North Dakota Application for Presumptive Eligibility for Medicaid

State:
Multi-State
Control #:
US-0538BG
Format:
PDF
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Description

Use this form to find out quickly if you qualify for presumptive eligibility for Medicaid. Presumptive eligibility offers you and your family immediate access to health care while you apply for regular Medicaid or other health coverage.
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  • Preview Application for Presumptive Eligibility for Medicaid
  • Preview Application for Presumptive Eligibility for Medicaid
  • Preview Application for Presumptive Eligibility for Medicaid

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FAQ

All plans include coverage for preventive cleanings, fillings and crowns?at varying benefit levels. Some plans include optional orthodontia and more.

Medicaid provides comprehensive medical, dental and vision coverage to North Dakota children and adults through a variety of coverage programs and waivers, including: Autism Spectrum Disorder Waiver provides services for young children from birth through age 11 who have a diagnosis of an autism spectrum disorder.

Medicaid is a program that helps pay for medical services for qualifying low-income adults, children, pregnant women, older adults and people with disabilities.

NC Medicaid Dental Coverage for Adults Generally, you can receive exams, cleanings, fillings, sealants, x-rays, extractions, and dentures. Surgeries and periodontal services are available when medically necessary, and root canals are available for those under 21.

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.

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

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

Covers medical and surgical services performed by a doctor; supplies and drugs given at the doctor's office; and X-rays and laboratory tests needed for diagnosis and treatment.

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North Dakota Application for Presumptive Eligibility for Medicaid