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Primary Care Case Management Program

The Primary Care Case Management Program helps ensure that Medicaid members have a regular health care provider who helps coordinate their care.

Program participants select a primary care provider who will provide most of their health care services and refer them, if needed, to other providers who specialize in specific health care issues. If a Medicaid member does not select a primary care provider, one will be assigned to him or her.

Medicaid Member Information

Medicaid members are required to receive non-emergent health care services from their primary care provider. If specialty services are needed, a referral from the primary care provider is required before the appointment. Some services do not require a referral.

Review the handbook for information about enrollment, choosing a primary care provider, referral process and other program information. The handbook also answers some commonly asked questions.

Primary Care Provider Information

Information on the Primary Care Case Management Program can be found in the General Information for Providers Manual in the Primary Care Case Management chapter.

Eligibility Worker Information

Information on the Primary Care Case Management Program for eligibility workers is available in the following training guide:

Any questions regarding the Primary Care Case Management Program can be emailed to dhsmci@nd.gov.

Contact Information

Medical Services Division
North Dakota Department of Human Services
600 E Boulevard Ave, Dept 325
Bismarck, ND 58505-0250
Telephone: (701) 328-7068
Toll-free: (800) 755-2604
711 (TTY)
Fax: (701) 328-1544

 

 

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