Publications: Medicaid and other Medical Services

For additional information regarding the Medicaid program, you may choose from several options. A general overview is available via the following brochures and booklets:

Application

• Children and Family Health Coverage Application - Used to determine if children and youth qualify for health coverage under the Healthy Steps children's health insurance program or Medicaid
  • Return completed application to the ND Dept. of Human Services – Medical Services Division, 600 E. Boulevard Avenue, Bismarck, ND 58505-0250, or to your local County Social Service Office.
  • Questions? Call 1-877-KIDSNOW (1-877-543-7669
• Health Care Application for the Elderly and Disabled - Used to determine if individuals who are elderly or who have disabilities quality for Medicaid, the Aid to the Blind Remedial Program, Basic Care Assistance Program, and/or Medicare Savings Programs
• Online Application for Economic Assistance Programs - Used to apply online for Medicaid, Healthy Steps Children's Health Insurance Plan, Basic Care Assistance, Medicare Savings programs, and other assistance such as Child Care Assistance, Supplemental Nutrition Assistance Program (SNAP) (Food Stamps), and Temporary Assistance for Needy Families (TANF).
  • For IMPORTANT information about these programs and client rights, see the Application for Assistance Guidebook (1.59Mb pdf)
  • Complete this Application for Assistance (SFN 405) if you prefer to print, complete, and return it manually to your county social service office.

Booklets

• Guide to N.D. Medicaid Primary Care Provider Program (DN 913) (428kb pdf) - provides an overview of the primary care provider program for people who qualify for Medicaid under the children and families coverage group

Brochures

• Children's Hospice Waiver Program Posted October 2012
• Child Health Coverage Programs (1,967kb pdf)
• Ambulance and Emergency Room Services (A Guide for Medicaid Recipients) (DN 551) (112kb pdf)
• Children with Medically Fragile Needs (DN 849 - Medicaid Waiver) (66 kb pdf) October 2012
• Health Tracks Program (DN 1442) (248kb pdf) Provides information about free preventive health screenings and services for children from newborn to age 21 who qualify for Medicaid.
• Healthy Steps Children's Health Insurance Program General Information (DN 184) (915kb pdf)
• Medicaid Estate Recovery (DN 140) (65kb pdf)
• Need Health Coverage? (DN 555) (376kb pdf) - provides general information on North Dakota Medicaid
• Notice of Right to Claim "Good Cause" (SFN00443) This form is to be completed by Medicaid applicants who believe they have "good cause" not to cooperate with the state's effort to establish paternity or collect child support or medical support.

Fact Sheets

• Workers with Disabilities Medicaid Coverage (February 2011)
• Children with Disabilities Medicaid Coverage (February 2011)
• Medicaid Client Share (Recipient Liability) (January 2011)
• Medicaid and Healthy Steps Information (October 2010)
• ND Medicaid Burial Provisions (August 2010)
• Medicaid - Disqualifying Transfers of Assets and Income Explained (September 2010)
• Medicaid - Disqualifying Transfer Hardship Provisions (Summer 2010)
  • FORM: Request for Medicaid Hardship Provision (Summer 2010)
• Medicaid and Spousal Impoverishment Protection (Fall 2008)
• Medicaid Asset Assessment - Protecting Assets for the Spouse Still Living in the Community (34kb pdf) Spring 2010
• Medicaid State Plan - Personal Care Services (MSP-PC) (808kb pdf) July 2011
• Medicaid Waivers for Home and Community-Based Services (808kb pdf) July 2011
• Medicare Savings Programs - Helping qualified individuals with Medicare Part B premiums and other cost sharing elements (38kb pdf) Spring 2010
• Long-Term Care Partnership Program and Medicaid (53kb pdf) July 2008
• Service Payments for the Elderly and Disabled (SPED) Program (848kb pdf) July 2011
• State Long Term Care Subsidy Program - Provides funds for personal needs such as clothing, health and beauty supplies, snacks and related items. January 2010
• Program for All-inclusive Care for the Elderly (PACE) (66kb pdf) January 2013
• Qualified Service Providers (QSPs) (778kb pdf) July 2011

Newsletters

• Provider Bulletin:
  • February 2013 - Issue 70 (410kb pdf)
  • May 2012 - Issue 69 (972kb pdf)
  • April 2011 - Issue 68 (415kb pdf)
  • July 2010 - Issue 67 (464kb pdf)
  • December 2009 - Issue 66 (407kb pdf)
  • July 2009 - Issue 65 (119 kb pdf)
  • October 2008 - Issue 64 (99kb pdf)
  • March 2008 - Issue 63 (289 kb pdf)
  • September 2007 - Issue 62 ( 114 kb pdf)
  • March 2007 - Issue 61 (138 kb pdf) [no inserts]
  • December 2006 - Issue 60 (75 kb pdf) [no inserts]
  • August 2006 - Issue 59 (100kb pdf)
  • April 2006-Issue 58 (623kb pdf)
  • March 2005-Issue 57 (714 kb pdf) March 2005 Insert #1-Adjustment Examples (54.8 kb pdf) March 2005 Insert #2-ND Healthcare Review (27.6 kb pdf) March 2005 Insert #3-Out of State Requirements (69.8 kb pdf) March 2005 Insert #4-Recipient Liability (63.1 kb pdf)
  • September 2004 (166kb pdf) September 2004 Insert (23kb pdf)
  • January 2004 (59kb pdf)
  • July 2003 (28kb pdf)

Recipient Newsletters

• Vol 8, Issue 1 - Dec. 2010 (93 kb pdf)
• Vol 7, Issue 1 - Sept. 2009 (245 kb pdf)
• Vol 1, Issue 6 - August 2007 (46kb pdf)
• May 2006 (61kb pdf)
• July 2004 (82kb pdf)
• February 2004 (53kb pdf)
• September 2003 (56kb pdf)

Reports

• Analysis of Medicaid Fee for Service Payment Rates (936kb pdf) Produced by Milliman Inc. as required by 2005 House Bill 1460 and presented to the Interim Budget Committee on Human Services on September 13, 2006.
• Biennial Medicaid Report (182kb pdf) Report required by 2005 House Bill 1460 and presented to the Interim Budget Committee on Human Services on September 13, 2006.
• Evaluation of N.D. Medicaid Targeted Case Management Program for High-Risk Pregnant Women and Infants (153kb pdf)
• Federal Medicaid Commission's September 1, 2005 Report to Secretary Michael O. Leavitt:
  • Supplementary Information to the September 1, 2005 Report
• Related to Children With Special Health Care Needs.

Surveys

• Recipients:
  • 2004 Customer Survey Results (54kb pdf) - Brochure explaining the highlights of the 2004 Medicaid customer satisfaction survey
  • 2004 Medicaid Recipient Questionnaire (102kb pdf)
  • 2004 Medicaid Recipient Survey - Detailed Results (117kb pdf)
• Providers: (pending)

If you would like to view the policy manual, select the Financial Assistance link on the Policy Manual Homepage.

Other Documents

• NEW Autism Spectrum Disorder Waiver (Final Version) 2011
• NEW Children's Hospice Waiver (draft for comment), April 2010
• NEW Technology Dependent Medicaid Waiver (December 2011)
• Medicaid Waiver for Home and Community-Based Services (Approved by CMS on April 1, 2007, it describes services available under N.D.'s waiver)
• Developments In Programs And Services For People With Long Term Needs
• List - Licensed Assisted Living Facilities

Quarterly Budget Insight: This report includes caseload and expenditure data for selected programs within the N.D. Department of Human Services.

 

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