Postpartum Health Coverage and Maternity Support for Single Mothers in North Dakota

Postpartum Health Coverage & Maternity Support for Single Mothers in North Dakota

Last updated: September 2025

This guide is built as a practical, no‑nonsense hub you can use the same day you read it. Every section starts with the most important action you can take right now, gives clear next steps, timelines, and a backup plan. Links are italic and embedded right where you need them.

If You Only Do 3 Things – Emergency Actions to Take

Apply for full-scope postpartum Medicaid immediately: Use the state’s one-stop portal at North Dakota Health & Human Services — Apply for Help, or call the Customer Support Center at 1-866-614-6005 to report your pregnancy/end of pregnancy and lock in 12 months of postpartum coverage; pregnant/postpartum individuals qualify up to the current limits shown later in this guide. If you already have ND Medicaid, call to update your pregnancy status now. ND Medicaid postpartum extension FAQs, Medicaid Eligibility (children & pregnant). (hhs.nd.gov)
Stop a utility shutoff today: Call your utility to set a payment plan, then file a LIHEAP application same-day via Apply for Help and tell your Human Service Zone you have a disconnection notice. Keep the LIHEAP page handy and, if the utility refuses to work with you, call the Public Service Commission at 1-701-328-2400. ND HHS Energy Help, ND PSC Consumer. (hhs.nd.gov)
Reach mental health support now if you feel overwhelmed: Call or text the National Maternal Mental Health Hotline 1-833-TLC-MAMA (1-833-852-6262), or dial 988 to reach trained crisis counselors in ND (answered locally by FirstLink). Use FirstLink 211 for resources. HRSA Maternal Mental Health Hotline, ND 988 page. (mchb.hrsa.gov)

Quick Help Box — Numbers and Links You’ll Use a Lot

SNAP food help: Apply at SNAP — Apply for Help, or get one-on-one help from Great Plains Food Bank SNAP Outreach at 1-855-405-0000, or email SNAP@greatplainsfoodbank.org. SNAP benefit amounts FY 2025. (hhs.nd.gov)
Child care help: Check the Child Care Assistance Program (CCAP) and get a licensed provider list from Child Care Aware of North Dakota or call 1-800-997-8515. Bright & Early ND Quality Ratings. (hhs.nd.gov)
Child support and paternity: Start or manage a case at ND Child Support and make payments or set medical support. Find local contact (ACF). (hhs.nd.gov)
Early childhood and special health: Ask for free Birth‑to‑3 evaluation via Early Intervention and check the Special Health Services Financial Coverage Program (for certain conditions up to 185% FPL). HHS update on income levels (May 2025). (hhs.nd.gov)
Legal help: Call Legal Services of North Dakota at 1-800-634-5263 (under 60) for custody, protection orders, and benefits appeals; for housing discrimination reach HUD ND or High Plains Fair Housing via HUD ND office page. (lsnd.org)

What This Guide Covers and How to Use It

The goal is to help you keep health coverage, secure food and child care, protect your home and utilities, and reach mental-health support without wasting time. Start with the section you need most. Each paragraph gives you direct links (in italics), phone numbers, and “Plan B” if an option doesn’t work on the first try. ND HHS home, Apply for Help portal, Human Service Zones directory. (hhs.nd.gov)

Medicaid Postpartum Coverage in North Dakota: 12 Months, Full Benefits

Top action: Call the Customer Support Center at 1-866-614-6005 as soon as pregnancy starts and again when it ends to lock in 12 months of postpartum coverage and ensure your newborn is added. Use Apply for Help if you’re not on Medicaid yet. ND Medicaid postpartum extension, Medicaid Eligibility (pregnant). (hhs.nd.gov)

ND Medicaid covers 12 months postpartum after Medicaid-covered pregnancy, with full benefits like primary care, behavioral health, dental, vision, physical therapy, and family planning. Call to report pregnancy; report birth right away to activate baby’s automatic eligibility. ND Medicaid postpartum page, Member Handbook, Policy confirming 12 months postpartum. (hhs.nd.gov)
Income limits shift each spring. As of April 1, 2025, pregnant individuals qualify up to about 175% FPL (example monthly limits in the state’s chart). Children’s eligibility runs higher, with automatic newborn coverage when mom had ND Medicaid at delivery. Medicaid Eligibility (children & pregnant), CHIP Healthy Steps (205% FPL), HHS May 2025 income updates. (hhs.nd.gov)
If you’re on Medicaid Expansion, your health plan may be Blue Cross Blue Shield of ND (Medicaid Expansion); use the number on your card. If you need rides to medical visits, see the Non‑Emergency Medical Transportation (NEMT) info in the member handbook or call the Support Center. NEMT overview, Member Handbook. (bcbsnd.com)

