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Medicaid Planning · North Dakota

North Dakota Long-term-care Medicaid eligibility

Long-term-care Medicaid eligibility rules for North Dakota.

Published: Not yet published. Last checked: September 2, 2026.

Income limits

ABD one-person income standard

$1,197 per month

Applies to the applicant under the aged, blind, or disabled pathway for aged, blind, or disabled Medicaid and long-term-care budgeting. This is a cap. Details: one-person household; higher income may use a client-share route, so this is not a universal nursing-facility gross-income cap.

Source: North Dakota HHS Medicaid eligibility [state-medicaid-agency] — One-person ABD income standard effective April 1, 2026

Asset limits

Individual resource limit

$3,000

Applies to the applicant under the aged, blind, or disabled pathway for regular aged, blind, or disabled Medicaid rules. This is a cap. Details: single applicant; an institutionalized or HCBS spouse may retain the individual amount.

Source: North Dakota Medicaid Manual § 510-05-70-15, Asset Limits [state-medicaid-agency] — Revised July 1, 2025 — Manual Letter 3935

Couple resource limit

$6,000

Applies to the household under the aged, blind, or disabled pathway for regular aged, blind, or disabled Medicaid rules. This is a cap. Details: married couple under the regular ABD standard.

Source: North Dakota Medicaid Manual § 510-05-70-15, Asset Limits [state-medicaid-agency] — Revised July 1, 2025 — Manual Letter 3935

Community spouse resource allowance (CSRA)

Community-spouse resource allowance

$32,532 minimum to $162,660 maximum

Applies to the community spouse under the spousal impoverishment pathway for institutional and qualifying HCBS services. This is a range. Details: institutionalized applicant with a community spouse; one-half share subject to the stated floor and ceiling.

Source: North Dakota HHS Medicaid Release 26.1 [state-medicaid-agency] — Effective January 1, 2026

Monthly maintenance needs allowance (MMMNA)

Current community-spouse monthly maintenance-needs allowance

Source unavailable. Check with the state Medicaid agency.

Applies to the community spouse under the spousal impoverishment pathway for institutional and qualifying HCBS services. This is an allowance. Details: institutionalized applicant with a community spouse.

State Medicaid agency

Home-equity limits

Home-equity limit

$752,000

Applies to the applicant under the institutional long-term care pathway for long-term-care services. This is a cap. Details: applicant unless a spouse, child under 21, or blind or disabled child resides in the home.

Source: North Dakota Medicaid Manual section 510-05-70-27 [state-medicaid-agency] — 2026 home-equity amount effective January 1, 2026 Additional authority: North Dakota HHS Medicaid Release 26.1 [state-medicaid-agency] — Effective January 1, 2026

Sources

Methodology & sources

Checked at least annually and whenever the state or CMS publishes new long-term-care eligibility figures.

General information, not legal advice.