Medicaid limits by state › North Dakota
Medicaid Long-Term Care Eligibility in North Dakota (2026)
To qualify for Medicaid-paid nursing home or long-term care in North Dakota in 2026, a single applicant must generally have no more than $2,000 in countable assets and income at or below $1,197 / month. Medically needy / spend-down state.
North Dakota 2026 limits at a glance
| Test | 2026 standard in North Dakota |
|---|---|
| Countable asset limit (single) | $2,000 |
| Countable asset limit (couple, both applying) | $3,000 |
| Income limit | $1,197 / month |
| Home equity limit | $752,000 |
| Spousal asset allowance (CSRA) | Community spouse may keep between $32,532 and $162,660 of the couple's assets |
| Spousal income allowance (MMNA) | Minimum $2,705/month |
| Look-back period | 60 months (asset transfers for less than fair value can cause a penalty period) |
How North Dakota treats income
This is a medically needy (spend-down) state: income above the limit can be spent down on medical and care expenses to qualify.
Good to know in North Dakota
North Dakota's income standard is about 90% of the federal poverty level (about $1,197/mo in 2026).
Check your own eligibility
Enter your assets, income and marital status to see whether you pass all three financial tests in North Dakota — and if not, by how much, and which lawful pathways exist:
Open the Medicaid eligibility estimator →What does care cost in North Dakota?
See median nursing home, assisted living and home care prices for North Dakota:
North Dakota senior care costs →Sources: 2026 federal Medicaid standards (CMS) and published state standards compiled by the American Council on Aging. This page is a planning estimate, not a determination — only the North Dakota Medicaid agency can decide eligibility. Rules change; verify before making financial moves, ideally with an elder law attorney.