What to do if this doesn’t work: Ask for a supervisor at 1-866-614-6005, visit your Human Service Zone office, or contact Legal Services of ND for an appeal. If you had coverage and were cut off, file an appeal right away and ask for “aid continuing.” Your Medicaid appeal rights, Submit appeal (SFN 162) via HHS. (hhs.nd.gov)

Quick table: What ND Medicaid postpartum covers

Benefit	Examples	How to use
Primary & postpartum visits	1–2 week mood check, 6–12 week visit, ongoing care	Schedule with your clinic; confirm Medicaid accepted
Behavioral health	Therapy, medication management, SUD treatment	Ask clinic for same‑day referral; call 988 if in crisis
Dental & vision	Cleanings, fillings; glasses if covered	Ask your plan/Medicaid Customer Support
Lactation	Breast pump via WIC/clinic; lactation consults	Call WIC and your OB/pediatric clinic
NEMT	Rides to covered care	Ask your plan or HHS Support Center

Use: ND Medicaid postpartum info, Member Handbook, NEMT details. (hhs.nd.gov)

WIC, Breastfeeding, and Formula: What’s New for 2025

Top action: Call WIC to enroll yourself and your baby. WIC covers moms during pregnancy and postpartum and kids under 5. Call 1-800-472-2286 or 701-328-2496 to find a clinic; start at ND WIC. USDA ND WIC contact page, Apply for WIC locally. (fns.usda.gov)

For FY 2025 (Oct 1, 2024–Sep 30, 2025), monthly fruit/vegetable amounts are $47 f or p re g nan t / p os tp a r t u m,$ 52 for mostly/fully breastfeeding, and $26 for young children. These amounts are set by USDA’s finalized WIC food package rule. USDA WIC FY2025 CVB memo, Final rule summary, Q&A on implementation. (fns.usda.gov)
WIC offers breast pumps, peer counselors, and referrals to low-cost clinics. Ask your clinic about same-day certification and remote appointments. ND WIC — What WIC Offers, Breastfeeding support (FNS), ND WIC referrals page. (hhs.nd.gov)

What to do if this doesn’t work: Call another WIC clinic or the state line 1-800-472-2286. If you need food now, apply for SNAP today (see next section) and call Great Plains Food Bank for pantry referrals. ND SNAP page, GPFB SNAP Outreach. (hhs.nd.gov)

Food Help (SNAP): Amounts and How to Apply Fast

Top action: Apply online via Apply for Help — SNAP and call 1-855-405-0000 for application help from Great Plains Food Bank. You can also call the HHS Customer Support Center at 1-866-614-6005 with questions. SNAP ND page, GPFB SNAP Outreach. (hhs.nd.gov)

For FY 2025, the maximum monthly benefit in the 48 states is $975 f or a f ami l yo ff o u r;$ 292 for one person. Minimum benefit is $23. ND uses these federal amounts. USDA FY 2025 SNAP COLA, ND SNAP benefit table 2024-25, HHS SNAP income limits page. (fns.usda.gov)
ND lists income screens by 200%/130%/100% of FPL; work rules may apply for some adults. Ask about exemptions for pregnancy, caretakers, or health issues. ND SNAP eligibility, HHS Customer Support Center, GPFB SNAP help. (hhs.nd.gov)

Timeline: 7 days for expedited households (very low income/assets), 10–15 business days standard once HHS has your documents. Keep your portal messages on and check voicemail.

