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Home→Agencies→Medicaid Estate Recovery→North Dakota

Medicaid Estate Recovery in North Dakota

North Dakota files a preferred Medicaid claim against the estate of a deceased Medicaid member who was 55 or older when they received services, or who was permanently institutionalized at any age. The claim is paid as a debt of the estate after funeral, last-illness, and administration expenses.

OverviewWhen someone dies

Medicaid Recovery

North Dakota

hhs.nd.gov/healthcare-coverage/medicaid/estate-recovery→

Administering agency

North Dakota Department of Health and Human Services — Estate Recovery Unit

Phone(701) 328-2311
WebsiteVisit website →

Authority

N.D.C.C. 50-24.1-07

Verified May 2026

Medicaid Estate Recovery in North Dakota: key facts

Who is subject
A Medicaid member who was age 55 or older when services were received, or who was permanently institutionalized at any age and received a Notice of Permanent Institutionalization.
Recovery scope
The total medical assistance paid following the member's 55th birthday or institutionalization, allowed as a preferred claim against the estate after recipient liability, funeral expenses up to $3,500, last-illness expenses, and estate administration costs are paid.
Recovery deferred
No claim is required to be paid during the lifetime of a surviving spouse, or while there is a surviving child under 21 or a surviving child of any age who is blind or permanently and totally disabled.
Personal representative duty
The personal representative must send the department a copy of the petition commencing probate, heirship, or joint-tenancy tax-clearance proceedings, with a list of heirs, devisees, and surviving joint tenants (N.D.C.C. 50-24.1-07(3)).

Frequently asked questions

The personal representative must forward to the Department of Health and Human Services a copy of the petition commencing probate, heirship, or joint-tenancy tax-clearance proceedings, along with a list of the legatees, devisees, surviving joint tenants, and heirs at law of the estate.

When someone dies

Steps after a death in North Dakota

4-step process for North Dakota Department of Health and Human Services — Estate Recovery Unit.

View details →

Medicaid Recovery

North Dakota

hhs.nd.gov/healthcare-coverage/medicaid/estate-recovery→

Administering agency

North Dakota Department of Health and Human Services — Estate Recovery Unit

Phone(701) 328-2311
WebsiteVisit website →

Authority

N.D.C.C. 50-24.1-07

Verified May 2026