Definitions 510-03-05
December 21, 2022-May 19, 2024- 510-03-05 ML 3825
September 1, 2021- December 21, 2022 - 510-03-05 ML 3698
April 1, 2020 - August 31, 2021 - 510-03-05 ML 3636
July 1, 2019 - March 31, 2020 - 510-03-05 ML 3576
May 1, 2017 - June 30, 2019 - 510-03-05 ML3554
June 1, 2015 - April 30, 2017 - 510-03-05 ML3498
July 1, 2014 - May 31, 2015 - 510-03-05 ML3441
General Statement 510-03-07-05
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Purpose and objective 510-03-07-10
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General Information 510-03-10-05
There are no archives for this section
Nondiscrimination in Federally Assisted Programs 510-03-10-10
There are no archives for this section
Confidentiality 510-03-10-15
April 1, 2020 - August 31, 2021 - 510-03-10-15 ML 3636
June 1, 2015 - March 31, 2020 - 510-03-10-15 ML 3576
July 1, 2014 - May 31, 2015 - 510-03-10-15 ML3441
Assignment of Rights to Recover medical Costs 510-03-10-20
There are no archives for this section
Suspected Fraud 510-03-10-25
Name Change April 1, 2020 - October 31, 2020 - 510-03-10-25 ML 3600
August 26, 2019 - March 31, 2020 - 510-03-10-25 ML 3576
June 1, 2017 - August 25, 2019 - 510-03-10-25 ML 3561
June 1, 2015 - April 30, 2017 - 510-03-10-25 ML3498
July 1, 2014 - May 31, 2015 - 510-03-10-25 ML3441
Liens and Recoveries 510-03-10-30
July 1, 2014 - April 30, 2017 - 510-03-10-30 - ML3498
Certificate of Creditable Coverage 510-03-10-33
REPEALED
July 1, 2014 - May 31, 2021 - 510-03-10-33 ML 3622
Cooperation - Third Party Liability 510-03-12-05
August 1, 2019 - March 31, 2020 - 510-03-12-05 - ML 3576
July 1, 2014 - July 31, 2019 - 510-03-12-05 - ML 3558
"Good Cause" - third Party Liability 510-03-12-10
There are no archives for this section
General Information 510-03-20-05
There are no archives for this section
Definitions (Cost Effective Health Insurance) 510-03-20-10
There are no archives for this section
Applicant's and Recipient's Responsibility 510-03-20-15
There are no archives for this section
Cost-Effectiveness Determination 510-03-20-20
There are no archives for this section
Application and Review 510-03-25-05
April 1, 2020- March 31,2023 - 510-03-25-05- ML 3713
August 1, 2019 - March 31, 2020 - 510-03-25-05 - ML 3576
May 1, 2017 - July 31, 2019 - 510-03-25-05 - ML 3558
June 1, 2015 - April 30, 2017 - 510-03-25-05 ML3498
July 1, 2014 - May 31, 2015 - 510-03-05 ML3441
Eligibility - Current and Retroactive 510-03-25-10
June 1, 2015 - March 31, 2020 - 510-03-25-10 ML 3576
July 1, 2014 - May 31, 2015 - 510-03-25-10 ML3441
Duty to Establish Eligibility 510-03-25-15
There are no archives for this section
Medicaid Brochures 510-03-25-20
There are no archives for this section
Decision and Notice 510-03-25-25
April 1, 2024-May 20, 2024- 510-03-25-25 ML 3825
April 1, 2020-March 31,2023 - 510-03-25-05 ML 3713
May 1, 2017 - March 31, 2020 - 510-03-05-25-25 ML 3576
June 1, 2015 - April 30, 2017 - 510-03-05-25-25 ML3498
July 1, 2014 - May 31, 2015 - 510-03-05-25-25 ML3441
Electronic Narratives 510-03-25-27
July 1, 2014 - March 31, 2020 - 510-03-25-27 - ML 3576
Appeals 510-03-25-30
July 1, 2019 - October 31, 2020 - 510-03-25-30 ML 3600
July 1, 2014 - June 30, 2019 - 510-03-25-30 ML 3554
Groups Covered Under ACA Medicaid 510-03-30-05
October 1,2023-December 31,2023 510-03-30-05 ML 3747
January 1, 2023-September 30,2023 510-03-30-05 ML 3698
August 1, 2020-December 31,2022 510-03-30-05 ML 96
April 1, 2020 - July 31, 2020 - 510-03-30-50 ML 3586
July 1, 2019 - March 31, 2020 - 510-03-30-50 ML 3576
June 1, 2015 - June 30, 2019 - 510-03-30-05 ML 3554
July 1, 2014 - May 31, 2015 - 510-03-30-05 ML 3441
Applicant's Choice of Category 510-03-30-10
