Provider Report Documents
Psychiatric Residential Treatment Facilities:
- These reports may be downloaded for your convenience. Please submit a printed and signed copy of the completed report to the Department of Human Services' Provider Audit Unit by the appropriate deadline.
- Reports should be completed as indicated in NDAC 75-02-09. The information provided will be used to establish rates beginning January 1, 2017.
- Reports are due within three months of your fiscal year end.
- For further details contact Provider Audit at (701) 328-7560.
Note: One of the links above requires that you have Microsoft Excel on your computer. If you do not, you may download a free Excel viewer from the Microsoft web site.
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