Caretaker Relatives 510-05-35-15

(Revised 2/04 ML #2900)

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(N.D.A.C. Section 75-02-02.1-08.1)



  1. Caretaker relatives may be eligible for Medicaid when they have a deprived child living with them. Caretaker relatives who are not a natural or adoptive parent, however, can only be eligible if the child is actually "living" with them, and is not just temporarily absent from the parental home, and if the caretaker relative is unmarried, or married and not residing with their spouse. The following individuals may be considered a caretaker relative:

  1. A natural or adoptive parent;

  1. A grandparent (including a great, great-great, or great-great-great- grandparent);

  2. A sibling (if age sixteen or older);

  3. An aunt or uncle (including a great or great-great aunt or great or great-great uncle);

  4. A niece or nephew (including a great or great-great niece or great or great-great nephew);

  5. A first cousin (an aunt or uncle’s child) or first cousin once removed (an aunt or uncle’s grandchild);

  6. A second cousin (a great aunt or great uncle’s child);

  7. A stepparent (if natural or adoptive parent is not in the home);

  8. A stepbrother or stepsister; or

  9. A spouse of any of the above individuals even after the marriage is terminated by death or divorce.

  1. A child is considered to be living with a caretaker relative when away at school or when otherwise temporarily absent from the home. A child is not considered to be living with a caretaker relative when residing in a nursing care facility, an intermediate care facility for the mentally retarded, or a specialized facility.

  2. A child may not be considered to be living with more than one caretaker relative in more than one Medicaid unit for the same time period.

  3. When the only child in common in a Medicaid unit is unborn and there is deprivation of unemployment/underemployment, incapacity, or disability, the prospective parents must be married, and in the same Medicaid unit, in order for the father to be eligible as a caretaker relative.

  4. Termination of parental rights removes all relationships and responsibilities between the parent and the child(ren). The parent becomes a "legal stranger" to the child(ren). However, for Medicaid purposes, the blood relatives of a parent whose parental rights have been terminated continue to be treated as relatives of the child(ren).