June 1, 2014 - April 30, 2017 - 510-03-30-10 ML 3498
Assigning Category of Eligibility 510-03-30-15
April 8, 2024, - January 21, 2025 510-03-30-15 ML 3897
October 1, 2023-December 31, 2023 510-03-30-15 ML 3765
January 1, 2023-September 30,2023 510-03-30-15 ML 3747
January 1, 2021-December 31, 2022 510-03-30-15 ML 3698
August 1, 2020 - December 31, 2021 - 510-03-30-15 ML 3652
April 1, 2020 - July 31, 2020 - 510-03-30-15 ML 3586
August 1, 2019 - March 31, 2020 - 510-03-30-15 ML 3576
July 1, 2019 - July 31, 2019 - 510-03-30-15 - ML3558
June 1, 2015 - June 30, 2019 - 510-03-30-15 ML 3554
July 1, 2014 - May 31, 2015 - 510-03-30-15 ML3441
ACA Eligible Individuals Health Care Coverage 510-03-30-20
October 1, 2023 -December 31, 2023 510-03-30-20 ML 3776
September 1, 2021- September 30, 2023 510-03-30-20 ML 3747
April 1, 2020 - August 31, 2021 - 510-03-30-20 ML 3636
May 1, 2017 - March 31, 2020 - 510-03-30-20 ML 3576
ACA Medicaid Household 510-03-35-05
July 1, 2014 - May 31, 2015 - 510-03-35-05 ML3441
Deprivation 510-03-35-10
There are no archives for this section
Caretaker Relatives 510-03-35-15
July 1, 2019 - March 31, 2020 - 510-03-35-15 ML 3576
May 1, 2017 - June 30, 2019 - 510-03-35-15 ML 3554
June 1, 2015 - April 30, 2017 - 510-03-35-15 ML3498
July 1, 2014 - May 31, 2015 - 510-03-35-15 ML3441
Relative Responsibility 510-03-35-20
There are no archives for this section
Need 510-03-35-35
July 1, 2014 - December 31, 2023 510-03-35-35 ML 3776
Age and Identity 510-03-35-40
June 1, 2015 - April 30, 2017 - 510-03-35-40 ML3498
July 1, 2014 - May 31, 2015 - 510-03-35-40 ML3441
Citizenship and Alienage 510-03-35-45
May 1, 2017- June 2, 2024- 510-03-35-45 ML 3697
June 1, 2015 - April 30, 2017 - 510-03-35-45 ML3498
July 1, 2014 - May 31, 2015 - 510-03-35-45 ML3441
American Indians Born in Canada 510-03-35-50
There are no archives for this section
Non-Qualified Aliens 510-03-35-55
July 1, 2014 - May 31, 2021 - 510-03-35-55 ML 3622
Qualified Aliens 510-03-35-58
June 1, 2022-February 23, 2023- 510-03-35-58 ML3701
June 1, 2021 - May 31, 2022 - 510-03-35-58 ML 3672
July 1, 2014 - May 31, 2021 - 510-03-35-58 ML 3622
Aliens Lawfully Admitted for Permanent Residence Before August 22, 1996 510-03-35-60
There are no archives for this section
Aliens Lawfully Admitted for Permanent Residence on or After August 22, 1996 510-03-35-65
October 1 2023- May 20, 2024- 510-03-35-65 ML 3824
June 1, 2015 - September 30, 2023- 510-03-35-65 ML 3747
July 1, 2014 - May 31, 2015 - 510-03-35-65 ML3441
Emergency Services for Non-Citizens 510-03-35-70
June 1, 2015- September 30,2023- 510-03-35-70 ML 3747
July 1, 2014 - May 31, 2015 - 510-03-35-70 ML3441
Social Security Numbers 510-03-35-80
June 1, 2015 - April 30, 2017 - 510-03-35-80 ML3498
July 1, 2014 - May 31, 2015 - 510-03-35-80 ML3441
State Residence 510-03-35-85
May 1, 2017- September 30, 2023- 510-03-35-85 ML 3763
June 1, 2015 - April 30, 2017 - 510-03-35-85 ML3498
July 1, 2014 - May 31, 2015 - 510-03-35-85 ML3441
Application for Other Benefits 510-03-35-90
January 18, 2023 - December 31, 2024 510-03-35-90 ML 3892
January 1, 2023 - 510-03-35-90 ML 3698
Public Institutions 510-03-35-95
Title Change May 1, 2017
June 1, 2015 - April 30, 2017 - 510-03-35-95 ML3498
July 1, 2014 - May 31, 2015 - 510-03-35-95 ML3441
General Statement (Coverage for Inmates Receiving Inpatient Care in Certain Medical (Institutions) 510-03-35-95-05-05
There are no archives for this section
Definitions for Coverage for Inmates Receiving Inpatient Care in Certain Medical Institutions 510-03-35-95-05-10
Individuals Covered (Coverage for Inmates Receiving Inpatient Care in Certain Medical Institutions) 510-03-35-95-05-15
There are no archives for this section.
