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Transferring Medicaid from West Virginia to North Dakota

No — Medicaid does not move with you. Your West Virginia coverage ends when you stop being a West Virginia resident, and you apply again with North Dakota Medicaid 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 West Virginia, you will likely qualify in North Dakota too.

Official North Dakota Medicaid agency: North Dakota Health and Human Services ↗ (application page)

Your step-by-step checklist

Before you move

  1. 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. 2

    Tell West Virginia Department of Human Services, Bureau for Medical Services you are leaving

    Call the DoHS hotline at 1-877-716-1212 to report a change in your situation (agency wording), or report changes through your WV PATH account.

    West Virginia Department of Human Services, Bureau for Medical Services ↗

Moving week

  1. 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

  1. 4

    Apply with North Dakota Health and Human Services 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 ↗
  2. 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.

West Virginia vs North Dakota: the numbers that decide it

 West Virginia (old state)North Dakota (new state)
Program nameWest Virginia MedicaidNorth Dakota Medicaid
AgencyWest Virginia Department of Human Services, Bureau for Medical ServicesNorth Dakota Health and Human Services
ACA Medicaid expansionYes — adults covered on incomeYes — adults covered on income
Adult income limit138% of the federal poverty level138% of the federal poverty level

Verified 2026-08-08 (West Virginia) and 2026-08-08 (North Dakota) 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 West Virginia → North Dakota checklist

Common questions

Can I use my West Virginia Medicaid in North Dakota while I wait?

Generally no. West Virginia Medicaid only pays providers for West Virginia residents, and out-of-state care is limited to emergencies. Once you live in North Dakota, you need North Dakota coverage — apply immediately and ask about retroactive coverage for bills in the gap.

Is there a waiting period for Medicaid in North Dakota?

No. States cannot impose a minimum-residency waiting period. You qualify (or not) on North Dakota'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 West Virginia case effective your move month.

Where do I actually apply in North Dakota?

Through North Dakota Health and Human Services (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.

Written by Benefits Transfer Editorial Team

Reviewed by Billy Reiner, Editor

Last verified