What to do if this doesn’t work: Ask GPFB to conference in with HHS while you’re on the line; appeal in writing if denied. Keep a copy of your denial and request a fair hearing. HHS Customer Support Center, SNAP manual (ND), Legal Services of ND. (hhs.nd.gov)

Child Care You Can Afford (CCAP) + Finding Licensed Care

Top action: Apply for the Child Care Assistance Program (CCAP) and ask for an estimate of your copay. Use CCAP, then choose a provider with Child Care Aware, and check quality with Bright & Early ND. (hhs.nd.gov)

Income limits effective Oct 1, 2024–Sept 30, 2025: for a family of 3 up to $6, 462/ m o n t h; f ami l yo f 4 u pt o$ 7,694/month. Rules vary by activity (work/school) and child age. CCAP income table, CCAP co‑pay info, Child Care Licensing portal. (hhs.nd.gov)
Need help choosing care? Call Child Care Aware Parent Services at 1-800-997-8515 for referrals matched to your work hours and budget, and ask about infant slots and openings near transit lines. CCAP program page, Bright & Early ND, Child Care Aware contact. (hhs.nd.gov)

What to do if this doesn’t work: Ask the Customer Support Center to review your case; ask for the CCAP policy reference if you’re denied; get help from Legal Services if needed. HHS Customer Support Center, Legal Services of ND, CCAP provider info. (hhs.nd.gov)

How to Stop Utility Shutoff in North Dakota Today

Top action: Call your utility and set a payment plan, then file LIHEAP the same day. Apply online via Apply for Help — LIHEAP and upload your shutoff notice. If you’re out of fuel or have no heat, call the Support Center at 1-866-614-6005. Energy Help overview, LIHEAP application checklist. (hhs.nd.gov)

LIHEAP helps with heat, cooling, furnace repair, weatherization, and emergencies. Community Action may help with cooling devices when you’re approved. LIHEAP page, Energy Help, CAPND locator. (hhs.nd.gov)
If the utility won’t work with you: call the Public Service Commission at 1-701-328-2400, and reference disconnection standards (see gas rule NDAC 69‑09‑01‑18.1). Document every call and email. ND PSC site, Gas discontinuance rule (Justia), LIHEAP state contacts. (psc.nd.gov)

What to do if this doesn’t work: Call FirstLink 211 for local rapid assistance, ask Legal Services of ND about shutoff protections and appeals, and re‑apply for LIHEAP if your income or bills change. FirstLink 211, Legal Services of ND, LIHEAP. (myfirstlink.org)

Housing and Rent Support (What’s Still Available in 2025)

Top action: Talk to a HUD‑approved housing counselor and contact your local housing authority. Start at HUD North Dakota, find PHAs at HUD PHA list, and call High Plains Fair Housing via HUD ND if you suspect discrimination. ND Housing Finance — assistance hub. (hud.gov)

Pandemic‑era rent help is ramping down by September 2025 as ARPA funds expire; confirm what’s still open in your county and ask about prevention/diversion help if at risk. ND HHS housing stability update (Mar 5, 2025), NDHFA FAQ, HUD Fargo Field Office contact. (hhs.nd.gov)
If you’re already behind, ask your utility and landlord for a written plan, then bring that plan to your zone office and housing counselor. Use ND legal self‑help references, and request mediation where available. ND HHS Customer Support, HUD counseling line 1‑800‑569‑4287, Legal Services of ND. (hhs.nd.gov)

What to do if this doesn’t work: Ask your PHA when waitlists open, search units through housing authorities in nearby cities, and request written denial reasons. Call FirstLink 211 for shelter/housing navigation. HUD ND, PHA list, FirstLink 211. (hud.gov)

Cash Support and Work Services (TANF)

Top action: Apply for TANF if you’re pregnant or caring for a minor child with very low income. Use TANF at Apply for Help and ask about the JOBS program and good‑cause exemptions. TANF program page, HHS TANF modernization page, Human Service Zones. (hhs.nd.gov)

Benefit levels were updated in late 2024; actual grants depend on family size, countable income, and the state’s “standard of need.” HHS’ example for a working mom moved from a $12 g r an tt o$ 492/month after the October 2024 increase. Always call to confirm current amounts before making decisions. HHS TANF environmental scan, TANF FAQs, Apply for Help portal. (hhs.nd.gov)
TANF is time‑limited (up to 60 months, some exceptions). Ask about diversion or kinship options if you’re caring for a relative child. TANF program page, Kinship Navigator, FirstLink 211. (hhs.nd.gov)

What to do if this doesn’t work: Ask for a written denial and cite the updated standard; request a hearing and call Legal Services of ND. Also consider SNAP plus CCAP to stabilize basics while you appeal. SNAP, CCAP, Legal Services of ND. (hhs.nd.gov)

Health Care Logistics: Transportation, Out‑of‑State Care, and Getting Vital Records

