North Dakota Certificate of Physician as to Competency of an Individual

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Multi-State
Control #:
US-02551BG
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Word; 
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Description

Incompetency is a term that has varied meanings in law.

• When it is used to describe the mental condition of a person subject to legal proceedings, it means the person is neither able to understand the nature and consequences of the proceedings nor able to help an attorney with his/her defense. A person who is diagnosed as being mentally ill, mentally retarded, senile, or suffering from some other illness that prevents him/her from managing his/her own affairs may be declared mentally incompetent by a court of law.

• When it is used to describe the legal qualification of a person, it means the person does not have the legal capacity to enter into a contract. A person who agrees to a transaction should possess complete legal capacity to become liable for duties under the contract.

• When it is used to describe a professional duty or obligation, it means that the person has failed to meet the duties required of that profession.

This form is a generic example that may be referred to when preparing such a form for your particular state. It is for illustrative purposes only. Local laws should be consulted to determine any specific requirements for such a form in a particular jurisdiction.

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FAQ

Who is eligible for North Dakota Medicaid Program? Household Size*Maximum Income Level (Per Year)5$46,7376$53,5737$60,4098$67,2454 more rows

Reach out to the ND Medicaid call center at (877) 328-7098 or mmisinfo@nd.gov.

Your PCP may have you visit first with a North Dakota specialist who will evaluate your health care needs and then make a recommendation to your PCP and ND Medicaid if you need to be referred to an out-of-state provider. ND Medicaid will review the request and either approve or deny the request.

Do You Qualify? Medicaid Expansion is available to individuals between 19-64 with household incomes up to 138% of the federal poverty level (FPL).

Medically necessary covered services may be provided outside of North Dakota if the services are not available within North Dakota and have been prior approved by the department or if the services are provided in an emergency situation.

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North Dakota Certificate of Physician as to Competency of an Individual