Updated August 26, 2026. Quick answer: For 2026 North Dakota uses $442.22 a day and $13,450.86 a month as the average cost of nursing facility care.
The figure North Dakota publishes
| What the state lists | Figure |
|---|---|
| 2026 daily rate | $442.22 |
| 2026 monthly rate | $13,450.86 |
| 2025 daily rate | $401.74 |
| 2025 monthly rate | $12,219.59 |
How the penalty period is calculated
- North Dakota publishes the figure as an average cost of nursing care table inside its disqualifying transfers policy.
Once you have the figure above, the Medicaid penalty period calculator does the arithmetic. This page is the North Dakota rate record; the calculator is the class parent.
What this page does not settle
- The policy was revised 1/1/2026 under Release 26.1; earlier years remain on the same table for applications keyed to them.
Eligibility is decided by the state agency on the whole file, not by this one number. Nothing here is legal advice, and no one should transfer, retitle or give away property on the strength of a worksheet.
Source
North Dakota DHHS Policy 510-05-80-05, Disqualifying Transfers — retrieved and checked against the state text on August 26, 2026.
A transfer penalty is a separate test from the income standard that decides eligibility in the first place. For what North Dakota uses as that standard, and the state document it comes from, see Medicaid nursing home income limit in North Dakota ($1,197/Month).
Related: North Dakota’s Medicaid home equity limit for a single applicant with no spouse or dependent child at home.
Related: North Dakota’s Medicaid Personal Needs Allowance; the amount a nursing-facility resident keeps from their own income each month.