Asset Considerations (Coverage for Inmates Receiving Inpatient Care in Certain Medical Institutions) 510-03-35-95-05-20
There are no archives for this section.
Income Considerations (Coverage for Inmates who are Inpatients in a Hospital Setting) 510-03-35-95-05-25
There are no archives for this section.
Income Levels (Coverage for Inmates who are Inpatients in a Hospital Setting) 510-03-35-95-05-30
There are no archives for this section.
Budgeting (Coverage for Inmates who are Inpatients in a Hospital Setting) 510-03-35-95-05-35
There are no archives for this section.
Coverage for Inmates Residing in Corrections-related Supervised Community Residential Facilities 510-03-35-95-10
May 1, 2017- May, 2, 2024- 510-03-35-95-10 ML 3498
Institutions for Mental Disease (IMD) 510-03-35-97
May 1, 2017- May, 2, 2024- 510-03-35-95-10 ML 3498
Disability and Medically Frail 510-03-35-100
July 1, 2014 - May 31, 2015 - 510-03-35-100 ML3441
Incapacity of a Parent
There are no archives for this section
Paternity 510-03-40-05
There are no archives for this section
Medical Support 510-03-40-10
There are no archives for this section
Cooperation - Child Support 510-03-40-15
May 1, 2017- December 31, 2022- 510-03-40-15 ML 3698
June 1, 2015 - April 30, 2017 - 510-03-40-15 ML3498
July 1, 2014 - May 31, 2015 - 510-03-40-15 ML3441
"Good Cause" - Child Support 510-03-40-20
There are no archives for this section
Extended Medicaid for Pregnant Women 510-03-45-05
January 1, 2023- September 30, 2023 -510-03-45-05 ML 3747
January 1, 2023- 510-03-45-05 ML 3698
Extended Medicaid for Children born to Pregnant Women 510-03-45-10
There are no archives for this section
Transitional Medicaid Benefits 510-03-50-05
June 1, 2015 - March 31, 2020 - 510-03-50-05 ML 3576
July 1, 2014 - May 31, 2015 - 510-03-50-05 ML 3441
Extended medical Benefits 510-03-50-10
January 13, 2023-May 20, 2024- 510-03-50-10 ML 3832
April 1, 2020-January 12, 2023-510-03-50-10 ML 3696
July 1, 2014 - March 31, 2020 - 510-03-50-10 ML 3576
General Statement 510-03-53-05
There are no archives for this section
Individuals Covered 510-03-53-10
There are no archives for this section
Continuous Eligibility Periods 510-03-53-15
June 1, 2015 - April 30, 2017 - 510-03-53-15 ML3498
July 1, 2014 - May 31, 2015 - 510-03-53-15 ML3441
Continuously Elgible Individuals Moving Out of the ACA Medicaid Household 510-03-53-20
There are no archives for this section
Foster Care 510-03-55-05
July 1, 2019 - May 31, 2021 - 510-03-55-05 ML 3622
May 1, 2017 - June 30, 2019 - 510-03-55-05 ML 3554
June 1, 2015 - April 30, 2017 - 510-03-55-05 ML3498
July 1, 2014 - May 31, 2015 - 510-03-55-05 ML3441
Foster Care Financial Eligibility Requirements 510-03-55-10
There are no archives for this section
Volunteer Placement Program 510-03-55-15
There are no archives for this section
Subsidized Guardianship Project 510-03-55-20
There are no archives for this section
General Statement (Hospital Presumptive Eligibility (HPE)) 510-03-60-05
There are no archives for this section
Application and Review for Hospital Presumptive Eligibility (HPE) 510-03-60-10
There are no archives for this section.
Individuals Covered Under Hospital Presumptive Eligibility (HPE) 510-03-60-15
There are no archives for this section.
Eligibility Requirements for Hospital Presumptive Eligibility (HPE) 510-03-60-20
There are no archives for this section.
Budgeting for Individuals Applying for Hospital Presumptive Eligibility (HPE) 510-03-60-25
There are no archives for this section.
