTY). We are excited to continue supporting our valued members under our new name!

Online tool locates farmers markets accepting SNAP EBT

Fall is the perfect time to visit a farmers market. You will find pumpkins, squash, and other fresh fruits and vegetables. Now, there’s a tool that helps people find North Dakota farmers markets that accept Supplemental Nutrition Assistance Program (SNAP) Electronic Benefits Transfer (EBT) cards. 

It’s easy to use!

  1. Visit the EBT webpage.
  2. Click on the gray box called “Use your EBT card at participating farmers markets.”
  3. A North Dakota map will appear with all farmers markets. Those with yellow stars accept EBT cards.
  4. Click on the yellow stars to see market hours and what food items are being sold. 

Using EBT cards at farmers markets helps bring home healthy, local food for your family!

See all the fresh goods you can find by watching our farmers market EBT video. 

HHS offers suicide prevention and recovery resources

North Dakota Health and Human Services is recognizing Suicide Prevention Month and National Recovery Month this September.

Both highlight hope, connection, and the importance of supporting North Dakotans impacted by behavioral health challenges.

Support resources in North Dakota:

  • Find services: Find behavioral health services for adults, youth, veterans, tribal communities, and more on the Find Services webpage.  
  • Regional behavioral health clinics: Mental health and substance use services statewide. Find a behavioral health clinic location.
  • 988 Suicide and Crisis Lifeline: Support from trained crisis counselors is available 24/7. Call or text 988 or chat https://988lifeline.org/.
  • Parents Lead: Free tools for parents, caregivers, and professionals to reduce stress, notice early signs of behavioral health concerns, and build protective factors. Learn more: ParentsLead.org.

Learn more about suicide prevention.

Don’t fall behind on your vaccines 

Vaccines are one of the best ways to prevent serious illness from many diseases.

Parents can help keep kids healthy by staying on track with regular wellness visits and immunizations. 

Want to know which immunizations are suggested at different ages? Visit hhs.nd.gov/immunizations or talk with your child’s doctor or other trusted health care provider. 

You can also check your family’s immunization records online at hhs.nd.gov/IRR or by contacting a local public health unit or health care provider.

Why vaccinate? Watch our Because video. 

Help transform your rural health care! 

Our rural health care system supports the health care and long-term wellness of our rural members. We are creating a Rural Health Transformation Program. This program will strengthen the rural health care system. We want to better understand rural community health needs so we can make this program effective for you! Help us understand your rural community health needs by taking our 15-20 minute online survey before Sept. 12, 2025.

Find out more about our new Rural Health Transformation program 

What is a Biosimilar?

Some medications are called biologics. Generic medications are either a copy of a brand medication or a brand medication in a generic package. The generic version of a biologic is called a biosimilar. Biosimilars have been available for several years and are as safe and work the same as the original biologic.

Biosimilars might cost less money sometimes, but they work the same. In some cases, ND Medicaid will cover biosimilar medications instead of the original biologic. Talk to your doctor or pharmacist if you are asked to change to a biosimilar and have questions.

For more information, visit the USDA website.

Invest in your health with a wellness visit 

Have you had your yearly wellness visit? Your yearly wellness visit is your chance for a physical exam. You can talk with your health care provider about your overall health. You can address any concerns you may have. Regular checkups can help you stay healthy! During your yearly wellness visit, a provider can help you:

  • Renew needed medications
  • Keep up-to-date on screenings and vaccinations
  • Catch health risks before they become more serious
  • Learn about healthy habits 

Think of it as an investment in your future self. Don’t wait – schedule your wellness visit now and stay ahead of your health.  
Not sure where to start? Find a community health center near you.

Sports physical + Wellness visit = A big win!

Are your kids playing fall sports? It is recommended that you get their sports physical done between mid-April and before school starts. 

Is your child due for their regular wellness visit?  A wellness visit helps your child stay on track with their health and development. 

Now is a great time to make an appointment for their sports physical AND wellness visit together! We may be able to pay for your child’s sports physical when done during their wellness visit. Save your time and money; make an appointment with your provider for both!

Visit the Medicaid Member Handbook to learn more.

Translate my Medicaid!

North Dakota (ND) Medicaid serves many members who are new to the United States (U.S.) and North Dakota and speak languages other than English. Some of our members experience other barriers to understanding their coverage. Here are some ways we support them:

  • Our Member Engagement and Resources webpage offers prompts to translate our entire website to a preferred language!
  • Our newest webpage, Understanding Health Care in the U.S., breaks down the health care system in the U.S.
  • We are designing a flyer showing members they can learn more about Medicaid in their preferred language.
  • We cover American Sign Language (ASL) interpreter and language translator services during Medicaid-covered appointments. You can help arrange these services with your health care provider.
  • Members can get free interpreter services to understand notices and get help over the phone by calling the Customer Support Center:
    • Phone: 866-614-6005 or 701-328-1000
    • 711 (TTY)
    • Fax: 701-328-1006
    • Mail: Customer Support Center
               P.O. Box 5562
               Bismarck ND 58506
    • Email: applyforhelp@nd.gov 

Medicaid member feedback summary 

We recently hosted multiple events to better connect with our current and recent members and their family caregivers.

During our May 6 virtual member listening session, we asked more than 120 members for feedback on ND Medicaid. We explored what areas of ND Medicaid need our attention most and how to build a meaningful member-based committee.

Fifty four members took surveys showing us that members want us to focus on the eligibility process, dental services and non-emergency medical transportation. We found that our members were looking forward to sharing more during our June 13 focus group. They would also like to take another survey and are interested in joining the Medicaid Member Engagement Committee.

We are reviewing the information from the member survey and focus group now. We look forward to sharing the feedback we gather and continuing to involve you in shaping ND Medicaid!

Personal needs allowance increase 

We've raised the personal needs allowance amount, making it possible for our members living in facilities to keep more of their money! You may live in a nursing home, basic care facility or an intermediate care facility. This allowance may also apply to your Social Security Insurance subsidy.

Starting July 1, 2025, we have raised this amount by $15 per month. This helps you save and spend more of your personal funds as you choose. This amount is reviewed every year for inflation impacts.

Appealing a ND Medicaid Decision

ND Medicaid may deny, change or end your coverage. This can happen for different reasons. An appeal is when you ask Medicaid to take a closer look at the decision that has been made.

What do you do when your coverage is changed or a service was denied, and you feel the decision was incorrect? You appeal the ND Medicaid decision. 

You can do this by: 

  • Visiting our File an Appeal webpage
  • Call to ask for an appeal or ask a question:
    • Toll-Free: (800) 472-2622
    • Local: (701) 328-2311
    • 711 (TTY)
  • Send a written request for an appeal:
    • Email: dhslau@nd.gov
    • FAX: (701) 328-2173
    • Mail: Appeals Supervisor
               North Dakota Health and Human Services
               600 E. Boulevard Ave., Dept. 325
               Bismarck, ND 58505-0250

Remember to ask for telehealth! 

Are you traveling long distance to visit with your health care provider? Don’t forget to ask them if your appointment can be done through telehealth! 

Telehealth is a way to see your provider through video or phone. You will likely need internet connection, a phone and privacy. 

If your provider offers telehealth, ask if ND Medicaid will cover it. Telehealth appointments can save you the time cost of long-distance travel. 

Medicaid member feedback opportunities 

We want to connect with our current and recent members, members’ family caregivers, and those who support our members. 

We want your feedback on ND Medicaid and your recommendations for the Medicaid Member Engagement Committee’s (MMEC) best practices during our upcoming member engagement events.   

Members could receive a $50 gift card for participating! Our partner, Center for Health Care Strategies, has provided funding for these events and our partnership with Justice Well.

The Justice Well Program has partnered with us to coordinate these events. The Justice Well program offers tools and support for recovery and behavioral health to individuals impacted by the justice system. We look forward to our work with Justice Well to connect with members across the state and from various walks of life.

Explore opportunities to give us your feedback!

Bright smiles for a bright spring 

Our teeth help us eat, talk, and smile! Keep your child’s teeth healthy by starting these good dental habits early:

  • Floss once a day
  • Visit the dentist regularly
  • Brush teeth twice a day with a fluoride toothpaste

Fluoride strengthens tooth enamel. Enamel is the hard, protective outer coating of the tooth. Strong tooth enamel helps prevent cavities. Fluoride is brushed on your teeth to prevent cavities. Ask your dentist if you should get a fluoride treatment. Find a ND Medicaid enrolled dentist in your area at www.insurekidsnow.gov. 

Learn more about keeping your child's teeth healthy.

Understanding generic and brand name ADHD medications

Brand name medications are only sold by the drug company that owns the patent. After the company’s patent expires, other companies can sell the drug as a generic.

Generic medications are either a copy of a brand medication or an exact brand medication in a generic package.

Generic and brand attention deficit hyperactivity disorder (ADHD) medications should work the same. Generics are often cheaper. ND Medicaid will pay for the cheapest option.

If one generic doesn’t work, you must try all other generics that your pharmacy can order before ND Medicaid can cover the cost of a brand. If the generic that is brand in generic packaging does not work for you, ND Medicaid will not cover the brand because it will not work differently or better.

The Food and Drug Administration (FDA) has strict standards for generic medications. If a generic doesn’t work for you, your doctor reports this to the FDA so they can check for concerns with that generic.

Schedule your child’s well-visit: A healthy start for a bright future!

Your child deserves a bright and healthy future! Regular well-visits help track growth, prevent illness, and keep them thriving.

