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Medicaid Systems Project

Claims Submission Guidelines

Claims Submission Guidelines outline policy and provider billing instructions for claims submitted to the North Dakota MMIS web portal. (Effective April 2014).

Abortion Services (New Dec. 3, 2014)
Allergy Immunotherapy - Allergy Testing (New Dec. 3, 2014)
Ambulance Services (New Dec. 3, 2014)
Ambulatory Surgical Services (New Dec. 3, 2014)
Anesthesia Services

Basic Care Facilities
Cardiac Rehabilitation (New Dec. 3, 2014)
Chiropractic Services (New Dec. 3, 2014)
Developmental Disabilities Services (New Sept. 2014)
Elective Sterilization (New Sept. 2014)
Family Planning (New Sept. 2014)
Health Tracks Early Periodic Screening, Diagnosis and Treatment
Hospital Services (New Dec. 3, 2014)
Immunizations (New Sept. 2014)
Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID)
Indian Health Services and Tribally-Operated 638 Programs
Lab, Radiological, and Diagnostic Services
Medically Necessary Sterilization (New Sept. 2014)
Non-Covered Services (New Dec. 3, 2014)
Nursing Facilities
Occupational Therapy (New Sept. 2014)
Optometric and Eyeglass Services (New Sept. 2014)
Physical Therapy (New Sept. 2014)
Psychiatric Residential Treatment Facilities (PRTF)
Public Health Clinics
Rural Health Clinics and Federally Qualified Health Centers
School-Based Services (New Sept. 2014)
Speech-Language Pathology (New Sept. 2014)
Swing Bed Facilities
Third Party Liability (New Dec. 3, 2014)
Travel, Meals, and Lodging


N.D. Department of Human Services
Medical Services
600 East Boulevard Avenue, Dept. 325
Bismarck, N.D. 58505-0250
Phone: (800) 755-2604


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