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Medicaid Provider Information

North Dakota Medicaid Providers and Partners: Sign up for email updates about Medicaid-related news and information.

Provider News and UpdatesUpdates

(Last updated 7/7/2020)

Web File Transfer - Login

Reimbursement Information

Policies and Guidelines

Pharmacy ProvidersPharmacy

Durable Medical Equipment ProvidersDurable

North Dakota Medicaid Expansion

Provider Education/Training

 

Provider Enrollment

TO BE ELIGIBLE FOR ENROLLMENT, A PROVIDER MUST:

  • Provide services to at least one North Dakota Medicaid eligibile recipient.
  • Meet the conditions regulating the specific type of provider, program, and/or service.
  • Hold a current license, certification, accreditation, or registration according to North Dakota state laws and regulations.
  • Providers that are on the List of Excluded Individuals and Entities, provided by the Office of the Inspector General, cannot apply for enrollment. A list of current, excluded parties can be obtained at http://exclusions.oig.hhs.gov/.

NEW - Provider Revalidation Information

Provider Enrollment Information and Forms

National Provider Identifier (NPI) Information

Medicaid Provider Address Change: dhsenrollment@nd.gov

Electronic Claims Submission Policies

Primary Care Management Reform Presentations

North Dakota Medicaid is hosting informational presentations on primary care management reform. The state is considering a new primary care management model as an alternative to it Primary Care Case Management program. Several presentations are planned this year to learn from other state Medicaid programs that have implemented care management models.

Provider Appeals

Reporting Medicaid Fraud

To report suspected Medicaid Fraud, please email medicaidfraud@nd.gov, or call 1-800-755-2604 and ask for an attendant.
You may also complete the Surveillance and Utilization Review Section (SURS) Referral form and submit it to the Department.

Fraud Alert: U.S. Department of Health and Human Services Office of Inspector General hotline telephone number used in scam (Posted March 6, 2017)

Newsletters

If you have trouble viewing the e-newsletters below, cut and paste the URL into another web browser – Chrome, Firefox or Internet Explorer or Safari for Mac users.

Link to Newsletter Archive

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
Relay ND TTY: (800) 366-6888
Fax: (701) 328-1544
Email: dhsmed@nd.gov

 

 

 

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