The Eligibility Unit administers several Health Care Coverages. They are Medicaid including Expansion and coverage for individuals who need nursing care or other special services, Medicare Savings Program, Healthy Steps, Children’s Special Health Services and Aid to the Blind. Medicaid is also tied to the Basic Care Assistance Program.

Healthcare Coverage

• No interviews are required but someone is available on intake days to answer questions
• Primary individual on application is responsible for reporting changes and providing information
• Primary individual should be an adult even if you are wanting services only for your child. 
• Read all notices sent to you by your Eligibility Worker as additional information may be        requested from you
• Notices sent will have your Eligibility Worker’s name and extension number listed. 
• Leave clear concise messages when calling, include your name and a return phone number with a working voicemail to leave a message

Walk-in Intake Hours

Call Center 701-222-6622
Email BurleighEA@nd.gov

HOURS: Monday through Friday- 7:30am to 5:30pm
Closed Wednesday 9 am to 10 am for meetings

Applications
For an online application
http://www.nd.gov/dhs/eligibility/index.html

To fill out electronically
https://apps.nd.gov/dhs/ea/oasys/public/main.htm

Bridge to Benefits screening tool developed by the Children’s Defense Fund may give you more information about your eligibility. See http://nd.bridgetobenefits.org/start_screening.html

General Information needed

• Proof of ResidencyLease, utility bills or other documents which lists your name and current address, driver’s license with address
• Proof of citizenshipPassports, birth certificates, naturalization papers, immigration or tribal documents. Any photo ID, driver’s license
• Social Security numberActual card or receipt of application for a number or replacement card
• Household compositionA list of everyone living with you
• Verification of IncomeMost current income from last month and up to date of application. Gross payments prior to any deductions being withheld. Wages, bonuses, child or spousal support, commissions, lease or rental income, pensions or retirement benefits, self-employment, Social Security and SSI, Unemployment, VA or military benefits, Workers Comp, mineral royalties, and certain Tribal payments
• Any assetsCurrent balance of bank accounts, CDs, annuities, life insurance, policies, real estate property, stocks, bonds, retirement accounts, and trusts. List all licensed and non-licensed vehicles, including recreational vehicles and boats.
• Any expensesCurrent amounts for rents, mortgage payments, utility bills, homeowner’s insurance, property taxes, child or dependent care, court-ordered payments for child or spousal support, health insurance premiums, guardianship or rep payee fees. Medical expenses for elderly or disabled household members.

Overpayments
Information you list on the application or review must be accurate. Knowingly providing false or misleading information may result in us taking legal action against you, either criminal or civil. You will be responsible to repay any payments or premiums paid through Health Care Coverage resulting from inaccurate information.

The following changes must be reported within 10 days: A change in household members – someone moves in or out, or a baby is born; A new job; A change in income or assets; A new address; A change in health insurance coverage; A household member becomes pregnant; or A child quits or starts school. Even the smallest changes in your monthly gross income can affect your eligibility. Failure to timely report changes can also result in overpayments.