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
All new and existing providers MUST complete a web-based enrollment application to use the ND Health Enterprise MMIS.
Training and Support
Providers will be able to access various training opportunities to prepare for new ND Health Enterprise MMIS.
Companion guides are for N.D. Trading Partners when ND Health Enterprise MMIS goes live.
Claims Submission Guidelines
Claims Submission Guidelines outline policy and provider billing instructions for claims submitted to the ND Health Enterprise MMIS.
- April 20, 2015 - This letter is being sent to ND Medicaid providers regarding upcoming training opportunities for the new ND Health Enterprise MMIS.
- March 31, 2015 - For electronic claims (excluding Qualified Service Provider claims), the ND Health Enterprise MMIS requires the provider’s taxonomy code for all providers on the claim. Providers should begin submitting their taxonomy codes on current electronic claims. Individual and group providers can learn more about valid taxonomy codes under the Additional Enrollment Resources heading.
- More updates
N.D. Department of Human Services
Medical Services Division
600 East Boulevard Avenue, Dept. 325
Bismarck, N.D. 58505-0250
Phone: (800) 755-2604