That’s why ND Medicaid covers child well-visits. You may already have a pediatrician or primary care provider who you trust. They can tell you if your child is due for a well-visit. 

If you don’t have a provider yet, community health centers can be a great place to start. All individuals, infancy through adulthood can be seen. You will get overall, whole person care regardless of insurance status or ability to pay. Find out if there is a community health center near you. 

Extended coverage for new moms

Did you know new moms stay covered by ND Medicaid for 12 months after the day their baby is born regardless of their financial state?  
New moms, find out more about your extended coverage!

Helpful Medicaid tips

Do you need a new Medicaid card? Do you need to know your client ID or case numbers? You can contact our Customer Support Center, Monday-Friday, 8 a.m. - 5 p.m. CT:

  • Phone: 866-614-6005 or 701-328-1000
  • TTY: 711
  • Free translation is available
  • Fax: 701-328-1006
  • Mail: Customer Support Center 
    P.O. Box 5562
    Bismarck ND 58506
  • Email: applyforhelp@nd.gov

You can find Medicaid-related information at www.hhs.nd.gov. Simply type what you are looking for or type “Medicaid” in our search bar. Our website will suggest pages to help you find the information you need!

Sign up for the Self-Service Portal (SSP) to complete a review, update your information, upload documents, and view notices online. You can also get help using the SSP here.

Pre-plan when you can

We've got some great tips for working with your health care professionals and how to know where to go for treatment! 

Pre-planning your health care appointments can make all the difference in your treatment experience.  

Cancel appointments as soon as you know you can’t attend: When you can’t attend your appointment, cancel and/or reschedule.

Pre-plan your health care: Schedule health care appointments ahead of time. Schedule summer well-child visits and combine them with sports physicals!

Ask about your Medicaid coverage: Ask your provider if Medicaid will cover your medical care. Review our Medicaid Member Handbook to learn more about your coverage.

Know where to go for treatment:

  • Provider’s office
    • For services like: Wellness checks, counseling, vaccines, non-emergent concerns, manageable pain
    • Wait: You will have less wait time at the office because you have an appointment
    • Cost: Less costly for members with recipient liability
  • Urgent care clinic
    • For services like: Unmanageable pain or illness, a worsening condition, minor injuries
    • Wait: Wait times vary depending on how many patients need to be seen
    • Cost: Moderate cost for members with recipient liability
  • Emergency room (ER)
    • For services like: Life-threatening conditions, uncontrolled bleeding, extreme fever, severe cuts, difficulty breathing, broken bones
    • Wait: Wait times can be lengthy depending on how many patients are at the ER.
    • Cost: Most costly for members with recipient liability

Finding a great provider for your family is our priority too! 

We know you’re busy, and finding a new provider is one more thing to do. Let us help! 

Use our Provider Directory to find all types of ND Medicaid providers within 50 miles outside of all ND borders. Our list can be sorted by provider type, city, and more. 

If you are needing help finding a provider and this tool isn’t for you, contact our Customer Support Center, Monday-Friday, 8 a.m. - 5 p.m. CT:

  • Phone: 866-614-6005 or 701-328-1000
  • TTY: 711
  • Free translation is available
  • Fax: 701-328-1006
  • Mail: Customer Support Center
  • P.O. Box 5562
  • Bismarck ND 58506
  • Email: applyforhelp@nd.gov 

Celebrate Mental Health Awareness with a new family activity book

A graphic image that says mindful moments with yellow, blue and light blue faces showing expressions

May is Mental Health Awareness Month—a time to recognize the importance of emotional well-being and to share resources that help families grow stronger together. To support this effort, we’re excited to introduce a brand-new tool designed for families: Mindful Moments – An Activity Book for Calm, Creativity, and Reflection.

Created by Parents Lead, this free, printable activity book helps families slow down, reflect, and connect through fun, easy-to-use pages focused on mental wellness. Whether it's navigating big feelings or creating space for small, meaningful conversations, Mindful Moments offers gentle ways to support healthy development—emotionally, mentally, and socially.

Download activity book

Medicaid Member Handbook highlights

Your Medicaid Member Handbook tells you about your health care coverage in a way that is easy to understand. 

You can also find contact information and links to helpful webpages. 

We recently added information to the following chapters:

  • Behavioral Health Care and Substance Use Disorder
  • Dental Care
  • Durable Medical Equipment
  • Emergency Health Care
  • Out-of-State Services
  • Where to Find Health Care

We look forward to updating you again as our work continues!

Check out your Medicaid Member Handbook

Medicaid Member Engagement Committee updates

Self-advocacy is speaking up for yourself. It's an important way to take care of you. As a member, you are the expert on your health care coverage. The Medicaid Member Engagement Committee (MMEC) is made up of members like you. 

Last year, the MMEC worked on member news, the Medicaid Member Handbook, and the member engagement and resources webpage. They learned about ND Medicaid through guest speakers, shared suggestions for coverage, and worked on improving notices you receive in the mail. 

The MMEC is ready for another year of work. They are taking applications from current ND Medicaid members and their caregivers, and recent members. Apply and share your voice! 

Apply to the MMEC

Join our virtual listening session!

We invite you to help make North Dakota the healthiest state in the nation! 

We want to connect with our current and recent members, caregivers of members, and others who support our members. 

We also want your help to create a more supportive and meaningful Medicaid Member Engagement Committee (MMEC). Let us know what you think is working well and what could be improved with ND Medicaid. 

Join our virtual listening session on Tuesday, May 6, 2025, from 3-4:30 p.m. CT, via Microsoft Teams.  

The Justice Well Program has partnered with us to host this listening session and other opportunities for you to share your thoughts on ND Medicaid. The Justice Well program offers tools and support for recovery and behavioral health to individuals impacted by the justice system. We look forward to our work with Justice Well to connect with members across the state and from various walks of life.

See the listening session information

Take control of your health care coverage!

Managing good health includes being involved in decisions about your health care coverage.

ND Medicaid follows policies to make sure we deliver fair and accurate Medicaid coverage. Policies describe what services are covered, when they can be used, how to access them, and more. 

When ND Medicaid has a policy change, we offer a two-week period of time called public comment. This time allows you to comment on the proposed changes. 

You can visit our Public Comment Notification webpage to learn about the public comment process. Sign up to get notices on policies open for public comment.

Being an advocate for yourself and your community during the public comment period puts you in control of your health care coverage.

Addiction recovery support is here!

If you or someone you know is looking for help in their recovery from addiction, Recovery Talk can help.

Recovery Talk is a free and private service where you can talk with a trained peer support specialist who has lived experience. Your specialist will listen and provide you support. You can call or text anytime, day or night, at (701) 291-7901.

You can also sign up to receive a call or text from a trained peer support specialist who can support you when you need it the most. 

Recovery Talk is offered by North Dakota Health and Human Services.

Learn more about Recovery Talk

Get Naloxone from your pharmacist

Medicaid is making it easier for you to access the life-saving medication, Naloxone. Naloxone is used to treat overdoses caused by opioid or narcotic medications.

Your pharmacist can give you naloxone without you having to visit a doctor or get a prescription first. Pharmacies enrolled with ND Medicaid may dispense over-the-counter Naloxone products at no cost to Medicaid members. Participating local public health units also have Naloxone onsite. 

See if your local public health unit offers Naloxone

Read more about expanded access to Naloxone

Colorectal cancer awareness. Screening saves lives.

Colorectal cancer is one of the most commonly diagnosed cancers. It affects both men and women. Recent trends show rates rising in younger people. 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 with colorectal cancer, polyps, or have certain medical conditions like ulcerative colitis. 

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. There are different test options. Some tests can be done at home. Ask your primary care provider about screening options that are right for you. ND Medicaid covers cancer screening and treatment services for members.  

Have you tried our Self-Service Portal?

Our Self-Service Portal (SSP) is a website where you can complete your reviews, update your information, upload documents, and view notices. Sign up or log in to get started!

Sign up or log in with the SSP 

Get help using the SSP

We need your updates!

Have you moved, changed your phone number, or had a change in your employment or household size?

  • It is important to let us know and send us proof of these changes. You can report changes or get help by contacting the Customer Support Center.
  • Check your mail and read letters from ND Medicaid. There may be very important information included that can keep your coverage active.
  • Complete any forms we send you right away and send them back. We understand forms can get lost or forgotten. Taking care of them right away gets it off your mind!

Customer Support Center:

  • Toll-Free: (866) 614-6005
  • 711 (TTY)
  • Email: Applyforhelp@nd.gov
  • Fax: (701) 328-1006
  • Mail: Customer Support Center
    PO Box 5562 
    Bismarck ND 58506 

Coverage changes for diabetes supplies

Tubeless insulin pump coverage for Type 2 diabetes:
We cover the tubeless insulin pump, Omnipod, for people with Type 1 diabetes. Starting Jan. 1, 2025, if you have Type 2 diabetes, Omnipod may be covered for you if you are on an insulin pump or if you need multiple shots of insulin in a day. You should talk to your provider to see if this is an option for you.

New continuous glucose monitor coverage:
We cover the Continuous Glucose Monitor (CGM), Dexcom. This CGM works with most insulin pumps, but not Medtronic insulin pumps.

As of Oct. 1, 2024, we may be able to pay for the Guardian CGM that works with the Medtronic insulin pump. Talk to your doctor about the Guardian CGM if:

  • You have a Medtronic insulin pump and need a CGM that works with your insulin pump; and
  • You have had the Medtronic pump for more than a year; or
  • Had a Medtronic insulin pump since before you were on Medicaid.

