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ND Health Enterprise Medicaid Management Information System (MMIS)

Claims Submission Guidelines

Claims Submission Guidelines outline policy and provider billing instructions for claims submitted to the ND Health Enterprise MMIS web portal.

Abortion Services (Updated October 2017)
Allergy Immunotherapy - Allergy Testing
Ambulance Services
Ambulatory Surgical Services
Anesthesia Services
(Updated June 2016)
Autism Waivered Services
Basic Care Facilities
Benefits Plan
Cardiac Rehabilitation
Chiropractic Services
Coordinated Services Program
Co-Payment Guidelines (Updated December 2016)
Developmental Disabilities Services
Elective Sterilization
Family Planning
Health Tracks Early Periodic Screening, Diagnosis and Treatment
Home Health/Private Duty Nursing
Hospice Services
Hospital Services
Immunizations (Updated March 2017)
Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID)
Indian Health Services and Tribally-Operated 638 Programs
Lab, Radiological, and Diagnostic Services
Medical Nutrition Services
Medically Necessary Sterilization
(Hysterectomy, Oophorectomy, Orchiectomy)
Non-Covered Services
Nursing Facilities
Occupational Therapy (Updated April 2017)
Optometric and Eyeglass Services
Physical Therapy (Updated April 2017)
Physician Services
Psychiatric Residential Treatment Facilities (PRTF)
Public Health Clinics
Rural Health Clinics and Federally Qualified Health Centers (Updated April 2016)
School-Based Services
Speech-Language Pathology (Updated April 2017)
Swing Bed Facilities
Travel, Meals, and Lodging
Third Party Liability


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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