North Dakota Medicaid Program Overview
Enrollment, funding, and managed care facts for North Dakota Medicaid.
Get North Dakota's Medicaid Fee Schedule →Enrollment
North Dakota Medicaid covered approximately 0.10-0.11M people. Two independent sources give close but not identical figures: KFF's state indicator reports 103,256 (May 2026), while healthinsurance.org (citing Medicaid.gov's 'October 2025 Medicaid & CHIP Enrollment Data Highlights') reports 105,481 (October 2025). Different reporting months, not a contradiction, so reported as a range.
Funding & federal match
North Dakota has adopted ACA Medicaid expansion, effective 2014-01-01.
For FFY2026 (Oct 1, 2025 - Sep 30, 2026), North Dakota's Federal Medical Assistance Percentage (FMAP) is 50.99%.
Delivery system & managed care
A large share of North Dakota Medicaid is delivered through managed care organizations (MCOs) rather than fee-for-service — estimates range from 23.4-27.6% of Medicaid enrollees.
Frequently Asked Questions
Get North Dakota's Free Medicaid Fee Schedule
Request actual North Dakota Medicaid reimbursement rates by billing code — free, delivered as a CSV.
Sources
- KFF State Health Facts - Total Monthly Medicaid & CHIP Enrollment
- healthinsurance.org - Medicaid eligibility and enrollment in North Dakota (citing Medicaid.gov Enrollment Data Highlights, October 2025)
- Federal Register - FY2026 FMAP Notice (89 FR 94742)
- MACPAC - MACStats Data Book 17, Exhibit 6: FMAPs and E-FMAPs by State, FYs 2023-2026
- KFF - Status of State Medicaid Expansion Decisions
- CMS - Medicaid Managed Care Enrollment and Program Characteristics, 2024
- MACPAC - MACStats Data Book, Exhibit 29: Percentage of Medicaid Enrollees in Managed Care by State, July 1, 2022
Data last verified 2026-09-17. Also see our free Medicaid Fee Schedule tool.