Coverage changes for diabetes supplies:
Starting Jan. 1, 2025, we are changing which brands we will cover for blood glucose test strips, insulin syringes, and pen needles for diabetes. If you use these products, you may have to switch brands. 

Please work with your doctor or pharmacist if you must change brands or need help learning how to use the new brand of diabetic supplies.

Workers with Disabilities program 

Workers with Disabilities Medicaid coverage allows some members to work or increase their earnings without fear of losing their Medicaid coverage. 

The program provides coverage through Medicaid, including dental and mental health coverage. This program requires the member to pay a premium. You can apply at a human service zone office.

Don’t lose your benefits!
Already on the Workers with Disabilities program? Get your requirements processed on time by:

  • Submitting income/paystubs by the 5th of each month as premiums will be figured correctly and timely.
  • Make your premium payment by the 15th of each month (does not apply to Native American members).
  • Return the portion of your notice that includes your client ID number when sending in payments.
  • Write your client ID number in the “memo” section of your check.

Learn more about the Workers with Disabilities program.

Medication coverage updates

A prior authorization (PA) is a process of approval for medication costs to be covered. The need for a PA is changing for some medications. There may be other medication options for you. 

Review the following changes and work with your doctor or pharmacist if these changes affect you.

Starting Jan. 1, 2025:

The migraine medication, Sumatriptan for nasal and injectable use requires PA. If you use these products, you may have to switch to a medication that you take by mouth. 

The high cholesterol medication, Praluent will require PA. If you use this product, you may have to switch to a similar medication called Repatha. 

The Attention Deficit Hyperactivity Disorder (ADHD) stimulants, Jornay PM, Aptensio XR, and amphetamine non-solid dosage forms (liquid, chewable tablets, dissolvable tablets, patches) will require PA. If you use these products, you may have to switch to a similar medication. All ADHD stimulants for children under six years old will require PA. Your doctor can discuss ways to help ADHD without medication and decide if medication is still needed.

Durable Medical Equipment survey

Durable Medical Equipment (DME) helps you in your activities of daily living. DME may be incontinence products, wound care supplies, or mobility devices. 

If you struggle with walking, dressing, bathing, or eating, DME can help you prevent injury, recover from surgery, and improve your independence. 

If you, or someone you know could benefit from DME, talk to your health care, urgent care, or ER provider. They can help get the right DME for you. 

We want to know what you know about Medicaid coverage for DME. You may see a survey about DME in your mail or email this month. Taking this survey helps us better serve our ND Medicaid members!

If you have questions or concerns about DME, contact the DME Administrator, Tammy Holm at:

What is a community health center and how do I find one?  

Community Health Centers (CHC) provide care to rural and urban communities. 

CHCs have services that promote health, diagnose and treat disease, and manage diabetes and other chronic conditions. CHCs offer dental, medical, behavioral health, vision, and other health care services. 

North Dakota CHCs have 22 delivery sites in 20 communities.

Find a CHC

What is a rural health clinic and how do I find one? 

Rural health clinics (RHC) offer health care services to communities that cannot easily access hospitals and provider offices because of location. 

Your RHC may offer immunizations and primary care services through clinic visits, virtual appointments, residential facility visits, or home visits.

Find a RHC

What is a local public health unit and how do I find one? 

Local public health units (LPHU) offer a variety of services like health screenings, immunizations for adults and children and ND Medicaid Health Tracks well-child checks. 

Other common services offered by local public health teams include tobacco prevention and control, home health visits, vital sign checks, Naloxone supplies, medication management, and diabetes prevention. There are 28 LPHUs throughout North Dakota. Services vary by LPHU and are based on local needs.

See a full list of services

What is a human service center and how do I find one? 

Regional human service centers (HSC) provide services for behavioral health and substance use disorders. 

Your HSC may offer medication management, group and individual therapy, assessments, and more. HSCs offer walk-in clinic hours and appointments. HSCs are a gateway to home and community-based services in your area. North Dakota Health and Human Services has eight HSCs located in major cities throughout North Dakota

Find a HSC

What is an IHS/Tribal facility and how do I find one? 

Indian Health Services (IHS) is a federal agency that is responsible for American Indian and Alaskan Native health care. IHS is also a health care provider. 

IHS/Tribal health care facilities are specifically designed to offer a range of health care services to their tribal members, while working with Medicaid. 

Your IHS/Tribal facility may offer basic health care, dental, vision, diabetes management, podiatry, behavioral health, and other services. You can find IHS facilities at each of the five tribal nations in North Dakota. Some tribes may also offer services in locations outside of tribal lands.

Find an IHS/Tribal Facility

Support from the 988 Suicide and Crisis Lifeline in North Dakota

The 988 Suicide and Crisis Lifeline provides crucial support for individuals in crisis. 

The Lifeline responds 24/7 to calls, chats or texts from anyone who needs support for suicide-related crisis, mental health and/or substance use crisis, or other crises.

Callers are connected to a trained counselor who listens and shares resources.

If you or someone you know is in crisis, call 988 or chat at 988lifeline.org.

Wondering if you are due for immunizations? Here's how to check!

Access records online through MyIR at myirmobile.com. 

Making a request through North Dakota Health and Human Services or your local public health unit is recommended in order to get the most up-to-date records. Records you get through MyIR can help you stay on track for immunizations, but are not considered official records. MyIR will be discontinued this December. 

If you have any questions, contact HHS Immunization Unit at (701) 328-3386, toll-free (800) 472-2180, 711 (TTY) or vaccine@nd.gov. 

Together, we can Protect ND.

Get ready to stay warm

The Low Income Home Energy Assistance Program (LIHEAP) helps eligible families pay for heating and preparing their homes for cold weather. 

You may qualify for LIHEAP based on your household income and expenses. Income limits can be found at hhs.nd.gov/applyforhelp/liheap.

Applications are now being accepted and anyone can apply. You can apply for LIHEAP through North Dakota Health and Human Services (HHS). 

Tribal members living on tribal lands should apply for LIHEAP through their Tribal Nation office. The type of assistance and the application process will be different through each Tribe and HHS.

Apply for LIHEAP through HHS

Apply for LIHEAP through your Tribal Nation

You can get help applying by contacting the Customer Support Center:

Thanksgiving Safety

When your home is full of loved ones this holiday season, make sure everyone is safe by following these simple tips. You can avoid fires by:

  • Never leaving the stove unattended when you are cooking.
  • Keeping flammable items, like oven mitts and dish towels, away from heat sources.
  • Checking that your smoke detectors are working.
  • Having a fire extinguisher handy.
  • Placing candles away from anything that can catch fire and never leave them burning unattended.
  • Not leaving fryers unattended when in use. Consider an infrared fryer, air fryer, or electric fryer for safer alternatives to deep frying.

Get ready to smile bright this holiday season!

Christmas break is a great time to get your family in for dental exams and cleanings. Book your dental appointment today!

Take care of your oral health by seeing your dentist for regular cleanings and exams. Coverage starts over for each person every January 1. 

Adults should see their dentist for a routine yearly exam, two yearly cleanings, and fluoride application.

Children should see their dentist twice per year after their first tooth comes in. Their dentist will offer a routine exam, cleaning, fluoride varnish, and sealant application if needed. As your child’s adult teeth come in, their dentist may perform an orthodontic screening for braces.

Parents: You can support your child’s beautiful smile. Have them:

  • Brush twice per day with fluoridated toothpaste
  • Limit sugary drinks and snacks
  • Drink tap water
  • Floss often

Our dentists are busy! You can also ask your medical provider if they apply fluoride varnish.

Find a dentist near you

You can be a champion for your community!

What do you think about your ND Medicaid coverage? How do you feel about the notices you get from us? What do you think is great, good, or needs adjustment? 

The Medicaid Member Engagement Committee (MMEC) is making suggestions on ND Medicaid practices, news, handbook, webpages, notices, and more. 

The MMEC is filling up, but seats are still open! This is your chance to impact the lives of your loved ones, your community, and yourself by sharing your thoughts and experiences with ND Medicaid!

Learn about the Medicaid Member Engagement Committee

Members, you have resources!

We want you to have a space to engage with, learn from, and impact ND Medicaid! Our member engagement webpage shares past issues of our member newsletters, Medicaid Member Engagement Committee work, your member handbook, and more. 

You’ll find our member engagement materials at www.hhs.nd.gov/medicaid-member-engagement.

You don’t have to wait all year to get our news!

Our printed newsletter is mailed once yearly. You can sign up to get our Member E-Newsletter emailed straight to your inbox every other month. E-News covers program updates, seasonal tips, community resources, and other news you can use. 

Being a ND Medicaid member is more than just having coverage.

You can help us know what is working and what can be improved! Apply to join our Medicaid Member Engagement Committee (MMEC) where you will meet other ND Medicaid members and help shape the ND Medicaid program. 

Empower yourself with knowledge about your coverage!

Explore our Medicaid member handbook to learn more about your coverage. The handbook explains our programs, who to contact with questions, and has information to help you navigate your health care.

Do you rely on people you know to get to your appointments? 

ND Medicaid may be able to pay the people who drive you to your medical appointments and the pharmacy! Drivers could be a family member, foster care provider, guardian, member of your household, friend, or anyone else who gives you a ride. Drivers must enroll as a Non-Emergency Medical Transportation (NEMT) provider to be paid.

Contact Noridian Healthcare Solutions to find out how people who help you with rides can enroll as NEMT providers:

  • Local: (701) 277-6999
  • Fax: (701) 433-5956
  • Email: ndmedicaidenrollment@noridian.com
  • Mail: Noridian Healthcare Solutions
             Attn: ND Medicaid Provider Enrollment
             PO Box 6055
             Fargo, ND 58108-6055

Find out more about NEMT

Need to find a ride to your medical appointments?

