Need is a factor of eligibility. Need in this sense is not to be confused with the necessity for a particular medical service.

1. Need is established for individuals who are determined to be categorically needy, optionally categorically needy, or poverty level eligible.

2. For a medically needy applicant or recipient, need is established if the individual has: a. Applied for Medicaid; b. No client share; or c. Incurred or may incur medical expenses that the individual is responsible for after any third-party payments that equal or exceed client share.

3. If an individual does not meet the individual's client share for six consecutive months, the individual's eligibility must end the following month.

History: Effective December 1, 1991; amended effective July 1, 2003; April 1, 2008; January 1, 2026.

Law Implemented: NDCC 50-24.1-01