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North dakota substance use disorder voucher

Nearby states welcomed into North Dakota Substance Use 2026

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The document is an application form for the North Dakota Substance Use Disorder (SUD) Voucher program, which provides state-funded support for individuals seeking substance use disorder treatment. It outlines the eligibility criteria, required personal and demographic information, income verification, health care coverage details, and applicant needs. The form must be completed with assistance from a Substance Use Disorder Treatment Provider and submitted to the Behavioral Health Division.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out the 'Applicant Information' section. Enter your full name, date of birth, and contact details including your address and phone numbers. Ensure that you provide a valid email address for documentation purposes.
Proceed to the 'Demographic Information' section. Here, select your gender, marital status, and military service status. Fill in your race and education level as applicable.
In the 'Income Verification' section, input your annual household income and household size. Indicate if you are currently employed and provide details about any other sources of income.
Complete the 'Health Care Coverage Information' section by indicating your Medicaid and Medicare coverage status. If applicable, provide details about any third-party insurance.
Describe your present needs in detail in the 'Applicant Needs' section to ensure accurate assessment of your situation.
Finally, sign the application electronically in the 'Applicant Signature' section, confirming that all information provided is accurate.

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Versions	Form popularity	Fillable & printable
2017	4.7 Satisfied (37 Votes)
2016	4.5 Satisfied (40 Votes)

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What is a sud voucher in North Dakota?

The Departments Behavioral Health Division (BHD) was assigned the responsibility to develop administrative rules and implement the voucher system. The SUD Voucher supports eligible individuals in their personal recovery by reducing financial barriers in accessing substance use disorder treatment and recovery services.

What states touch North Dakota?

A north-central state, it is bounded by the Canadian provinces of Saskatchewan and Manitoba to the north and by the U.S. states of Minnesota to the east, South Dakota to the south, and Montana to the west.

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