North Dakota Medicaid Expansion – A Brief Guide

medicaid expansion.

In April 2013, North Dakota decided to expand its Medicaid coverage to include more applicants. The Medicaid Expansion program provided affordable healthcare and medical care to more low-income individuals and families in the state.

However, the program will be undergoing changes again this year. Earlier this year, the Republicans proposed some modifications to it. Here is quick look at them:

The Affordable Care Act

The Obama administration passed the Affordable Care Act in 2010. Medicaid expansion was one of the main highlights of the Affordable Care Act.

As mentioned earlier, Medicaid expansion allowed all the states to increase the size of their respective medical assistance programs.

North Dakota and several other states accepted the federal government’s offer to provide affordable healthcare and medical services to more low-income adults. In addition, the federal government covered the complete cost of the Expansion Program.

Modifications to Medicaid Expansion Program

Under the recent changes, the federal government will not be responsible for 100% funding of the Expansion Program. The federal government provided funding from 2014 to 2016. As of January 2015, it has been reduced.

The federal government funding will further be cut down by the year 2020. The funding amount is set to decrease to 90% federal match rate.

According to the health care bill introduced by the Republicans, Medicaid applicants will be covered at 90% federal match until the end of 2019. Thereafter, new Medicaid applicants will be matched at 50% federal match.

North Dakota Medicaid Expansion Program

Sanford Health Plan provides Medicaid expansion coverage in North Dakota. The Expansion Program is offered to individuals between 19 to 65 years of age with household incomes up to 138 % of the federal poverty level.

From the year 2018, low-income individuals eligible for Medicare (new and current recipients) will not be covered under the Expanded Program. However, they will qualify for coverage under the Medicaid Program.

If you’re an adult aged (19–65) with an income up to 138% of the federal poverty level then you can still be eligible for the Expanded Program in North Dakota. You need to submit an online application for Medicaid Expansion coverage.

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