Top action: Set up rides before appointments. If you don’t have a car, call Medicaid NEMT through the Support Center (or your plan) and ask if a friend can enroll to be paid as a driver. NEMT info, Member Handbook, Noridian provider enrollment for drivers. (hhs.nd.gov)

For statewide public transit, check routes and dial‑a‑ride options via NDDOT Statewide Transit and your city system (e.g., MATBUS, CAT, City of Minot). Ask about medical ride schedules. NDDOT transit map, NDDOT STIP update 2025, US DOT listing – sample programs. (dot.nd.gov)
Need a birth certificate or immunization record for benefits? Order fast pickup with ND Vital Records (usually 7–10 business days by mail) or request Immunization Record. Call 701-328-2360 for Vital Records. Vital Records contact, Vital ordering & fees, Immunization record request. (hhs.nd.gov)

What to do if this doesn’t work: Ask your clinic social worker to help schedule rides; ask the transit agency for disability accommodations; call the Support Center to pre‑authorize out‑of‑state specialty visits. Out‑of‑state services (Medicaid), HHS Support Center, NDDOT transit. (hhs.nd.gov)

Your Job, Leave, and Pumping Rights

Top action: Tell HR in writing you will use FMLA or your employer’s leave and that you will need pumping breaks and a private space. Use the federal PUMP Act guidance and ND breastfeeding law. U.S. DOL PUMP Act — Fact Sheet 73A, ND Breastfeeding Law, Breastfeeding at work (ND HHS). (dol.gov)

North Dakota law protects nursing in any public or private location and supports “Infant Friendly” workplaces. Federal law requires reasonable break time and a private space (not a bathroom) to pump for one year after birth. ND breastfeeding rights, Infant Friendly workplaces, FindLaw ND statute. (hhs.nd.gov)
If an employer denies leave or accommodations, contact the ND Department of Labor & Human Rights and file a complaint within the deadlines (some claims have a 180–300 day window). Human Rights overview, Submit a complaint, Discrimination FAQ timelines. (nd.gov)

What to do if this doesn’t work: Save emails and time-stamped notes; ask HR again in writing; then contact the ND Department of Labor & Human Rights and talk to Legal Services of ND for next steps. ND DOLHR Employment Discrimination, Legal Services of ND, DOL PUMP Fact Sheet. (nd.gov)

Postpartum Mental Health: Real Help, Right Away

Top action: Call or text 1-833-TLC-MAMA for the Maternal Mental Health Hotline, or 988 for crisis support. These services are free, confidential, and available 24/7 in English and Spanish, with interpretation for 60+ languages. HRSA Hotline overview, ND 988 resource, FirstLink 211. (mchb.hrsa.gov)

Ask your OB or primary care to screen you for postpartum depression/anxiety; ND Medicaid covers behavioral health visits. Clinics can refer quickly; use telehealth if child care or winter driving is a barrier. ND Medicaid member handbook, Mental health resources (HHS), ND HHS May 2025 mental health awareness news. (hhs.nd.gov)
If violence is part of the picture, get confidential help and safety planning now. Find a local advocate through CAWS North Dakota and keep the National DV Hotline in your phone. CAWS contact page, Advocacy center directory. (cawsnorthdakota.org)

What to do if this doesn’t work: Ask for same‑day urgent care at your clinic; if you can’t get through, call 988 or go to the nearest ER. Ask FirstLink to help you navigate child care, transportation, and safe housing options. 988 ND page, FirstLink 211, Mental Health directory. (hhs.nd.gov)

Home Visiting, Early Intervention, and Children’s Special Health

Top action: Request a free Birth‑to‑3 evaluation if you have any concerns. Call your regional human service center via Early Intervention. Ask about home visiting through Healthy Families North Dakota or Nurse‑Family Partnership (Bismarck) if you’re pregnant with your first baby. Life ND resource hub. (hhs.nd.gov)

If your child has a qualifying condition, apply to Special Health Services Financial Coverage Program (generally up to 185% FPL, updated annually; check May 2025 updates). You can get help with specialty visits, equipment, and care coordination. HHS May 2025 income update, SHS program page, ND EHDI for hearing. (hhs.nd.gov)
For foster/kin caregivers (grandparents, aunts), ask the Kinship Navigator and your Human Service Zone about benefits you can claim for the child. If you need help fast with formula or diapers, ask ND WIC and Great Plains Food Bank. (kinshipnd.com)

