North Dakota Medicaid Expansion
This page is for members of the North Dakota Medicaid Expansion Program, administered by Sanford Health Plan.
- $0 Copay for all North Dakota Medicaid members effective 10-01-2019
- Change from Sanford Health Plan to ND DHS for pharmacy claims effective 01-01-2020
Please note Medicaid Expansion benefits through Sanford Health Plan are different from traditional Medicaid services provided by the state of North Dakota.
Sanford Health Plan does not determine eligibility or enrollment in North Dakota Medicaid Expansion.
For detailed information on enrollment, eligibility, or to apply for coverage, visit the North Dakota Department of Human Services-Medical Services Division website for Medicaid or call (701) 328-7068 | Toll-free: (844) 854-4825. ND Relay TTY: (800) 366-6888.
Reminder: if you have a change in income (like overtime or shift changes), or the number of people who live with you changes, or you move (even if it is temporary), you must tell the state of North Dakota within 10 days of when the change happens to make sure you don’t have a gap in health coverage. To find your local County Social Service office, click here.
FIND A PROVIDER:
To find a doctor, hospital or clinic in your Sanford Health Plan network click here and select your network as “North Dakota Medicaid Expansion.”
We can help you find a doctor, understand what's covered, and also help if you need to file an appeal.
For medical management and prior authorization questions, call:
Sanford Health Plan Utilization Management
(855) 276-7214 (toll-free)
We are open Monday-Friday, 8 a.m. to 5 p.m. Central Time.
If you have questions about your pharmacy benefits or covered drugs, please call ND DHS at (800) 755-2604 | TTY: 711.