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.
Has North Dakota expanded Medicaid under the ACA?
Yes. North Dakota has adopted ACA Medicaid expansion. Effective 2014-01-01.
How many people are enrolled in North Dakota Medicaid?
Approximately 0.10-0.11M people.
What percentage of the federal Medicaid match does North Dakota receive?
50.99% for FFY2026 (Oct 1, 2025 - Sep 30, 2026) — meaning the federal government pays roughly 51 cents of every North Dakota Medicaid dollar, and the state pays the rest.
Is most of North Dakota Medicaid delivered through managed care?
Estimates range from 23.4-27.6% of Medicaid enrollees in managed care.
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.