What to do if this doesn’t work: Ask your pediatrician to email a referral directly to the Early Intervention team; call the zone director if you haven’t heard back in a week; ask WIC staff for extra advocacy. Early Intervention, Human Service Zones, ND WIC. (hhs.nd.gov)

Diverse Communities: Specific Tips and Resources

LGBTQ+ single mothers: Ask for respectful care and language in your case file. Use ND HHS Nondiscrimination page to file complaints, and request LGBTQ‑friendly counselors through FirstLink 211. For federal civil rights help tied to health programs, use HHS OCR’s portal linked on the HHS Medicaid Rights page. (hhs.nd.gov)
Single mothers with disabilities or caring for a disabled child: Request reasonable accommodations for appointments, transportation, and paperwork. Explore Special Health Services and ask transit for ADA modifications via NDDOT Statewide Transit. If you need large‑print applications, say so when calling HHS Support. (hhs.nd.gov)
Veteran single mothers: Ask about VA‑authorized rides to appointments through the Highly Rural Transportation Grant and connect to NDVA programs listed alongside NDDOT veteran transportation. Pair VA care with ND Medicaid if income‑eligible. Use HUD ND for housing counselor referrals and rental options. (dot.nd.gov)
Immigrant/refugee single moms: Ask about refugee services through ND HHS Office of Refugee Services for employment navigation and medical screening within 90 days. Connect with Fargo’s New American Consortium/WE Center for community support. For work placement, call the Fargo career navigator listed on New American Employment Program. (hhs.nd.gov)
Tribal-specific resources: Use IHS and tribal programs alongside state benefits. Ask your clinic about IHS referral processes and Standing Rock Public Transit for rides. For safety and advocacy on reservations, contact StrongHearts Native Helpline via CAWS directory. Use WIC if eligible. (transportation.gov)
Rural moms with limited access: Schedule telehealth to avoid winter driving, ask Medicaid for NEMT mileage or local transit, and pick a pharmacy with delivery. Use NDDOT transit, Medicaid NEMT, and FirstLink 211 to find local supports. (dot.nd.gov)
Single fathers: All programs above apply if you are the primary caregiver. Apply through Apply for Help, set up child support or paternity at ND Child Support, and ask about Early Intervention if your child needs help. (hhs.nd.gov)
Language access: Ask for interpreters when you call the Support Center; TTY is available at 711. For 988 and the Maternal Mental Health Hotline, interpreter services are included. HHS Support Center, ND 988 page, Maternal Mental Health Hotline. (hhs.nd.gov)

Resources by Region (Examples You Can Call Today)

Fargo–West Fargo–Cass County: Try FirstLink 211 for coordinated entry; YWCA Cass Clay shelter at 1-701-232-3449; child care via Child Care Aware. (myfirstlink.org)
Bismarck–Mandan–Burleigh/Morton: Public Health Nurse‑Family Partnership for first‑time moms; CAP Williston/Dickinson/Minot regions list for weatherization; Hud Fargo Field Office (ND) for housing help. (bismarcknd.gov)
Grand Forks: Hospital charity care via Altru financial assistance at 1-701-780-1500; transit via NDDOT transit providers; Child Support online services. (altru.org)
Minot & Ward County: Community Action Minot Region (see CAP list page), Minot Infant Development Program, ND HHS zones directory. (dpcaa.org)
Dickinson & Stark County / Williston & Williams County: CAP Williston Region (see CAP list page), Southwest Public Transit via NDDOT, CAWS program list for local shelters. (dpcaa.org)
Devils Lake / Spirit Lake / Ramsey: CAWS local program directory; WIC; Medicaid postpartum extension page. (cawsnorthdakota.org)

“Reality Check” Notes You Should Know

Processing delays happen: HHS lines get busy around renewals and early winter. Save upload receipts from the portal and note call dates. If your case is “pending” more than 15 business days (non‑crisis), escalate to a supervisor. HHS Support Center, Human Service Zones, Legal Services of ND. (hhs.nd.gov)
Funding changes mid‑year: LIHEAP and housing funds can close early if money runs out. Always ask what’s currently open before applying and request to be notified of waitlist openings. LIHEAP page, ND housing stability update, HUD ND. (hhs.nd.gov)
Weather and distance: Winter storms can cancel medical rides and visits. Switch to telehealth and reschedule—don’t wait for a no‑show mark. Use NDDOT transit info and confirm NEMT one business day prior. NEMT, NDDOT transit, Medicaid handbook. (hhs.nd.gov)

