North Dakota Health & Human Services · Updated August 22, 2026

North Dakota Medicaid (North Dakota Medicaid): 2026 Income Limits, Eligibility & How to Apply

North Dakota expanded Medicaid in 2014, so most adults under 65 qualify for North Dakota Medicaid on income alone. For 2026 the cutoff is roughly $1,835 per month for one person and $3,795 for a household of four; there is no asset test for this group.

Single adult$1,835per month, 2026
Family of 4 (adults)$3,795per month
Children, family of 4$4,813per month
Seniors (65+), single$1,330per month + asset test

North Dakota Medicaid guides for 2026

North Dakota Medicaid income limits for adults, 2026 (138% of FPL)
Household sizeMonthly income limitAnnual income limit
1 person$1,835$22,025
2 people$2,489$29,863
3 people$3,142$37,702
4 people$3,795$45,540
5 people$4,448$53,378
6 people$5,101$61,217
7 people$5,755$69,055
8 people$6,408$76,894

Each additional person adds $653 per month. Figures use the 2026 federal poverty guidelines and are rounded to the nearest dollar.

Who runs North Dakota Medicaid

North Dakota Medicaid is administered by the North Dakota Health & Human Services under federal rules set by CMS. Children in families over the Medicaid limit are covered by Healthy Steps, the state CHIP program. Applications are free and can be submitted any day of the year.

Frequently asked questions

Does North Dakota have expanded Medicaid?
Yes. North Dakota expanded Medicaid in 2014, covering adults 19–64 up to 138% of the federal poverty level.
What is North Dakota Medicaid called?
North Dakota's Medicaid program is called North Dakota Medicaid; the children's program is Healthy Steps. It is run by the North Dakota Health & Human Services.
What is the 2026 income limit for North Dakota Medicaid?
A single adult qualifies up to $1,835 per month; a family of four up to $3,795. Children and pregnant women have higher limits.