North Dakota Medicaid Expansion
Welcome to Sanford Health Plan! This webpage is dedicated to North Dakota’s Medicaid Expansion Program. Sanford Health Plan has been chosen by the North Dakota Department of Human Services to provide eligible North Dakota residents with health insurance benefits. The North Dakota Medical Services decides who is eligible to enroll in this program. Note that the Medicaid Expansion Program through Sanford Health Plan is different from traditional Medicaid services provided by the state of North Dakota.
For detailed information on the North Dakota Medicaid Expansion Program, to apply for coverage, visit the North Dakota Medical Services website or call (844) 854-4825 (toll-free).
To find a doctor, hospital or clinic in your Sanford Health Plan network click here and select your network as “North Dakota Medicaid Expansion.”
To find a pharmacy in your network, click here.
Please refer to the state PDL (Preferred Drug List) link below for details on available rebates. If the state PDL does not address a specific drug, please refer to the Sanford Health Plan NDME formulary for coverage detail.
SHP NDME Formulary 2019
To see a list of covered drugs, view the Formulary by clicking here (effective through 12/31/2018).
To see a list of covered drugs, view the Formulary by clicking here (effective 01/01/2019).
To see the Member Handbook, view by clicking here.
To see the Certificate of Insurance, view by clicking here.
To see the Summary of Benefits and Coverage (SBC) for your plan, click here if you have copays. Click here if you do not have copays.
The Customer Service Department is available whenever you have a question or concern about your Medicaid Expansion benefits or services. Member Services can answer your questions, help you find a doctor, and help you understand your benefits. Member Services can also help you with filing an appeal. We offer free translation if you speak another language. If you are currently enrolled you can view your account online at mySanfordHealthPlan.
Business hours are Monday through Friday from 8 a.m. to 5 p.m. Central Standard Time.
|Department||Questions about...||Phone Number|
|North Dakota Department of Human Services Medical Service Division||Eligibility
How to apply for coverage
ND Relay TTY:
|Sanford Health Plan Customer Service||Benefits
How to find a doctor
How to file a complaint
How to order ID cards
|Sanford Health Plan Pharmacy and Prescription Drugs||Questions about which drugs are email@example.com||Toll-free:
|Sanford Health Plan Utilization Management||Prior-approval of health care firstname.lastname@example.org||Toll-free: