North Dakota

In the State of North Dakota, to be eligible for ADAP enrollment, an individual must meet the following criteria:

• Have a positive HIV/AIDS diagnosis;
• Be a resident of North Dakota;
• Clients must have a gross income at or below 400% of the current federal poverty level. The client must provide a month of pay stubs or a copy of their tax return for the previous year to verify their eligibility. All unemployed clients, or those that have not filed taxes for the previous year, must indicate so on the enrollment form.
• Clients with gross household incomes of 401% to 500% of the poverty level may continue to receive case management and ADAP insurance assistance (including premium and copay/deductible assistance) if they are enrolled in a Marketplace or the off-Marketplace insurance recommended by ADAP. Their assistance will continue until the client is able to transition onto other public or private health coverage, until the client is eligible to enroll in a self-selected Marketplace plan North Dakota Ryan White Program Part B Manual, March 2019 Page 49 through special enrollment, or until the current Marketplace plan ends on December 31 of the current year.

Clients must apply for all eligible health coverage to ensure that Ryan White is the payer of last resort.

Clients with no health coverage must complete the Statement of No Health Coverage. Clients that are eligible for other coverage must apply and provide a proof of acceptance or denial within 3 months. See Health Coverage Policy for more information.