You can request a ride to medical appointments! You will need to request a ride three days before your appointment and give us your 

  • Name,
  • Pick up time and address,
  • Appointment time and date, and
  • Drop off address. 

One of our travel specialists will check if you are eligible for a ride and make arrangements based on your location and accommodation needs. They will connect you with a local public bus, taxi, or other transportation option. The travel specialist will give an authorization form to your driver. You will sign this form on the date of appointment. This lets us know that you were given the ride you needed. 

Urgent requests and help with hotel stay and meals may also be arranged in certain situations. 

Contact the Customer Support Center to set up a ride or if you have more questions about transportation help:

  • Toll-Free: (866) 614-6005
  • TTY: 711
  • Email: Applyforhelp@nd.gov : Title your email “Medicaid Travel”
  • Fax: (701) 328-1006
  • Mail: Customer Support Center
             PO Box 5562 
             Bismarck ND 58506

Have you tried our Self-Service Portal? 

Our Self-Service Portal (SSP) is a website where you can complete your reviews, update your information, upload documents, and view notices. Sign up or login to get started!

Sign up or login with the SSP 

Get help using the SSP

Appealing a ND Medicaid Decision

ND Medicaid may deny, change, or end your coverage. This can happen for different reasons. 

An appeal is when you ask Medicaid to take a closer look at the decision that has been made.

What do you do when your coverage is changed or a medical service was denied, but you still feel you need it? You appeal ND Medicaid decision. You can do this by: 

  • Visiting our File an Appeal webpage
  • Calling to ask for an appeal or ask a question:
    • Toll-Free: (800) 472-2622
    • Local: (701) 328-2311
    • TTY: 711
  • Sending a written request for an appeal:
    • Email: dhslau@nd.gov
    • Fax: (701) 328-2173
    • Mail: Appeals Supervisor
               Department of Health and Human Services
               600 E. Boulevard Ave., Dept. 325
               Bismarck, ND 58505-0250

We need your updates! 

Have you moved, changed your phone number, had a change in your employment or household size?

It is important to let us know and send us proof of these changes. You can report changes or get help by contacting the Customer Support Center. 

Check your mail and read letters from ND Medicaid. There may be very important information included that can keep your coverage active.

Complete any forms we send you right away and send them back. We understand forms can get lost or forgotten. Taking care of them right away gets it off your mind!

Customer Support Center:

  • Toll-Free: (866) 614-6005
  • TTY: 711
  • Email: Applyforhelp@nd.gov
  • Fax: (701) 328-1006
  • Mail: Customer Support Center
             PO Box 5562 
             Bismarck ND 58506

Are you concerned about the care from your provider?

If you have concerns about the care you received from your provider, you can say something about it. 

Call your provider’s office first. Many provider offices have a quality department, patient advocate, or patient liaison. These professionals work with patients to make sure they are getting the best care. You should allow their office time to address the concern. This could take a few days or weeks. 

If you have done this and are still concerned about your care experience, you can reach out to the Customer Support Center:

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

Reporting Medicaid Fraud, Waste, and Abuse 

Medicaid fraud, waste, and abuse is when someone is not using Medicaid dollars and/or services honestly and for the right reasons. We want to stop Medicaid fraud, waste, and abuse so you can have the best Medicaid experience. You can help us by reporting any situation you think may be Medicaid fraud, waste, or abuse. 

Visit our Medical Services Fraud, Waste, and Abuse webpage to learn more about Medicaid fraud and abuse. For more information or to report a situation you think may be Medicaid fraud, waste, or abuse contact:

  • Fraud Unit
  • Toll-Free: (800) 755-2604
  • Local: (701) 328-4024
  • TTY: 711
  • Email: medicaidfraud@nd.gov
  • Mail: Fraud, Waste and Abuse Administrator
             Medical Services Division
             600 E. Boulevard Ave., Dept. 325
             Bismarck, ND 58505

Tribal members: Stay enrolled and urge others to apply for Medicaid! 

Tribal members and their descendants:

  • Have more access to health care and coverage by using Indian Health Service (IHS) and Medicaid! Medicaid covers many things Indian health care programs do not.
  • Help their tribe and IHS facilities by enrolling in Medicaid. IHS does not receive enough funds to meet the health needs of tribal members. Medicaid payments help IHS/Tribal facilities expand needed care, improve staff pay, and maintain medical equipment.
  • Can use Medicaid for their health care needs when they are away from home or need to see a specialist.
  • Don’t have to pay Medicaid premiums or co-pays.
  • Can exclude certain income when applying for Medicaid. Excluded income examples are Indian trust income, certain tribal payments, or income from selling cultural crafts.
  • Can exclude trust properties on reservations and income from protected natural resources from Medicaid estate recovery rules.

Tribal members can get help with or sign up for Medicaid by contacting the Customer Support Center:

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

Learn more about Tribal health and IHS

Respiratory illness season is coming 

Medicaid isn’t the only thing to navigate! 

Get ready for the upcoming cold and flu season by updating your family’s immunizations.

Influenza (flu), respiratory syncytial virus (RSV) and COVID-19 viruses can make you miss work or school. They can make you very sick, put you in the hospital, and in some cases might cause death. Immunizations can help protect you from severe illness.

Immunization recommendations: 

  • Flu:
    • Everyone six months and older
  • COVID-19:
    • Everyone six months and older
  • RSV:
    • Women who are 32-36 weeks pregnant during September through January
    • Infants entering their first RSV season (October through March)
    • Young children at high risk of severe infection entering their second RSV season
    • Adults ages 60-74 with certain health conditions
    • All adults ages 75 and older

ND Medicaid pays for these immunizations. Children ages 18 and under who have Medicaid are eligible for no to low cost immunizations under the Vaccines for Children program. Talk to your health care provider, local public health unit, or pharmacy about which immunizations are best for you and your family.

July 24 is Self-Care Day

Set aside a day for others to take care of you! 

Make appointments for your six-month teeth cleaning, vision screening, and wellness check, because you matter! 

Annual wellness visits allow your primary care provider to find any current or possible health risks. They also make sure you are staying current on recommended vaccines and preventive health screenings. These visits are overall wellness checks of your physical and mental well-being to make sure you are the healthiest version of you. 

Firesafe Cannula Valves make home oxygen use safer

As of July 1, 2024, ND becomes the second state Medicaid program covering Firesafe Cannula Valves for our members using home oxygen.

This small device stops fire from reaching your oxygen supply if your oxygen tubing catches on fire. One valve is connected to your oxygen line near your oxygen supply. The other is placed on your oxygen line closer to you. The valve is maintenance-free and meant to be used for five years or more or until activated by fire. 

Firesafe Cannula Valves are important because home oxygen can be dangerous when in contact with fire sources. Close contact with flames could create a fire and allow it to travel down your tubing and to your oxygen source. Fire sources are all around us in our daily lives such as stoves, candles, grills, or smoking. 

ND Fire Marshal shares this video of an oxygen tube igniting. 

Your health care provider can order valves from your enrolled durable medical equipment provider.

For more information about ND Medicaid Durable Medical Equipment and Firesafe Cannula Valve coverage, contact:

  • Durable Medical Equipment Administrator
  • Medical Services Division
    • Phone: Toll-free: (877) 328-7098, press 2 or 711 (TTY)

ND Medicaid covers behavioral health supports

ND Medicaid covers behavioral health supports and services through the 1915(i) program. Some supports and services are care coordination, transition and planning services, nonmedical transportation, support for housing, education, and employment, and peer support specialist services!

A peer support specialist is someone who wants to help others overcome the same challenges they used to have. Your specialist will help you connect to community resources, be independent, and find a support network. Your specialist will help you build skills for self-advocacy, coping, goal setting, and so much more!

These services help people living with a brain injury, substance use disorder, or a covered mental illness. ND Medicaid members need to be screened to see if they qualify and must apply for this program. A screening is a set of questions that tells your providers if these services are right for you.

If you have questions about 1915(i) services or peer support, please contact a 1915(i) navigator:

Apply for ND Medicaid 1915(i) services

Give your child's teeth an extra line of defense from cavities

Sealants help protect your child’s adult teeth as they start to come in. Fluoride varnish can help protect your child’s teeth from cavities. Your child can get these treatments at their dentist. 

Your child can also get a fluoride varnish at participating local public health units and participating providers during their ND Medicaid Health Tracks well-child check.

Children may also be able to get these treatments at school! Find out if your child’s school participates in the SEAL!ND program by contacting their school or the North Dakota Health and Human Services Oral Health Prevention Coordinator Toni Hruby at (701) 328-4515 or tlhruby@nd.gov.

Learn more about the SEAL!ND program

Be a quitter!

NDQuits is a free coaching program that can help you stop using cigarettes, vapes or e-cigarettes, chew, and nicotine pouches. NDQuits coaches work with you to make a recovery plan to prepare you for triggers and cravings. 

ND Medicaid members can get prescriptions for free medications that reduce withdrawal symptoms. This doubles your success rate when combined with a recovery plan. 

You can get started by calling 1-800-QUIT-NOW. You can also talk to your health care provider, pharmacist, or local public health unit.

Connect with NDQuits

Tips for men: How to enjoy a healthier life

In North Dakota, the life expectancy for a male is 7.5 years less than a female. 

Men are often more likely to put off going to see a health care provider. 

It is okay for men to be proactive about their physical and behavioral health.