Hospital Presumptive Eligibility (HPE) Periods 510-03-60-30
There are no archives for this section.
Coverage under Hospital Presumptive Eligibility (HPE) 510-03-60-35
There are no archives for this section.
Three Months Prior Coverage Under Hospital Presumptive Eligibility (HPE) 510-03-60-40
There are no archives for this section.
Appealing a Hospital Presumptive Eligibility (HPE) Determination 510-03-60-45
There are no archives for this section.
Hospital Responsibility under Hospital Presumptive Eligibility (HPE) 510-03-60-50
There are no archives for this section.
General Information 510-03-70-05
July 1, 2014 - May 31, 2015 - 510-03-05 ML3441
Ownership in a Partnership or Corporation 510-03-75-05
There are no archives for this section
Treatment of Conservation Reserve Program Property and Payments 510-03-75-10
July 1, 2014 - May 31, 2015 - 510-03-75-10 ML3441
Communal Colonies 510-03-75-15
There are no archives for this section
Income Considerations 510-03-85-05
July 1, 2014 - May 31, 2015 - 510-03-85-05
Determining Ownership of Income 510-03-85-10
There are no archives for this section
ACA Income Methodologies 510-03-85-13
May 1, 2017- September 30, 2024- 510-03-85-13 ML 3861
June 1, 2015 - April 30, 2017 - 510-03-85-13 ML3498
July 1, 2014 - May 31, 2015 - 510-03-85-13 ML3441
Countable Income 510-03-85-15
October 1, 2024 - January 15, 2025 510-03-85-15 ML 3898
July 1, 2014- September 30, 2024 -510-03-85-15 ML 3404
Income Conversion 510-03-85-20
June 1, 2015 - April 30, 2017 - 510-03-85-20 ML3498
July 1, 2014 - May 31, 2015 - 510-03-85-20 ML3441
Income Compatibility 510-03-85-25
April 1, 2023-May 20, 2024- 510-03-85-25 ML 3825
April 1, 2020- March 31, 2023 - 510-03-85-25 ML 3703
May 1, 2017 - March 31, 2020 - 510-03-85-25 ML 3576
Disregarded Income 510-03-85-30
October 1, 2024 - January 15, 2025 - 510-03-85-30 ML 3898
May 21, 2024- September 30,2024 -510-03-85-30 ML 3861
January 18, 2023- May 20, 2024- 510-03-85-30 ML 3832
August 26, 20219-January 17,2023- 510-03-85-30 ML 3697
June 1, 2015 - August 26, 2019 - 510-03-85-30 ML 3561
Income Deductions 510-03-85-35
July 1, 2014- September 30, 2024 - 510-03-85-35 ML 3404
Income Levels 510-03-85-40
April 1, 2024 - March 31, 2025 510-03-85-40 ML 3895
January 1, 2024-March 31, 2024 510-03-85-40-ML 3773
October 1 2023- December 31, 2023 510-03-85-40 ML 3747
April 1, 2023-September 30, 2023 510-03-85-40 ML 3702
April 1, 2022- March 31,2023 510-03-85-40 ML 3702
June 1, 2021 - May 31, 2022 - 510-03-85-40 ML 3672
April 1, 2020 - May 31, 2021 - 510-03-85-40 ML 3622
July 1, 2019 - March 31, 2020 - 510-03-85-40 ML 3576
May 1, 2017 - June 30, 2019 - 510-03-85-40 ML 3554
June 1, 2015 - April 30, 2017 - 510-03-85-40 ML3498
July 1, 2014 - May 31, 2015 - 510-03-85-40 ML3441
Definitions 510-03-90-05
There are no archives for this section
10-10-10 Rule 510-03-90-10
July 1, 2014 - March 31, 2020 - 510-03-90-10 ML 3576
Guidelines for Anticipating Income 510-03-90-15
There are no archives for this section
Client Share (Recipient Liability) 510-03-90-17
July 1, 2014 - May 31, 2015 - 510-03-90-17 ML3441
Computing Client Share (Recipient Liability) 510-03-90-20
July 1, 2014 - May 31, 2015 - 510-03-90-20 ML3441
Offset of Client Share (Recipient Liability) 510-03-90-23
There are no archives for this section
Budgeting Procedures for Pregnant Women 510-03-90-25
January 1, 2023-September 30, 2023- 510-03-90-25 ML 3747
July 1, 2019- December 31, 2022- 510-03-90-25 ML 3698
June 1, 2015 - June 30, 2019 - 510-03-90-25 ML 3554
July 1, 2014 - May 31, 2015 - 510-03-90-25 ML3441
Budgeting Procedures When Adding and Deleting Individuals 510-03-90-30
June 1, 2015 - April 30, 2017 - 510-03-90-30 ML3498
July 1, 2014 - May 31, 2015 - 510-03-90-30 ML3441
Budgeting Procedures for SSI Recipients 510-03-90-45
There are no archives for this section
Budgeting Procedures for Medically Needy under ACA Medicaid 510-03-90-50
