ND Medicaid Expansion

North Dakota Medicaid Expansion

The North Dakota Medicaid Expansion Program will be transitioning for the upcoming 2022 plan year. Members of the North Dakota Medicaid Expansion Program will need to utilize the information below after December 1, 2021.

Enrollees over the age of 21 will be utilizing Blue Cross Blue Shield of North Dakota and can locate further information by visiting Medicaid.bcbsnd.com.

Traditional Medicaid enrollees ages 19 & 20 can visit www.nd.gov/dhs/services/medicalserv/medicaid or contact Medical Services at (800) 755-2604 (TTY: 711) for help from 8 a.m. to 5 p.m. Monday through Friday.

This page is for members of the North Dakota Medicaid Expansion Program, administered by Sanford Health Plan. Please note Medicaid Expansion benefits through Sanford Health Plan are different from traditional Medicaid services provided by the state of North Dakota.

ELIGIBILITY:

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.” 

DOCUMENTS:

  1. Member Handbook
  2. Certificate of Insurance
  3. Summary of Benefits and Coverage (SBC)
  4. Appeal Rights and Form

CONTACT INFORMATION:

We can help you find a doctor, understand what's covered, and also help if you need to file an appeal.

Sanford Health Plan Customer Service
(855) 305-5060 (toll-free)
If you speak a language other than English, call our free translation services at (800) 892-0675. TTY/TDD: (877) 652-1844.

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 an ID card and are covered now, you can view your account online or send us a message at mySanfordHealthPlan.

If you have questions about your pharmacy benefits or covered drugs, please call ND DHS at (800) 755-2604 | TTY: 711.