Here’s how you can put your health first:

  • Go to regular health checkups and screenings – even when you feel well.
  • Be up to date on routine vaccinations.
  • Take care of your mental health by asking for help. If you are in crisis, call, text or chat the 988 Suicide and Crisis Lifeline for support.
  • Eat healthy foods, add some exercise into your day and get enough sleep.
  • Avoid drug and alcohol misuse.
  • Avoid or quit smoking. NDQuits is a resource. 

Learn more about men's health services and resources

Durable medical equipment survey

Durable medical equipment (DME) helps you in your activities of daily living. DME may be incontinence products, wound care supplies, or mobility devices. 

DME can help you prevent injury, recover from surgery, and improve your independence if you struggle with walking, dressing, bathing, or eating.

If you could benefit from DME, your health care, urgent care, or ER provider can help get the right DME for you. 

You may see a survey about DME in the mail this summer. We want to know what you know about ND Medicaid coverage for DME. Take this survey to help us better serve our ND Medicaid members!

If you have questions or concerns about DME, contact the DME Administrator Tammy Holm.

Register now for two fun community health events

Put your family’s health first! Plan to attend the Gateway to Health event on Saturday, Aug. 10 in Bismarck.  

This fun-filled, health-focused event offers resources for healthier living, hands-on activities, interactive booths, games, prizes, and more! Your family can see emergency equipment up close, buy meals and snacks from local food trucks, and have free access to North Dakota's Gateway to Science exhibits!

Registration is free and open until Aug. 2. 

Tickets are first-come, first-serve so get yours now by selecting a two-hour slot!

  • 10 a.m. - Noon CT
  • Noon - 2 p.m. CT
  • 2 - 4 p.m. CT

This year we invite you to a new Gateway to Health event: The Step into Health Walk. This event is Friday, Aug. 9 from 6:30-8 p.m. CT at the Tom O’Leary Golf Course trail in Bismarck. Proceeds from the walk will help pay for student lunch debt in the Bismarck-Mandan community. 

A suggested donation is $15 per person, $40 per family, or $150 per company! 

To learn more about each event and to register, click on the above links. 

Vaccines help keep our children healthy

Avoid the back-to-school rush by booking your child’s well-child visit now. Their health care provider can keep them up to date on routine immunizations and do their sports physical at a well-child visit. 

Vaccines are one of the easiest and most important ways to keep our children safe and healthy. Vaccines are available at no/low cost to eligible children through participating health care providers (an administration fee may apply).

Students in grades K-6 are recommended to get these vaccines: 

  • MMR (measles-mumps-rubella)
  • Polio
  • Chickenpox
  • DTaP (diphtheria-tetanus-pertussis)
  • Hepatitis B 

Middle schoolers should get meningitis and Tdap (tetanus-diphtheria-pertussis) vaccines. Most students going into 11th grade need a booster meningitis vaccine. Your health care provider may suggest other vaccines depending on a child’s age and medical history.

If your child cannot have a vaccine, you may file this information with their school.

Learn more about the Vaccines For Children program that can help pay for your child's vaccines.

Combining call centers

The Medicaid Eligibility Call Center is joining the Customer Support Center. You will have one number to call for questions about your ND Medicaid and other economic assistance programs.  This will happen Aug. 1, 2024. 

The Customer Support Center can help you with:

  • ND Medicaid eligibility
  • Updating your information
  • Applications or renewals
  • Other assistance programs
  • Out-of-State travel
  • Your ND Medicaid case
  • ND Medicaid cards, ID numbers, client numbers
  • Form requests
  • Rides to ND Medicaid appointments

Contact the Customer Support Center at:

  • Call: Toll-free (866) 614-6005, 711 (TTY)
  • Email: Applyforhelp@nd.gov
  • Fax: (701) 328-1006
  • Mail: Customer Support Center
             PO Box 5562 
             Bismarck ND 58506

Sun awareness and protection

Most skin cancers are caused by too much exposure to ultraviolet (UV) light. 

Protecting yourself from UV rays matters all year. It is especially important in the warmer months when we are outside more often. 

Avoid midday sun between 9 a.m. - 4 p.m. when the sun’s rays are strongest. 

Stay in the shade and wear clothing that covers as much skin as possible when you are outside. Apply a broad-spectrum sunscreen with SPF 30 or higher every two hours. 

Explore more ways to be safe in the sun

Celebrating moms, parents and caregivers

May is a time when we celebrate our mothers and those motherly figures in our lives. A mother’s love can be the briefest of touches or the longest of hugs. 

In recognition of these special people, May 12-18 is Women's Health Week.

In this issue, we are celebrating and supporting our moms, parents and caregivers!

Here to Listen, Here to Help

Caring for and protecting your family is your mission, supporting you is ours! We want you to have access to 24/7 help for the unexpected.

Did you know that help is only three numbers away? Whether you are experiencing a medical emergency, mental health crisis, or needing urgent help with food or shelter, we have a number for you to call. 

Call 911 for: 

  • Medical emergencies
  • Fire
  • Report a crime
  • Disaster response
  • Life threatening situations

Call 988 for:

  • Thoughts of suicide
  • Mental health crisis
  • Substance use crisis
  • Emotional distress

Call 211 for assistance with:

  • Food
  • Housing and shelter
  • Utilities
  • Transportation
  • Everything else

See the 988 Suicide and Crisis Lifeline webpage.

Breast and cervical cancer screenings are covered for ND Medicaid members

Breast Health

A woman has a 1 in 8 chance of getting breast cancer during her life. When breast cancer is found early it can be easier to treat, giving you a better chance of survival. 

Regular screening tests can help find breast cancer early. A mammogram is the most effective screening tool used to find breast cancer in most women. 

Before turning 40, women should talk to their health care provider about when to start screening and how often to re-screen. Breast cancer is more common in older women, but younger women and men can get breast cancer as well. Certain factors are known to increase a woman’s chance of developing breast cancer including:

  • Being older than 50
  • Having a personal or family history of breast cancer
  • Genetic mutation of the BRCA 1 and 2 genes
  • Taking hormone replacement therapy for more than five years
  • Having dense breasts

You can help lower your risk of breast cancer by: 

  • Having a healthy weight and getting regular exercise
  • Breastfeeding, if you can
  • Not smoking
  • Limiting alcohol intake
  • Limiting use of postmenopausal hormones

Talk to your health care provider about when to begin and how often to continue screening.

Cervical Health

Cervical cancer screenings are important because a woman usually doesn’t have any signs or symptoms of cervical cancer. Routine cervical cancer screenings are very effective for preventing cervical cancer and deaths from this type of cancer. A pap test and/or HPV test are the best ways to find cervical cancer early. 

You can lower your risk of cervical cancer by:

  • Getting regular screenings
  • Getting follow-up procedures if you had an abnormal test
  • Getting the HPV vaccine
  • Not smoking

Talk to your health care provider about when to begin cervical cancer screening, which test should be done, how often to test and if you should get the HPV vaccine.

Spread the word! 

If you know of someone who doesn’t have ND Medicaid coverage and needs help getting screened for breast and cervical cancer, let them know about Women’s Way. 

Women’s Way may provide a way to pay for screenings. You can call Women’s Way at (888) 449-6636 or go to the website.

Home Alone: Is your child ready?

Summer will soon be here. Parents may wonder if their child can be left home alone. 

North Dakota Health and Human Services has a guide to help you know if your child is ready for this big step. 

Answer these questions to ensure your child will be safe.

  • Do they know how to respond in an emergency and who to contact?
  • Is there a phone they can use to call for help?
  • Has your child matured enough to stay home alone or care for others?

See more of our helpful tips

We'll help you know they're riding safely

North Dakota Health and Human Services wants to help you keep your child safe when riding in a vehicle.

Visit this website to: 

  • Learn when to transition your child through rear-facing car seats, forward-facing car seats, boosters and seat belt use
  • Read tips on selecting, installing and registering your child’s car seat
  • Find a car seat checkup event to have your child’s car seat checked by a certified child passenger safety technician. You will learn how to install your car seat, safely secure your child, choose the correct car seat and check for recalls.

Find a car seat checkup event near you

WIC is celebrating 50 years

For 50 years, the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) has been helping eligible pregnant women, mothers who breastfeed, infants and children under the age of five.

WIC provides nutrition and breastfeeding support, food, health screenings and referrals to services.

If you are a ND Medicaid member, you can apply for WIC.

WIC staff will do a health review (check height, weight, hemoglobin and ask nutrition questions) on your first visit. 

You will receive an eWIC card to buy foods like fruits, vegetables, milk, whole grains, eggs, infant formula and baby food at your local grocery store.

Here’s to 50 more years of helping mothers provide for their young children!

Find a local WIC agency near you

Hey mom, we've got you covered

Did you know new moms remain covered by ND Medicaid for 12 months after the day their baby is born regardless of their financial state?  

New moms, find out more about your extended coverage! 

Your oral health is important during your pregnancy

You may be more likely to develop gum disease and cavities when you are pregnant. 

The American Dental Association (ADA) recommends pregnant women: 

  • Eat a balanced diet
  • Brush their teeth well twice a day
  • Use ADA-approved fluoride toothpaste
  • Floss daily

Your oral health matters to your baby’s health. You can pass bacteria from your mouth to your newborn's mouth. Some of these bacteria can cause cavities. 

Routine dental care during and after pregnancy is safe and important!