Common Mistakes to Avoid

Missing the postpartum Medicaid window: Report pregnancy and the end of pregnancy to HHS so your 12‑month postpartum clock and newborn coverage trigger correctly. Use Apply for Help, read ND postpartum FAQ, and keep copies of notices. (hhs.nd.gov)
Not uploading documents: Many denials are for “verification not received.” Use the Self‑Service Portal uploader and fax backup to 701-328-1006. Call 1-866-614-6005 to confirm receipt. HHS Contact, Human Service Zones, SNAP page. (hhs.nd.gov)
Skipping WIC: Many think they earn “too much.” Call ND WIC anyway—rules are broader than SNAP and you get breastfeeding support and referrals. USDA WIC FY 2025 CVB, WIC contact (USDA). (fns.usda.gov)
Waiting on rides: Book NEMT at least 24–48 hours ahead and ask if your friend can enroll as a paid driver. Member Handbook, Noridian enrollment. (hhs.nd.gov)
Not appealing: A quick, written appeal often fixes wrong denials. Use the form and keep benefits going if eligible. Your rights/appeal, Legal Services of ND, HHS Support. (hhs.nd.gov)

Quick Reference Cheat Sheet (Keep These Handy)

ND HHS Customer Support Center: 1-866-614-6005; Apply for Help portal; fax 701-328-1006. Zones directory. (hhs.nd.gov)
WIC ND: 1-800-472-2286; ND WIC; USDA WIC amounts FY25. (hhs.nd.gov)
SNAP: SNAP page; GPFB application help 1-855-405-0000; USDA FY25 COLA. (hhs.nd.gov)
Child care: CCAP; Child Care Aware find care; Bright & Early ND. (hhs.nd.gov)
Mental health: Maternal Hotline 1-833-TLC-MAMA; 988 crisis line; FirstLink 211. ND 988. (mchb.hrsa.gov)

Application Checklist (Print/Screenshot and Check Off)

Photo ID: State ID/driver’s license; for Vital Records see ND Vital Records; ask HHS for alternative ID options.
Proof of address: Lease, utility bill, or mail; upload via Apply for Help.
Proof of pregnancy/birth: Clinic note or hospital discharge; add baby via HHS Support Center.
Income proofs: Last 30 days of paystubs, self‑employment ledger, or benefit letters; SNAP also needs expense info per SNAP page.
Child care or medical expenses: Receipts for SNAP/LIHEAP deductions; LIHEAP checklist.
Banking or EBT info: Set direct deposit/EBT for Child Support or TANF via ND Child Support and TANF page. (hhs.nd.gov)

Tables You Can Scan Fast

Table: Where to Apply + Typical Timelines

Program	Where to apply	Typical timeline	Notes
Medicaid postpartum	Apply for Help	7–15 business days (faster if pregnant/newborn)	Report pregnancy end to lock 12 months coverage
WIC	ND WIC or call	Same week in many clinics	Fruits/veg amounts per FY25 rule
SNAP	Apply for Help – SNAP	7 days expedited; ~10–15 business days standard	Upload docs to avoid delays
CCAP	CCAP	10–20 business days	Ask for copay estimate
LIHEAP	LIHEAP	Crisis same/next day; standard 10–15 business days	Upload shutoff notice for priority

Sources: HHS portal, SNAP FY25, ND program pages. (hhs.nd.gov)

Table: Key 2025 Dollar Figures (Selected)

Item	Amount/limit	Source
SNAP max for 4	$975/month (Oct 2024–Sep 2025)	USDA FY25 SNAP
WIC fruit/veg	$47 p re g nan t / p os tp a r t u m;$ 52 breastfeeding; $26 child	USDA WIC FY25 CVB
Pregnant Medicaid limit	~175% FPL (see monthly chart)	Medicaid eligibility
CHIP limit	up to 205% FPL	CHIP Healthy Steps
CCAP income (family of 4)	Up to $7,694/month	CCAP page

Table: Who to Call for Immediate Help

Need	First call	Backup
Crisis feelings, panic	988; FirstLink	1-833-TLC-MAMA for maternal MH
Shutoff/heat out	HHS 1-866-614-6005; LIHEAP	ND PSC 701-328-2400
Food this week	SNAP; GPFB 1-855-405-0000	WIC
Safe shelter from violence	CAWS directory	YWCA Cass Clay

