North Dakota Health and Human Services
Special Health Services Financial Coverage Program · About this organization
What you get
Help paying for approved specialty services to diagnose or treat chronic conditions, including cancer and leukemia.
How to start
Prepare the application, health-condition form, and permission-to-share-information form for Special Health Services.
Good to know
- Coverage is limited to listed chronic conditions and specialty services accepted through the program.
The details, as published
North Dakota Special Health Services helps eligible state-resident children, youth, and young adults pay for authorized specialty medical services used to diagnose or treat listed chronic conditions. The current official condition list explicitly includes cancer and leukemia, so pediatric B-ALL is within the program’s published medical scope. Financial eligibility begins at 185% of the federal poverty level, but the current household-size chart was not available through the reviewed page. A parent can submit the three required application documents to the Special Health Services unit and then work with program staff on covered specialty care.
What help you may get
Household Bills And Cash Assistance
Special Health Services Financial Coverage Program — household bills and cash assistance
North Dakota Special Health Services helps eligible state-resident children, youth, and young adults pay for authorized specialty medical services used to diagnose or treat listed chronic conditions. The current official condition list explicitly includes cancer and leukemia, so pediatric B-ALL is within the program’s published medical scope. Financial eligibility begins at 185% of the federal poverty level, but the current household-size chart was not available through the reviewed page. A parent can submit the three required application documents to the Special Health Services unit and then work with program staff on covered specialty care.
Amount decided by the program · As Needed
Can cover
- Specialty medical services authorized to diagnose or treat an eligible chronic condition such as leukemia
Does not cover
- Services not accepted through the program process
- Services unrelated to the eligible condition
- The current reachable official pages do not publish a program dollar ceiling or service-by-service payment schedule.
- Coverage follows accepted specialty services rather than a one-time cash award.
Medical And Insurance Costs
Special Health Services Financial Coverage Program — medical and insurance costs
North Dakota Special Health Services helps eligible state-resident children, youth, and young adults pay for authorized specialty medical services used to diagnose or treat listed chronic conditions. The current official condition list explicitly includes cancer and leukemia, so pediatric B-ALL is within the program’s published medical scope. Financial eligibility begins at 185% of the federal poverty level, but the current household-size chart was not available through the reviewed page. A parent can submit the three required application documents to the Special Health Services unit and then work with program staff on covered specialty care.
Amount decided by the program · As Needed
Can cover
- Specialty medical services authorized to diagnose or treat an eligible chronic condition such as leukemia
Does not cover
- Services not accepted through the program process
- Services unrelated to the eligible condition
- The current reachable official pages do not publish a program dollar ceiling or service-by-service payment schedule.
- Coverage follows accepted specialty services rather than a one-time cash award.
- The published monetary limit is shared across the listed benefit components.
Check the main eligibility rules
Diagnosis
B-ALL is in scope. The current official Special Health Services condition list explicitly includes cancer and leukemia, and the current program page says it serves eligible children, youth, and young adults in North Dakota.
Age
The program does not publish an age limit.
- The current program page says it serves eligible children, youth, and young adults but does not publish a numeric age limit.
Treatment status
Active Treatment
- A provider must verify the patient or diagnosis.
- The requested specialty service must relate to the eligible condition and be accepted through the program process.
Financial need is required.
- Gross household income is generally used; adjusted gross income is used for self-employed applicants.
- The linked household-size chart was not reachable on the research date.
- The program page says financial eligibility begins at 185% FPL and the level changes each May.
Where you live and where your child is treated
Where your family lives
You must live in: ND.
- The child or young adult must be a North Dakota resident.
Where your child is treated
Treatment must be through: Services must be authorized through Special Health Services and furnished by an approved specialist or participating provider..
- Services must be authorized through Special Health Services and furnished by an approved specialist or participating provider.
How to get started
Does a social worker or care team need to start it? No. A required care-team start is not published; the family can use the available route below.
Who can start: Caregiver, Parent Or Guardian, Patient
- Complete Authorization to Disclose Information form SFN 970.
- Complete Request for Services form SFN 1103.
- Complete the Financial Coverage Program Verification document.
- Respond to program staff when they contact the family to complete the application process.
- Submit the three forms by email, fax, or mail.
Ways to apply or ask
- Online Portal · Open form or page
Documents to prepare
- Authorization to Disclose Information form SFN 970
- Financial Coverage Program Verification document
- Request for Services form SFN 1103
- Special Health Services reviews the application and contacts the family to complete the process.
- The program handles accepted specialty medical services under its coverage process.
Availability and timing
| Program | Active |
|---|---|
| Applications | Open |
| Funding or space | Not Published |
| Application window | Rolling |
| Last checked | Aug 24, 2026 |
- North Dakota HHS maintains current program, condition-list, and application pages.
- The reviewed pages do not publish a current funding-capacity statement.
Limitations and things to confirm
- Coverage is limited to listed chronic conditions and specialty services accepted through the program.
- The current household-size chart, dollar limits, service details, and leukemia-specific coverage rules are not fully published on reachable pages.
- Does the program use an annual or lifetime dollar maximum?
- How long does application and service review usually take?
- What is the current household-income table by household size?
- What numeric patient-age limit does the program currently apply?
- Which leukemia-related services, drugs, tests, and supplies are currently covered or excluded?
- Which pediatric oncology specialists and treatment centers currently participate?
Official sources
Program details were last verified Aug 24, 2026. Availability can change, so check the official program before applying.
- Apply for the Financial Coverage Program · checked Aug 28, 2026
- Apply for the Financial Coverage Program · checked Aug 28, 2026
- Special Health Services Eligible Medical Conditions · checked Aug 28, 2026
- Special Health Services Eligible Medical Conditions · checked Aug 28, 2026
- Special Health Services · checked Aug 28, 2026
- Special Health Services · checked Aug 28, 2026
- Diagnostic and Treatment Services · checked Aug 28, 2026
- Diagnostic and Treatment Services · checked Aug 28, 2026