ND Health Enterprise Medicaid Management Information System (MMIS)
Welcome. This website provides important information to help Medicaid providers prepare for the implementation of the new claims processing and payment system known as the ND Health Enterprise MMIS.
The ND Health Enterprise MMIS will be available to providers who participate in:
- North Dakota Medicaid
- Children’s Health Insurance Program (Healthy Steps)
- Home and Community-Based Medicaid Waiver Services
The ND Health Enterprise MMIS offers a user-friendly web portal that will be available 24 hours a day/7 days a week. Providers will be able to perform various business activities including:
- Getting real-time access to member eligibility, claims status, remittance advices, payment status and claims history
- Entering and validating claims real-time
- Uploading batch transactions
- Managing accounts/passwords
- Accessing email box for letters and updates
Provider News and Updates
Aug. 3, 2015 - In preparation for the ND Health Enterprise MMIS, the Department is now instructing providers to include their taxonomy code on electronic claims submitted for processing with the current Legacy MMIS system. This action is to help providers adjust to the new requirements.
All new and existing providers MUST complete a web-based enrollment application to use the ND Health Enterprise MMIS.
Learn more about taxonomy codes and their role in submitting claims to the ND Health Enterprise MMIS.
Training and Support
Providers have accessed various training opportunities to prepare for new ND Health Enterprise MMIS.
- Important: Phase II provider type specific training materials.
Companion guides are for N.D. Trading Partners when ND Health Enterprise MMIS goes live.
Paper Claim Instructions
Paper claim instructions and computer-based trainings provide field level instruction on how to complete a claim form for claims submitted to the ND Health Enterprise MMIS.
Claims Submission Guidelines
Claims Submission Guidelines outline policy and provider billing instructions for claims submitted to the ND Health Enterprise MMIS.
N.D. Department of Human Services
Medical Services Division
600 East Boulevard Avenue, Dept. 325
Bismarck, N.D. 58505-0250
Phone: (800) 755-2604