Appeal deadlines in North Dakota

State outside review (4 months (federal rule)); Medicaid hearing deadline 30 days.

Checked against official sources: October 30, 2026.

Appeal deadlines are strict. If you are near a deadline or your care is urgent, call free help today.

Deadlines at a glance in North Dakota

Hearing deadline
30 days
Then a state hearing
120 days

How each deadline is counted in North Dakota

Time to file

North Dakota law does not set a different time to file. Use the deadline on your denial notice; federal rules give at least 180 days for most plans.

Law: N.D.C.C. 26.1-36-47

Deadline to ask

You have up to 4 months after you receive the denial notice to ask for external review, unless your insurer allows longer. For grandfathered plans, the insurer may set its own deadline.

Law: N.D.C.C. 26.1-36-46; N.D.C.C. 26.1-36-44 (grandfathered plans)

The deadline runs from

The date you receive the notice of the adverse benefit determination

Hearing deadline

The date the notice of action was mailed.

Keeping your benefits during the appeal

If you already get benefits and you ask for a fair hearing within the timely notice period (before the date the change takes effect; the notice must come at least 10 days before the change), your benefits continue unchanged until the hearing decision.

Sources

The official sources for North Dakota are listed on the North Dakota page.