Table: Hospitals’ Financial Help Portals (Use if you have big bills)

Health system	Financial help page	Phone
Altru (Grand Forks)	Altru Financial Assistance	1-701-780-1500
CHI St. Alexius (Bismarck et al.)	CHI Financial Assistance	1-800-545-8860
Essentia Health	Essentia Financial Assistance	See page by location
Sanford Health	Sanford Financial Assistance	On bill/website
(altru.org)

Table: Transportation Options Snapshot

Option	Where to check	Notes
Medicaid NEMT	NEMT (HHS)	Ask if a friend can enroll as paid driver
City/rural transit	NDDOT Statewide Transit	Book 24 hours ahead
Out‑of‑state approval	Medicaid Out‑of‑State	Ask provider to submit request
(hhs.nd.gov)

Local Organizations, Charities, Churches, and Support

Food, diapers, SNAP help: Great Plains Food Bank; FirstLink 211 for food pantry lists; ND WIC for baby foods and formula guidance. (greatplainsfoodbank.org)
Shelter and safety: CAWS program directory; YWCA Cass Clay; HUD ND for counseling. (cawsnorthdakota.org)
Pregnancy & parenting support: Catholic Charities ND – Pregnancy/Parenting Services; Healthy Families ND; Nurse‑Family Partnership (Bismarck). (catholiccharitiesnd.org)
Counseling and family services: The Village Family Service Center; FirstLink 211; ND 988. (thevillagefamily.org)
Community Action (bills, weatherization): See CAPND contact list; check LIHEAP; call your Human Service Zone. (dpcaa.org)

If Your Application Gets Denied (Any Program)

Step 1: Read the denial reason and due date. Request your case file notes by email from HHS Support. (hhs.nd.gov)
Step 2: Fix what’s fixable fast (missing documents, wrong income). Re‑upload via the portal and call to confirm receipt. Apply for Help portal, Zones. (hhs.nd.gov)
Step 3: Appeal in writing before the deadline; ask for “aid continuing” if you already receive benefits (Medicaid/SNAP). Your Medicaid rights, SNAP manual. (hhs.nd.gov)
Step 4: Get help: Legal Services of ND can advise; FirstLink 211 can connect you to local advocates. If you believe discrimination occurred, use HHS Nondiscrimination or ND DOL & Human Rights. (lsnd.org)

County‑Specific Notes That Often Matter

Human Service Zones replaced single‑county offices, so some processing happens regionally. Always check the Zones directory for the right mailing address and walk‑in site. HHS Support Center, Zones map, Program dashboards. (hhs.nd.gov)
Transit and medical networks vary a lot by county. Use NDDOT Transit and ask your clinic which hospital charity program applies locally (see the hospital table above). NDDOT, Altru/CHI/Essentia/Sanford. (dot.nd.gov)
Housing authority waitlists open/close without much notice. Check your county PHA and at least one nearby city. HUD PHA list, HUD Fargo Field Office, NDHFA FAQ. (hud.gov)

FAQs (North Dakota, 2025)

How long is postpartum Medicaid coverage now: ND extends postpartum Medicaid from 60 days to 12 months for eligible pregnancies; report pregnancy and the end of pregnancy to activate it. ND Medicaid postpartum, Medicaid eligibility, Member Handbook. (hhs.nd.gov)
What are the 2025 SNAP maximums: For a family of 4, $975/ m o n t h; in d i v i d u a l s$ 292/month (Oct 1, 2024–Sep 30, 2025). USDA FY25 SNAP COLA, ND SNAP page, GPFB help. (fns.usda.gov)
Can I get a breast pump: Yes—through WIC and/or your clinic. WIC also offers peer counselors. ND WIC, USDA WIC breastfeeding info, USDA FY25 CVB memo. (hhs.nd.gov)
How do I find child care that takes CCAP: Apply for CCAP, then use Child Care Aware’s free referral line 1-800-997-8515 and check ratings with Bright & Early ND. CCAP, Child Care Aware, Bright & Early ND. (hhs.nd.gov)
How fast can I stop a shutoff: Same day—set a payment plan with your utility, file LIHEAP, and if needed call the PSC at 701-328-2400. LIHEAP, Energy Help, PSC. (hhs.nd.gov)
Do I have to go in person for every application: No. Most programs accept online applications and uploads via the Apply for Help portal; WIC often does phone appointments. HHS portal, ND WIC, Human Service Zones. (hhs.nd.gov)
Is there paid maternity leave in ND: ND has no statewide paid leave program. You may use employer leave, FMLA (if eligible), and short‑term disability if offered. Pumping and break rights are covered by the federal PUMP Act. DOL PUMP Act, ND DOLHR, Breastfeeding laws ND. (dol.gov)
Where can I appeal a benefits denial: File with HHS using the instructions on your notice and ask for a fair hearing; for discrimination complaints use HHS Nondiscrimination or ND DOLHR. Your Medicaid rights, Legal Services of ND. (hhs.nd.gov)
How do I get unemployment if my job ended: File with Job Service North Dakota UI ICE online or call 701-328-4995. JSND claim info, JSND contact, UI ICE login. (jobsnd.com)
How do I get a fast birth certificate: Order through ND Vital Records; pickup is often available the same day if you select “Web Order Pickup.” Call 701-328-2360 with questions. Vital Records contact, Vital Records info. (hhs.nd.gov)

