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Medicaid Planning · North Dakota

North Dakota Medicaid look-back rules

Medicaid look-back rules rules for North Dakota.

Published: September 4, 2026. Last checked: September 2, 2026.

Look-back period

60 months for transfers on or after February 8, 2006, measured back from when the person receives nursing-care services and has applied

Source: North Dakota Medicaid Manual section 510-05-80-10 [state-medicaid-agency] — 60-month rule for transfers on or after February 8, 2006

Transfer-penalty divisor

$442.22 per day and $13,450.86 per month

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

How the state administers the rule

Use North Dakota's 2026 average nursing-facility cost, retaining its separately published daily and monthly units rather than substituting facility reimbursement rates.

Source: North Dakota HHS Medicaid Release 26.1 [state-medicaid-agency] — Effective January 1, 2026 Additional authority: North Dakota Medicaid Manual section 510-05-80-10 [state-medicaid-agency] — 60-month rule for transfers on or after February 8, 2006

Sources and update policy

Methodology & sources

Checked at least annually and whenever the state publishes a new transfer-penalty divisor or administration rule.

This page is educational and is not legal advice.