Change Indicator

Children age birth to 18 enrolled in Healthy Steps (Children's Health Insurance Program or CHIP) in North Dakota

Children age birth to 18 enrolled in Healthy Steps (Children's Health Insurance Program or CHIP)

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Note: Non-consecutive years appear adjacent in the trend line
because one or more years have been deselected.

Why This Indicator Matters

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Definition and Source



This indicator represents the number of children under the age of 19 who are enrolled in the Healthy Steps program in North Dakota. Healthy Steps, North Dakota's health insurance plan for children, provides premium-free health, dental, and vision insurance coverage to uninsured children in qualifying families. It is intended to help meet the health care needs of children from working families that earn too much to qualify for full Medicaid coverage, but not enough to afford private insurance.

Coverage is available for uninsured children ages 18 and younger who live in families with qualifying incomes. Single 18-year-olds with eligible incomes may also apply. The income eligibility guidelines are established by the North Dakota Legislature as amended by the Affordable Care Act. To qualify, a family's Modified Adjusted Gross Income (MAGI) must be greater than the Medicaid level, but cannot exceed 175% of the federal poverty level.

The denominator for the percentage is the total child population ages 0 through 18 in respective geographic areas. 

Data Source

Numerator: North Dakota Department of Human Services, Decision Support Services,
Denominator: U.S. Census Bureau, Decennial Census and Intercensal estimates which are obtained from the Centers for Disease Control and Prevention, National Center for Health Statistics, "U.S. Census Populations With Bridged Race Categories," 


GEOGRAPHY: Data reflect place of residence. 
DATE - State Fiscal Year (July 1 - June 30).
NOTES -  Data for state fiscal year 2020 and 2021 is not reported for four counties in the Dakota Central area (Mercer, McLean, Oliver, and Sheridan), as these counties had data matched to county of service rather than county of residence. 

Last Updated

January 2024