Learn more about oral health during pregnancy

Pre-plan when you can

As parents, we lead our families in showing respect and meeting expectations. We can practice these skills in our health care too! A few things to remember as a patient are:

Cancel appointments as soon as you know you can’t attend: Things come up which can prevent us from attending our health care appointments. When that happens, call your provider, or use your online portal right away to cancel and/or reschedule. Ask to be on a cancellation list if you need to be seen by a provider sooner than later. Some health care providers have apps you can get on your phone. 

Pre-plan your health care: Make regular health care appointments ahead of time, such as vaccines, yearly wellness checks and sports physicals. Schedule summer well-child checks and combine them with sports physicals!

Ask about your ND Medicaid coverage: Ask your provider if ND Medicaid will cover your medications, supplies or specialist visits. Look at our Medicaid Member Handbook to learn more about your coverage. Call and ask if the provider accepts ND Medicaid and is seeing new patients before you make an appointment with a new provider. 

Know where to go for treatment:

  • Provider's office:
    • Services: Make an appointment with your provider for yearly wellness checks, vaccines, health concerns that are not likely to become life-threatening or conditions that may be causing pain that you can manage.
    • Wait: Same day appointments may or may not be available, but you will have less wait time at the office because you have an appointment.
  • Urgent care clinic:
    • Services: If you are not having a medical emergency, but you cannot manage your pain or illness or your condition is getting worse, you could be seen at an urgent care clinic (or walk-in clinic). Most can offer bandaging, medications, X-rays and lab tests.
    • Wait: They are likely to be open outside of normal office hours or when your regular provider cannot offer a timely appointment. You can walk in and be seen that day, but you may wait longer in this waiting room than at your provider’s office, depending on how many patients need to be seen.
  • Emergency room (ER):
    • Services: ERs are meant to treat life-threatening conditions like uncontrolled bleeding, extreme fever, severe cuts, difficulty breathing or broken bones. They can offer minor procedures, surgeries, life support, diagnostic tests and more.
    • Wait: ERs have limited space and have long wait times. You will be seen the day you arrive, but this depends on how many patients are at the ER and which patient’s situation is most serious.

Before going to an ER, decide whether you can be treated at an urgent care or your provider’s office.

Helpful Medicaid tips

Do you need a new Medicaid card? Do you need to know your client ID or case numbers? You can contact our Medicaid Eligibility Call Center for help.

You can find ND Medicaid-related information at www.hhs.nd.gov. Simply type what you are looking for or type “Medicaid” in our search bar. Our website will suggest pages to help you find the information you need!

Sign up for the Self Service Portal (SSP) to complete a review, update your information, upload documents and view notices online.

Sign up for the SSP 
Get help using the SSP

Sports Physicals + Well-Child Checks = A Big Win

Are your kids playing fall sports? It is recommended that you get their sports physical done after mid-April, but before school starts. 

Now is a perfect time to make an appointment for their sports physical!

Do you want to save time and money? Get your child’s well-child check AND sports physical done together! 

ND Medicaid may be able to pay for your child’s sports physical during their well-child check when you make an appointment with your provider for both. 

Visit Heath Tracks to learn more

Health Tracks birthday cards

Seven is a big age. Children are learning how to tell time, speaking with thousands of words and becoming more self-aware. 

So, ND Medicaid Health Tracks is saying, “Happy Birthday!” to all seven-year-olds by sending their parents a card reminding them to schedule their child’s annual well-child visit.

The card will have a QR code that will link to a webpage with more information on well-child visits and helpful reminders and benefits that Health Tracks offers. Starting this spring, parents can expect to get the card in their mailbox when their child turns seven. 

Explore Health Tracks

Go beyond your physical limitations

North Dakota Assistive is all about helping you discover what’s possible! Our clients often say, "I never knew this stuff existed!" Well, it does, and it's amazing. We're not just here to point the way; we're here to make these tools work for you.  

We lend out adaptive equipment, assistive technology and modification devices that can be borrowed by anyone who experiences challenges in their:

  • Vision
  • Hearing
  • Communication
  • Cognition
  • Aging
  • Mobility
  • Daily living
  • Employment

You can borrow items from our library such as computer hardware and software, device mounts, lifts, alert systems, mobility equipment, communication devices, vehicle modification equipment and other tools that can improve your daily living.

Often, we can find funding to help you pay for devices you decide to purchase. ND Medicaid may be able to pay for in-home assessments for members with developmental disabilities or home and community-based services waivers. Our consultants can meet with you virtually to help you complete an online application.

If you are an individual with a disability and need assistive technology or devices, Vocational Rehabilitation (VR) works directly with North Dakota Assistive to get you working in the career you deserve and love.

North Dakota Assistive partners with VR's Older Individuals Who are Blind program for individuals who are 55 and older with a vision impairment to help them remain independent.

We invite you and/or your caregiver to schedule a free virtual or in-person appointment in our Fargo or Bismarck Demonstration Centers. Your appointment will offer an assessment and hands-on device demonstrations with an assistive technology consultant.  

The best way to schedule an appointment is to get help from a real person by calling us at 1-800-895-4728. You can also reach us through our website where you’ll find great information, including applications to our programs. 

Life's too short to let limitations hold you back from what you love!

-The North Dakota Assistive team

More than just a cleaning: getting an orthodontia referral 

Early orthodontic treatment plays a big role in preventing future dental problems. 

By addressing orthodontic issues at an early age, orthodontists can guide the growth and alignment of the jaw and teeth. This helps prevent issues such as crooked and crowded teeth. 

When the teeth are properly aligned, it is easier to maintain good oral hygiene and reduce the risk of tooth decay, gum disease and other dental problems. 

Your child, up to the age of 20, can get orthodontia care with a referral through the ND Medicaid Health Tracks benefit. If your child meets the requirements, they could receive orthodontia services such as braces! They will need two orthodontia screenings, one from your dentist or public health unit and one from an orthodontist. 

Find out more about a Health Tracks orthodontia referral

Caring for young children is expensive and we want to help

The Child Care Assistance Program (CCAP) may be able to help pay part of your child care costs for children up to age 13, and up to age 19 in certain situations. The program serves families who are working or in training or education programs. 

Find out if the CCAP can help you!

Parents with young children up to three years of age who work for employers that participate in the Working Parents Child Care Relief (WPCCR) program may qualify for a monthly child care benefit.

Check out our list of participating employers!

Learn more about the WPCCR program

We are accepting applications

We are accepting applications for the Medicaid Member Engagement Committee. If you are interested in joining this committee to share your Medicaid experiences and ideas for improvement, please apply now!

You can apply for this committee if you are a:

  • Current ND Medicaid member
  • Past member who had Medicaid in the last three years
  • Family or caregiver of a current Medicaid member

We look forward to updating you on the work we will be doing to improve your ND Medicaid experience!

Learn more about the Medicaid Member Engagement Committee

Another opportunity for members to get involved in ND Medicaid

We are looking for a ND Medicaid member to join the Medicaid Medical Advisory Committee (MMAC). 

This committee advises ND Medicaid on health and medical services. The MMAC is made up of current and former ND Medicaid members, health care providers, legislators and others. 

The MMAC currently holds four virtual meetings per year. Each meeting is two hours long. You can apply by emailing the ND Medicaid Director with:

  • The reason you want to join the MMAC
  • Your experience with ND Medicaid (If you are a current or former member)
  • Any personal or professional experience with boards or task forces (Experience is not required)

Applications are due by May 7.  

Learn more about the MMAC   

You can also email Mandy Dendy at mrdendy@nd.gov with questions.

Get help lowering your monthly phone or internet costs

Did you know that people who receive ND Medicaid or who have a household member receiving ND Medicaid may save up to $9.25/month on phone, internet or bundled services? 

Lifeline Support is a federal program. It reduces phone and internet costs for people who qualify. ND Medicaid members can save up to $9.25/month. Members living on Tribal lands can save up to $34.25/month and get $100 off first-time connection charges! 

Visit the webpage for Lifeline Support

Addiction recovery support is  here

If you or someone you know is looking for help in their recovery from addiction, Recovery Talk can help. 

Recovery Talk is a free and private service where you can talk with a trained peer support specialist who has lived experience. Your specialist will listen and provide you support. You can call or text anytime, day or night, at (701) 291-7901.   

You can also sign up to receive a call or text from a trained peer support specialist who can support you when you need it the most.    

Recovery Talk is offered by ND Health and Human Services' Behavioral Health Division.

For more information, visit our website.

Follow-up e-newsletter survey

In our January issue, we sent a survey asking what you wanted to know about ND Medicaid.

Your answers showed that most members would like to know more about behavioral health and dental. 

We want you to tell us which behavioral health and dental topics we should share more about. 

Tell us more!

Introducing our first issue!

We will update you on the programs we offer, share tips for getting the most from ND Medicaid, seasonal reminders for staying healthy, and more as North Dakota aims to be the healthiest state in the nation.

This month's issue is full of ways to stay healthy this season!

Medicaid Member Webpage

We want our ND Medicaid members to have useful tools and information about their health care coverage! We made a webpage just for you.

You can visit this webpage to learn more about the Medicaid Member Engagement Committee (MMEC), review the Medicaid member handbook, learn about our member liaison and more!

Explore the Medicaid Member webpage

Don't forget about your oral health

Did you know ND Medicaid covers dental care for children and adults? Taking care of your teeth and gums are important for your health. Some medical conditions and medications can put you at risk for oral health problems like gum disease.

Some covered dental services include:

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

Coverage starts over for each person every January 1. Don't forget to schedule your regular dental checkups and cleanings! 

Find dentist in your area!

Keep your kids on track

Health Tracks is a ND Medicaid benefit that helps your child get checkups, screenings and other preventive health care.