Plan B: When the System Is Stuck

Ask for a supervisor at the Support Center and request a “case conference” with you on the line plus your SNAP/WIC outreach worker. HHS Support, GPFB SNAP Outreach, WIC contacts. (hhs.nd.gov)
Document everything: dates, names, and screenshots of uploads. If mail is unreliable, use the portal and ask for email confirmations.
Escalate thoughtfully: for utilities use PSC; for housing use HUD Fargo Field Office; for rights violations use ND DOLHR. (psc.nd.gov)

Spanish summary / Resumen en español

Esta sección se generó con herramientas de IA para ofrecer una referencia rápida; confirme detalles con los enlaces oficiales.

Cobertura posparto (Medicaid): Reporte su embarazo y el final del embarazo para obtener hasta 12 meses de cobertura posparto. Solicite en Apply for Help o llame al 1-866-614-6005. Lea posparto extendido y elegibilidad. (hhs.nd.gov)
Comida (WIC y SNAP): Llame a WIC 1-800-472-2286 o visite ND WIC. Para SNAP, solicite en Apply for Help y pida ayuda a Great Plains Food Bank 1-855-405-0000. Montos SNAP 2025: USDA FY25. (hhs.nd.gov)
Servicios esenciales: Energía (LIHEAP) en Apply for Help; cuidado infantil (CCAP) en CCAP; salud mental: línea materna 1-833-TLC-MAMA y 988 en ND 988. (hhs.nd.gov)

About This Guide

Compiled by the ASingleMother.org Editorial Team.

This guide uses official sources including:

North Dakota Health & Human Services — Apply for Help
ND Medicaid postpartum extension
Medicaid eligibility (pregnant/children)
USDA FNS — SNAP FY 2025 COLA
USDA FNS — WIC FY 2025 CVB amounts
ND SNAP and ND CCAP
ND LIHEAP
ND HHS Human Service Zones
ND 988/FirstLink and FirstLink 211
NDDOT Statewide Transit
HUD North Dakota and PHA list
Legal Services of North Dakota

Last verified September 2025, next review April January 2026.

This guide is produced based on our Editorial Standards using only official sources, regularly updated and monitored, but not affiliated with any government agency and not a substitute for official agency guidance. Individual eligibility outcomes cannot be guaranteed. Please note that despite our careful verification process, errors may still occur — email info@asinglemother.org with corrections and we respond within 72 hours.

Disclaimer

Medical, legal, and financial decisions: This guide is informational. For medical concerns, talk to your clinician or call 988 in a crisis. For legal matters, contact Legal Services of ND. For exact eligibility and benefit amounts, confirm policies with North Dakota HHS before you act. All phone numbers and program thresholds can change; call to confirm current availability before applying. (hhs.nd.gov)

What to do if this doesn’t work

If you followed the steps above and still can’t access services, call the HHS Customer Support Center at 1-866-614-6005, ask for a supervisor review, and request help from your Human Service Zone office. Pair that with a call to FirstLink 211 to locate an advocate who can join your call, and consider filing a quick written appeal where allowed. Apply for Help, Human Service Zones, Your Rights. (hhs.nd.gov)

Note on formatting and links in this article: You’ll see italic, descriptive links embedded exactly where you need them—no trailing URLs—so you can tap or click to reach each program, agency, or resource quickly.

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