Medicaid Provider Information
Durable Medical Equipment Providers
- DME Prior Authorization Form Completion Guide (3/8/2013)
- DME Prior Authorization Adjustment/Completion Guide (3/8/2013)
Please be informed that an updated version of the Certificate of Medical Necessity - Oral and/or Enteral Nutrition (SFN 782) has been posted to e-forms. (www.nd.gov/eforms) Please see #5 of the form with the addition of B4154, as well as #6 with the requirement for documentation to accompany the prior authorization to support pump therapy.
Provider memo: Wheelchair Cushion (E2609/E2617) Cost Increase. (Effective January 2012)
- Gait Traners (E8001 & E8002)
- Insulin Pump - Implementation Date 6/15/2011
- E0202RR: Phototherapy Light or Blanket Update effective 7-1-2010 (40kb pdf)
- ND Medicaid Policy and Procedure regarding reuse of durable medical equipment (129kb pdf)
- Meetings, Minutes and Information from the meetings
- Durable Medical Equipment (DME) Update 2-13-07
If you have questions regarding durable medical equipment or supplies, you may e-mail questions to email@example.com or telephone (701) 328-2764. For billing questions, contact Provider Relations at (701) 328-4043.
Durable Medical Equipment Provider Forms