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ND Health Enterprise Medicaid Management Information System (MMIS)

Posted March 1, 2021 - The Medical Services Division has contracted with Noridian Healthcare Solutions (Noridian) to process enrollment work to include revalidations.  Noridian staff will start reaching out to providers this month to process current revalidations and to also follow up on revalidations that are past due. Please do not send in revalidation documentation unless you’ve received an email from Noridian, that outlines the documentation needed and includes a revalidation coversheet.

Provider Revalidation Roster (Sept. 1, 2021 through Nov. 30, 2021) (54kb Excel file)

Provider Past Due Revalidation Roster (Posted Sept. 1, 2021) (24kb Excel file)

Revalidation Checklists

Individual Revalidation Checklist (782kb pdf)

Group Revalidation Checklist (1.46mb pdf)

Sole Proprietor (billing under SSN) Revalidation Checklist (622kb pdf)

Contact

Noridian Healthcare Solutions
Attn: ND Medicaid Provider Enrollment
PO Box 6055
Fargo, ND 58108-6055
Phone: (701) 277-6999
Fax: (701) 433-5956
Email: NDMedicaidEnrollment@noridian.com

 

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