Children should get regular exams, even when they are feeling well! Babies and toddlers grow fast, so they need a provider to check on their health often. 

Babies need exams at: 

  • 1 month
  • 2 months
  • 4 months
  • 6 months
  • 9 months
  • 12 months

Toddlers need exams at:

  • 15 months
  • 18 months
  • 24 months
  • 30 months
  • 36 months/3 years

After three years old, children need to see their provider every year until they turn 21. This makes sure that they continue to grow and stay healthy! 

Your child may be able to get more exams covered based on their needs.

Visit the Health Tracks webpage to learn more

Protect your kids from serious illness with vaccines 

Vaccines are the safe and effective way to protect your kids and others from many serious and potentially deadly diseases. Thanks to the Vaccines for Children (VFC) program, vaccines are available at no/low cost to eligible children through participating health care providers (an administration fee may apply).

Children ages 18 and under who are on Medicaid are eligible for vaccines under the VFC program.

Ask your child’s health care provider or local public health unit about vaccines.

Fina a VFC-enrolled clinic

Access to naloxone helps save lives

Anyone taking prescription or illegal opioids is at risk for overdose. 

To help save lives, ND Medicaid members can now go directly to a pharmacy to receive non-prescription naloxone at no cost. 

Naloxone is a medication used to block or reverse the effects of an opioid overdose.

What is changing for members?
You no longer have to get a prescription from your medical provider to get naloxone. You just go to a pharmacy to get it.

How can I get naloxone at no cost?
ND Medicaid members should go to a pharmacy and talk with a pharmacist. Bring your Medicaid ID card with you. The pharmacy will bill ND Medicaid for the naloxone.

How can I tell if someone might be overdosing?

  • A person is unresponsive and/or their heartbeat or breathing is slow or has stopped.
  • Their body is limp and fingernails or lips have a blue tinge.
  • They are vomiting or making gurgling noises.

If you see these signs and symptoms in someone, call 911 right away and administer naloxone if available.

North Dakota’s Good Samaritan Law protects anyone who administers naloxone to reverse an opioid overdose and calls 911.

Where can I find help for myself or someone I know? 
There are several treatment options available. To find a treatment provider, visit hhs.nd.gov/behavioral-health/find-services.

Find other helpful resources online at hhs.nd.gov/opioids.

Free influenza and COVID-19 Home Tests and Treatment Program

The National Institutes of Health (NIH)-funded Home Test to Treat Program is offering free testing and care for both COVID-19 and influenza (flu) A and B. 

This program is offered to adults (18 years and older) that are uninsured or are enrolled in Medicare, Medicaid, the Veterans Affairs health care system or Indian Health Service. 

How does the program work?

  • If you are COVID-19 or flu positive, you will receive free telehealth visits. If the telehealth provider prescribes you treatment, the treatment will be sent to your home or pharmacy. Dispensing fees for prescriptions may apply.
     
  • If you are not currently positive for COVID-19 or flu and want at-home tests that can be used for both, they can be shipped to you for free. 

For more information about the program and online signup, call 1-800-682-2829.

If you are eligible, enroll now!

E-Newsletter Survey

We want to know what you want to know! 

Take this short, six-question survey to tell us what areas of ND Medicaid you want to hear more about!

Tell us your thoughts!

Medium

Annual Medicaid Member Newsletter

Welcome to our digital version of the Annual Medicaid Member Newsletter! This newsletter is mailed to all Medicaid members. The digital version includes easy-to-use links to articles you find interesting.

Medium

Stay Enrolled: Updates on Medicaid and SNAP 

Starting in 2026, a new federal law will require ND Medicaid and the Supplemental Nutrition Assistance Program (SNAP) to make some changes that may impact you. For Medicaid, changes will be made to retroactive coverage, work requirements, and more. Learn more about at hhs.nd.gov/StayEnrolled.

WIC helps with food, nutrition, breastfeeding education, and more

The Special Supplemental Nutrition Program for Women, Infants and Children, known as WIC, serves pregnant or breastfeeding women, new moms and infants and children up to age five. WIC provides information on healthy eating and referrals to other help. 

WIC also provides food to give children the best start to grow up healthy. WIC families can get foods like fruits, vegetables, milk, eggs, whole grains, peanut butter, cereal, baby foods and formula. 

WIC is for married and single-parent families and those working or not working. Any parent, grandparent, foster parent or guardian of a child younger than age five can apply for WIC.

Contact your local WIC office to apply. Learn more and find a WIC office near you at hhs.nd.gov/food-programs/WIC or call (800) 472-2286, 711 (TTY).

Health Tracks gets a new name!

Medicaid is excited to share that the former Health Tracks team will now be called the Quality Outreach Team. We’ve updated our name to better reflect our dedicated team’s work. While Health Tracks focused on children’s preventive services, our mission has grown to support the quality and health goals of all our members.

You will still connect with the same staff for you and your child’s wellness questions. Our email has changed to reflect our new name. You can email your member-related wellness questions to qualitymemberoutreach@nd.gov or call 701-328-2014, press 1 or 711 (TTY). We are excited to continue supporting our valued members under our new name!

Support for Behavioral Health Needs

Our Medicaid 1915(i) program supports members with mental or behavioral health needs. This includes addiction recovery support. We want our members to be independent and involved in their communities as they manage their behavioral health. 

This program offers many person-centered services. Some services include care coordination, peer support, housing support, and more. Members work with a care coordinator. Together they will create a plan of care and adjust goals based on the member’s needs and wants. Find out more: hhs.nd.gov/1915i. 

Need a ride to your appointments?

Did you know we help with Non-Emergency Medical Transportation (NEMT)? Members may get help with rides to Medicaid-covered services such as medical appointments, getting your durable medical equipment and supplies, and filling your medication prescriptions! We will choose the type of ride based on your medical needs. We may use public transport, taxi, personal vehicles, non-emergency ambulance, air transport, or transportation companies. Meals and lodging may also be covered when a member must stay overnight. If you need help with a ride, lodging, or meals, call or email the Customer Support Center.

Workers with Disabilities program

Workers with Disabilities coverage allows some members to work or earn more without fear of losing their coverage. This program provides coverage through Medicaid, including dental and mental health coverage. Members must pay a premium. You can apply at hhs.nd.gov/human-service/zone.

Already on the Workers with Disabilities program? Don’t lose your benefits. Get your requirements done on time by:

  • Submitting income/paystubs by the 5th of each month as premiums will be figured correctly and timely.
  • Make your premium payment by the 15th of each month (does not apply to American Indian members).
  • Return the portion of your notice that includes your client ID number when sending in payments.
  • Write your client ID number in the “memo” section of your check.

Learn more: hhs.nd.gov/healthcare/medicaid/eligibility. 

Notice of Privacy Practices

Federal and state laws require Medicaid to protect your health information privacy. Medicaid’s Notice of Privacy Practices (Notice) describes in part how we may use and disclose your health information, how you can access your information and how to file a complaint if you feel your privacy has been violated. 

You have the right to request a paper copy of the Notice at any time. Contact the Medical Services Division at (800) 755-2604, TTY: 711 or email dhsmed@nd.gov. You may also view and download a copy of the Notice from the North Dakota Health and Human Services’ (HHS) HIPAA Privacy webpage. 

HHS created a new Notice effective Feb. 1, 2025, which includes the following changes:

  • HHS became a hybrid entity under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), Public Law 104-191.
  • Identified the divisions, programs and services that must comply with HIPAA in “Exhibit A, HIPAA Hybrid Entity Covered Components.”
  • Created a separate Notice for its Behavioral Health Clinics and the North Dakota State Hospital.

These documents can be viewed and copies downloaded from HHS’ HIPAA Privacy webpage.

We are here for you

  • Self-Service Portal
    • Log in to the Self-Service Portal to do many things like updating your contact information.
    • Get started here.
  • Customer Support Center
    • Toll-Free: (866) 614-6005, 711 (TTY)
    • Email: applyforhelp@nd.gov
    • Fax: (701) 328-1006
    • Mail: Customer Support Center
      P.O. Box 5562
      Bismarck, ND 58506

Free translation is available. In person: Visit a human service zone office.

Members, you have resources!

We want you to have a space to engage with, learn from, and impact ND Medicaid! Our Member Engagement webpage shares past issues of our member newsletters, Medicaid Member Engagement Committee work, your Member Handbook, and more.

You’ll find our member engagement materials at www.hhs.nd.gov/medicaid-member-engagement.

You don’t have to wait all year to get our news!

Our printed newsletter is mailed yearly, and you can sign up to get our Member E-Newsletter emailed every other month. E-News covers program updates, seasonal tips, community resources, and other news you can use. 


Being a ND Medicaid member is more than just having coverage.

You can help us know what is working and what can be improved! You can apply to join our Medicaid Member Engagement Committee (MMEC) where you will meet other ND Medicaid members and help shape the North Dakota Medicaid program. 


Empower yourself with knowledge about your coverage!

Explore our Medicaid Member Handbook to learn more about your coverage. The Handbook explains our programs, who to contact with questions, and has information to help you navigate your health care.

We need your updates!

Have you moved, changed your phone number, had a change in your employment or household size?

  • It is important to let us know and send us proof of these changes. You can report changes or get help by contacting our Customer Support Center.
  • Check your mail and read letters from ND Medicaid. There may be very important information included that can keep your coverage active.
  • Complete any forms we send you right away and send them back. We understand forms can get lost or forgotten. Taking care of them right away gets it off your mind!

