N.D. Admin. Code 75-02-02.1-11

Current through Supplement No. 394, October, 2024
Section 75-02-02.1-11 - Need

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 when there is no recipient liability or when the applicant or recipient has incurred current medical expenses for which the applicant or recipient is responsible after any third-party payments, which equal or exceed current recipient liability. If there is no need, there is no eligibility, and the application must be denied or the case must be closed.

N.D. Admin Code 75-02-02.1-11

General Authority: NDCC 50-06-16, 50-24.1-04

Law Implemented: NDCC 50-24.1-01