North Dakota Medicaid: 2026 Income Limits and Moving In or Out

North Dakota Medicaid at a glance

North Dakota Medicaid income limits for adults (2026)

North Dakota expanded Medicaid under the ACA, so adults with income up to 138% of the federal poverty level can qualify without fitting a category such as disability or pregnancy. Federal law (Public Law 119-21) adds a work condition for most of these adults from January 1, 2027 (earlier in some states, and later only in a state granted an extension, which cannot run past 2028): they must show 80 hours a month of work, school, job training, or community service, unless they are exempt (for example, parents of a child 13 or under, pregnant people, and people with a disability). New applicants may have to show it for 1 to 3 consecutive months immediately preceding the month they apply.

• Computed as 138% of the 2026 HHS poverty guidelines (48 contiguous states and DC), rounded up to the dollar. North Dakota's own chart controls, and states often switch to the new year's guidelines partway through the year — so the agency's chart may still show lower 2025 figures.
• The adult limit counts income under MAGI (modified adjusted gross income) rules. Children and pregnant people usually have higher limits; people 65+ or with a disability are assessed under different, non-MAGI rules that often include an asset test — ask the agency below.

Federal source: HHS 2026 Poverty Guidelines (91 FR 1797) (published 2026-01-15)

Common questions

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