How to Renew North Dakota Medicaid
Updated August 2026
North Dakota Medicaid coverage is issued for a set period — typically 12 months for children and adults — and requires periodic renewal (redetermination). ND HHS reviews eligibility at renewal using information already on file when possible. When HHS can confirm eligibility without additional documentation, it does so — this is called an "ex parte" renewal.
12 months
Typical renewal frequency
Mail, phone, or in person
Primary renewal methods
60 days
Advance notice before coverage end date
Federal changes in 2026 may affect your eligibility
H.R. 1 (signed July 4, 2025) introduced new federal Medicaid requirements being implemented in 2026. ND HHS has posted updated guidance at hhs.nd.gov/stayenrolled. If you receive renewal forms or eligibility notices in 2026, respond promptly — delays can result in coverage loss.
How North Dakota Medicaid renewal works
When ND HHS cannot confirm eligibility through administrative data, it sends a renewal form by mail. You must complete and return the form to keep your coverage. Watch your mail and respond quickly — returned forms are required; ignoring them will result in termination.
How to renew
North Dakota Medicaid renewals can be completed through the following options.
- By mail — return your form to ND HHS, 600 E. Boulevard Ave., Dept. 325, Bismarck, ND 58505-0250
- By phone — call 1-800-755-2604 to complete the renewal by phone
- In person — drop off at your local Human Service Zone office
Steps to complete your North Dakota Medicaid renewal
Follow these steps when your renewal comes due.
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1
Watch for renewal notices
ND HHS sends renewal packets by mail approximately 60 days before your coverage end date. Keep your mailing address current — contact HHS at 1-800-755-2604 to update your address if you have moved.
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2
Review and complete your renewal form
Check that your income, household size, and contact information are accurate. If anything has changed, update it on the form and provide supporting documentation.
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3
Return the form before the deadline
Return by mail to ND HHS, 600 E. Boulevard Ave., Dept. 325, Bismarck, ND 58505-0250, or drop off at your local Human Service Zone office. You can also call 1-800-755-2604 to complete the renewal by phone.
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4
Respond to any requests for documentation
If HHS requests additional income or household documentation, provide it within the timeframe specified in the notice.
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5
Appeal if you disagree with the outcome
If your coverage is terminated at renewal and you believe the decision is wrong, request a fair hearing. North Dakota HHS must provide written notice with the reason for termination. You have the right to appeal.
If your coverage was terminated after the federal unwinding period
During the COVID-19 pandemic, states were prohibited from terminating Medicaid coverage. When the continuous enrollment requirement ended in April 2023, states began processing renewals again — a process called "unwinding." North Dakota, like all states, worked through its caseload during 2023 and 2024.
If you lost North Dakota Medicaid coverage during or after the unwinding period and believe you still qualify, you can reapply at any time. Coverage does not have a waiting period after previous termination. Apply online at hhs.nd.gov/healthcare/medicaid/apply, call 1-800-755-2604, or visit your local Human Service Zone office.
If your renewal is denied
A denial must state the reason in writing and explain your right to appeal. You have 90 days from the date of the notice to request a fair hearing. File the appeal quickly — if you appeal before your coverage ends, you may be able to continue coverage during the appeal period, though this depends on timing and the reason for denial.
Common renewal denials include income that increased above the threshold, failure to respond to the renewal packet, a change in household size that affects eligibility, or immigration status questions.
North Dakota Medicaid
- ND HHS renewal phone line: 1-800-755-2604
- ND HHS renewal mailing address: 600 E. Boulevard Ave., Dept. 325, Bismarck, ND 58505-0250
- ND HHS Stay Enrolled guidance: hhs.nd.gov/stayenrolled
- ND HHS Medicaid: hhs.nd.gov/medical-services/medical-services