January 12, 2023-December 31, 2023 510-03-90-50 ML 3776
June 1, 2015- January 11, 2023 510-03-90-50 ML 3696
July 1, 2014 - May 31, 2015 - 510-03-90-50 ML3441
Budgeting Procedures for Continuous Eligibility for Children Under Age 19 510-03-90-55
There are no archives for this section
Budgeting Procedures for Three Prior Months (THMP) 510-03-90-60
June 1, 2015 - April 30, 2017 - 510-03-90-60 ML3498
July 1, 2014 - May 31, 2015 - 510-03-90-60 ML3441
Action on Reported Changes 510-03-90-65
There are no archives for this section
General Information 510-03-95-05
There are no archives for this section
Healthy Steps 510-03-95-10
There are no archives for this section
Refugee Medical Assistance Program 510-03-95-20
July 1, 2014 - March 31, 2020 - 510-03-95-20 ML 3576
Aid to the Blind - Remedial Care 510-03-95-25
This section has been Repealed ML 3636
There are no archives for this section
Primary Care Provider Program 510-03-95-30
July 1, 2014 - September 30, 2020 - 510-03-95-30 ML 3594
Children's Special Health Services 510-03-95-40
There are no archives for this section
Coordinated Services Program 510-03-95-45
There are no archives for this section
North Dakota Health Tracks 510-03-95-50
There are no archives for this section
Family Planning Program 510-03-100-05
There are no archives for this section
WIC Program 510-03-100-10
There are no archives for this section
DN 143, "Your Civil Rights Brochure" 510-03-100-15
There are no archives for this section
DN 555, "Medicaid Program Brochure" 510-03-100-20
There are no archives for this section
DN 1442, "ND Health Tracks" 510-03-100-25
There are no archives for this section
SFN 20, "Surveillance & Utilization Review Section (SURS) Referral" 510-03-100-30
There are no archives for this section
SFN 162, Request for Hearing 510-03-100-35
There are no archives for this section
SFN 443, "Notice of Right to Claim 'Good Cause" 510-03-100-40
There are no archives for this section
SFN 446, "Request to Claim 'Good Cause" 510-03-100-45
There are no archives for this section
SFN 451, "Eligibility Report on Disability/Incapacity" 510-03-100-50
There are no archives for this section
SFN 560, "Assignment of Benefits" 510-03-100-55
There are no archives for this section
SFN 566, "Medicaid Questionnaire and Assignment" 510-03-100-60
There are no archives for this section
SFN 691, "Affidavit of Identity For Children" 510-03-100-65
There are no archives for this section
SFN 706, "Affidavit of Explanation why Citizenship Cannot be Supplied" 510-03-100-70
SFN 707, "Citizen Affidavit" 510-03-100-75
There are no archives for this section
SFN 817, "Health Insurance Cost-Effectiveness Review" 510-03-100-80
There are no archives for this section
SFN 828, "Credit Form" 510-03-100-85
There are no archives for this section
SFN 1598, "Medically Frail Questionnaire" 510-03-100-90
There are no archives for this section
Coverage Hierarchy Order 510-03-105-05
April 1, 2020 - August 31, 2021 - 510-03-105-05 ML 3636
August 1, 2019 - March 31, 2020 - 510-03-105-05 ML 3576
May 1, 2017 - July 31, 2019 - 510-03-105-05 - ML 3558
Medicaid Living Arrangement Reference Hard Card 510-03-105-10
May 1, 2017-October 31, 2023- 510-03-105-10
Lottery and Gambling Winnings Income Table 510-03-105-15
There are no archives for this section.
Process for No or Invalid Recipient Address 510-03-110-05
There are no archives for this section
Revert to Open for Medicaid 510-03-110-10
There are no archives for this section
Processing for Inmates Receiving Inpatient Care in Certain Medical Institutions 510-03-110-15
There are no archives for this section
Medicaid Coverage for Inmates Residing in Corrections-related Supervised Community Residential Facilities 510-03-110-20
There are no archives for this section
Process for Medicaid Overpayments 510-03-110-25
April 1, 2020 - October 31, 2020 - 510-03-110-25 ML 3600
