Transferring Medicaid from North Dakota to Louisiana
No — Medicaid does not move with you. Your North Dakota coverage ends when you stop being a North Dakota resident, and you apply again with Healthy Louisiana after you arrive. There is no residency waiting period, and coverage can reach back to your application date.
Both states cover adults under expansion rules at 138% of the federal poverty level, so if you qualified on income in North Dakota, you will likely qualify in Louisiana too.
Official Louisiana Medicaid agency: Louisiana Department of Health (LDH) ↗ (application page)
Your step-by-step checklist
Before you move
- 1
Gather your documents before the move
You will reapply from scratch: proof of identity, income (pay stubs or award letters), your new address, and immigration documents if applicable.
- 2
Tell North Dakota Health and Human Services you are leaving
Report your move and ask for your case to be closed effective the end of the month you leave. Medicaid cannot cover you in two states at once.
North Dakota Health and Human Services ↗
Moving week
- 3
Time the closure to the end of your move month
Keep coverage through the month you travel. Your old state's coverage generally ends the month you stop being a resident.
After you arrive
- 4
Apply with Louisiana Department of Health (LDH) as soon as you arrive
There is no waiting period based on how long you have lived there — apply immediately. Processing: up to 45 days.
Online application ↗ - 5
Ask about retroactive coverage
Most states can cover eligible medical bills up to 3 months before your application date — ask when you apply if you had care during the gap.
North Dakota vs Louisiana: the numbers that decide it
| North Dakota (old state) | Louisiana (new state) | |
|---|---|---|
| Program name | North Dakota Medicaid | Healthy Louisiana |
| Agency | North Dakota Health and Human Services | Louisiana Department of Health (LDH) |
| ACA Medicaid expansion | Yes — adults covered on income | Yes — adults covered on income |
| Adult income limit | 138% of the federal poverty level | 138% of the federal poverty level |
Verified 2026-08-08 (North Dakota) and 2026-08-08 (Louisiana) against the official sources cited below.
Moving with more than one benefit?
The checklist generator merges Medicaid, SNAP, WIC, unemployment, and TANF into one ordered to-do list for this exact move.
Build the full North Dakota → Louisiana checklistCommon questions
Can I use my North Dakota Medicaid in Louisiana while I wait?
Generally no. North Dakota Medicaid only pays providers for North Dakota residents, and out-of-state care is limited to emergencies. Once you live in Louisiana, you need Louisiana coverage — apply immediately and ask about retroactive coverage for bills in the gap.
Is there a waiting period for Medicaid in Louisiana?
No. States cannot impose a minimum-residency waiting period. You qualify (or not) on Louisiana's income and category rules from the day you become a resident. The application itself takes up to 45 days.
Can I have Medicaid in two states at once?
No. You can only receive Medicaid from the state where you live. Keeping an old case open while opening a new one can create repayment problems — close the North Dakota case effective your move month.
Where do I actually apply in Louisiana?
Through Louisiana Department of Health (LDH) (online application linked above). Official Medicaid pages for both states are cited at the bottom of this page.
Related guides
Official sources
Every fact above was checked against these official pages. Last verified.
- ND HHS Medicaid — accessed 2026-08-08
- ND HHS Medicaid Expansion — accessed 2026-08-08
- LDH — Medicaid — accessed 2026-08-08
- LDH — Medicaid Self-Service Portal (how to apply) — accessed 2026-08-08