Customer Support Center:

  • Toll Free: 1-866-614-6005
  • TTY: 711
  • Email: Applyforhelp@nd.gov   
  • FAX: 1-701-328-1006
  • Mail: Customer Support Center
    PO Box 5562 
    Bismarck ND 58506

Get ready to stay warm

The Low-Income Home Energy Assistance Program (LIHEAP) helps eligible families pay for heating and preparing their homes for cold weather.

You may qualify for LIHEAP based on your household income and expenses. Income limits can be found at https://www.hhs.nd.gov/applyforhelp/liheap.

Applications are now being accepted, and anyone can apply. You can apply for LIHEAP through ND Health and Human Services (HHS).

Tribal members living on tribal lands should apply for LIHEAP through their Tribal Nation office. The type of assistance and the application process will be different through each Tribe and HHS.

Apply for LIHEAP through HHS
Apply for LIHEAP through your Tribal Nation

You can get help applying by contacting our Customer Support Center:

WIC helps with food, nutrition, breastfeeding education, and more

The Special Supplemental Nutrition Program for Women, Infants and Children (WIC) provides access to health foods by putting money on an eWIC card every month. Your family can enjoy fruits and vegetables, milk, eggs, whole grains, peanut butter, cereal, baby formula and baby food. WIC also gives you access to professionals who can teach you about nutrition and breastfeeding and refer you to other help.

WIC is for pregnant women, breastfeeding moms of babies under one year old, new moms who had a baby or were pregnant in the past six months, children under age five, and parents/caregivers who qualify based on income. WIC may be able to help your family regardless of your employment or marital status. You are income-eligible for WIC if you have ND Medicaid, Temporary Assistance for Needy Families (TANF), Supplemental Nutrition Assistance Program (SNAP), Head Start, or Healthy Steps. You or your child must be at nutritional risk based on a health assessment that looks at height, weight, hemoglobin, and nutrition questions at your first WIC visit.

Contact your local WIC office to apply. Learn more and find a WIC office near you at hhs.nd.gov/food-programs/WIC or call (800) 472-2286, 711 (TTY).

Join other ND families who are saving on their childcare costs

The ND Child Care Assistance Program (CCAP) helps qualifying families pay for a portion of childcare costs so parents can work, look for a job, or attend school or training. This program helps families and helps ensure that child care providers have the resources they need.

You may qualify for CCAP if you are working or taking part in an education or training program and meet income guidelines.

Learn more at hhs.nd.gov/ccap or call (866) 614-6005 or (701) 328-1000, 711 (TTY). 

Thanksgiving Safety

When your home is full of loved ones this holiday season make sure everyone is safe by following these simple tips. You can avoid fires by:

  • Never leaving the stove unattended when you are cooking.
  • Keeping flammable items, like oven mitts and dish towels, away from heat sources.
  • Checking that your smoke detectors are working.
  • Having a fire extinguisher handy.
  • Placing candles away from anything that can catch fire and never leave them burning unattended.
  • Not leaving fryers unattended when in use. Consider an infrared fryer, air fryer, or electric fryer for safer alternatives to deep frying.

Need to find a ride to your medical appointments? 

You can request a ride to medical appointments! You will need to request a ride three days before your appointment and give us your: 

  • Name,
  • Pick up time and address,
  • Appointment time and date, and
  • Drop off address. 

One of our travel specialists will check if you are eligible for a ride and make arrangements based on your location and accommodation needs. The travel specialist will connect you with a local public bus, taxi, or other transportation option. The travel specialist will give an authorization form to your driver. You will sign this form on the date of appointment. This lets us know that you were given the ride you needed. 

Urgent requests and help with hotel stay and meals may also be arranged in certain situations. 

Contact the Customer Support Center to set up a ride or if you have more questions about transportation help. 

  • Toll Free: 1-866-614-6005
  • 711 (TTY)
  • Email: Applyforhelp@nd.gov: Title your email “Medicaid Travel”
  • FAX: 1-701-328-1006
  • Mail: Customer Support Center
    PO Box 5562 
    Bismarck ND 58506

Medicaid members! We may need to contact you about your coverage

Regular ND Medicaid renewals are now happening. Renewals make sure members still qualify.

When your Medicaid is ready for renewal, you may get an envelope with “ACTION REQUIRED” on the front.

You need to TAKE ACTION!

Four things you need to do:

  • Make sure your mailing address, phone number and email address are correct.
  • Check your mail.
  • Read your letter and follow all the steps.
  • Send back all needed information within 30 days of getting the letter.

Members who don’t respond to the renewal form will lose their Medicaid.

There are many ways to update your contact information or send in your renewal form.

Customer Support Center 

Find out more at hhs.nd.gov/StayCoveredND.

Changes are coming to Medicaid's Primary Care Case Management Program 

The Primary Care Case Management (PCCM) program is ending on Dec. 31, 2023.

Medicaid members enrolled in the PCCM program do not need to do anything. Your coverage will not end. 

On Jan. 1, 2024, this change will give members more flexibility in getting care. You will be able to go to any provider you’d like to see. Before, you had to pick a primary care provider (PCP) or you were assigned one. You will no longer have to see your PCP to get a referral to go to a specialist or to get a test done like an x-ray. You choose where you go.  Until the end of the year, continue to see your PCP to get referrals for specialists and testing. ND Medicaid will send members more information on this change.

Sports physicals + wellness checks = A big win!

With winter sports just around the corner, get your child’s sports physical and wellness check together so they can be at the top of their game.

Sports physicals and wellness checks are different. Wellness checks are preventive care. They are more complete and can catch health problems that you are not aware of.

  • ND Medicaid Health Tracks/Wellness Checks offer:

    • A complete exam
    • Growth and development checks
    • Behavioral health screenings
    • Hearing, dental and vision checks
    • Labs tests
    • Immunizations and more

    Sports physicals make sure your child can safely play sports.

    Call your provider and schedule a wellness check and a sports physical at the same time.

    ND Medicaid now pays for sports physicals for qualifying children.

    To learn more, visit hhs.nd.gov/health-tracks.

Let your voice be heard! Join the Medicaid Member Engagement Committee

We care about your Medicaid experience! We want our members to help us shape ND Medicaid. Apply to be on the Medicaid Member Engagement Committee (MMEC).

Attend regular meetings and work with others to help us deliver a great Medicaid experience to North Dakotans!

To be considered for our future MMEC, complete the online application.

MMEC applications are being accepted through Dec. 15, 2023.

Questions: medicaidmembers@nd.gov. 

Stay informed about ND Medicaid!

Sign up to get our Medicaid member e-newsletter. Learn about program changes. Explore helpful tips/tricks about your coverage. Discover who is making a difference in the Medicaid world. Visit hhs.nd.gov/medicaid-member-engagement/news to sign up.

Special Health Services helps pay for noncovered services 

 Private health coverage and ND Medicaid cover many health services for children, but not everything. When services are not covered, the Special Health Services (SHS) Financial Coverage program, may be able to help pay for health services.

The SHS program can help children with asthma, heart conditions, seizure disorders, diabetes and other qualifying health conditions.

Once a child qualifies, this program can pay up to $5,000 over 12 months. SHS can pay for noncovered services such as:

  • Medicine
  • Over-the-counter vitamins and supplements
  • Medical equipment and supplies
  • Therapies (more therapy types and visits)
  • Other services for early diagnosis and treatment of qualifying conditions

To see if they qualify and to apply, families can call (701) 328-4816 or (701) 328-2436, (800) 755-2714, 711 (TTY) on weekdays, 8 a.m. - 5 p.m. CT. Special Health Services helps pay for noncovered services. 

Learn more at hhs.nd.gov/health/children/special-health-services.

WIC helps with food, nutrition, breastfeeding education and more

The Special Supplemental Nutrition Program for Women, Infants and Children (WIC) is a program for pregnant women, breastfeeding women, infants, and children younger than age five.

It provides access to healthy foods like:

  • fruits
  • vegetables
  • milk
  • whole grains
  • eggs
  • peanut butter
  • cereal
  • baby formula, and
  • baby food

Every month, money for food is put on an eWIC card that you can use at the grocery store. WIC can also teach you about nutrition and breastfeeding and can refer you to other help.

Whether you are married or single, working or not working, WIC may be able to help your family. If you are a mother, father, grandparent, foster parent or other legal guardian of a child younger than age five, you can apply.

To get WIC, you must meet income rules or participate in ND Medicaid, Temporary Assistance for Needy Families (TANF), Supplemental Nutrition Assistance Program (SNAP), Head Start or Healthy Steps. You must also be at nutritional risk based on a health assessment that looks at height, weight, hemoglobin and answers you give on nutrition questions during your first WIC visit. 

To apply, contact your local WIC office. Learn more and find a WIC office near you at hhs.nd.gov/food-programs/WIC or call (800) 472-2286, 711 (TTY).

November 2022 (2.50mb pdf)

Want to connect about member engagement?

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Want to connect about member engagement?

Jen Sheppard headshot. Hey there! I’m Jen Sheppard, ND Medicaid’s Member Liaison. I work with the Medicaid Member Engagement Committee (MMEC), Medicaid Member E-News, our member engagement webpage, and more. You can connect with me for questions, concerns, or ideas about member engagement at medicaidmembers@nd.gov 

Visit the Medicaid Member Engagement webpage.

 

 

 

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This page is a place for you to review member news. If you are needing our help with your ND Medicaid coverage, contact:

Customer Support Center, Monday-Friday, 8:00 a.m. - 5:00 p.m. CT

For more information on Medicaid member engagement or to share your feedback about our Medicaid member materials, email: medicaidmembers@nd.gov.