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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).

Anesthesia Services
Basic Care Facilities
Developmental Disabilities Services (New Sept. 2014)
Elective Sterilization (New Sept. 2014)
Family Planning (New Sept. 2014)
Health Tracks Early Periodic Screening, Diagnosis and Treatment
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)
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
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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