Qualified Service Providers
ND Health Enterprise MMIS Payment System Information
Billing Instructions
- SFN 1730 Paper Billing Instructions - Paper Billing Example
- SFN 1730 Paper Claim Correction Void and Replacement Instructions - Void and Replacement Example
- Web Portal HCBS/DD QSP Billing Instructions
- Web portal HCBS/DD QSP Void and Replacement Instructions
Computer-Based Training
- SFN 1730 HCBS/DD QSP Billing Form - View Computer-Based Training
Newsletter
- Benefits of Online Billing - February 2017
Important Notice - Implementation Letter and Key Points - July 20, 2015
Letter to Individual Qualified Service Providers - May 6, 2015
Letter to Agency Qualified Service Providers - April 30, 2015
Learn more about the ND Health Enterprise MMIS System.
Enrolling as a Qualified Service Provider
- Fact Sheet (778 kb pdf)
- Video: Go on-the-job to learn about being a Qualified Service Provider by watching an 18-minute video called "A Realistic Job Preview." (112 MB .wmv)
- Qualified Service Providers are individuals or agencies that have agreed to provide services to clients who receive services funded by the N.D. Department of Human Services.
- State law requires that people who are eligible for home and community-based services be free to choose among available qualified service providers that offer competitively priced services.
- Qualified Service Providers are considered independent contractors that have met certain competency standards required to provide services to eligible clients.
- To become a qualified service provider, contact your County Social Service Office for information.
Finding a Qualified Service Provider
- Searchable database of Qualified Service Providers (real-time information)
Qualified Service Provider Handbook
- Individual Provider (491kb pdf) Form Packet (486kb pdf)
- Agency Provider (799kb pdf) Form Packet (1.83mb pdf)
- Family Home Care Provider (336kb pdf) Form Packet (470kb pdf)
- Adult Family Foster Care Provider (357kb pdf)
Outreach/Educational Material
- Print Ad (487kb pdf)
- Poster (4.76Mb pdf)
- Television Ad (5.8Mb mov)
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