Qualified Service Providers (QSP)
Click here for QSP Q&A and other information on COVID-19.
IMPORTANT: QSP drop boxes for paper claims are located to the department's Prairie Hills Plaza building located at 1237 W. Divide Ave. - use Door #2, and the department's main office at the State Capital, 600 E. Boulevard Ave., Judicial Wing - third floor, Bismarck.
Enrolling as a Qualified Service Provider
Qualified Service Providers or QSPs are individuals or agencies that provide services to clients who receive services funded by the Department of Human Services. People who qualify for home and community-based services can choose among available qualified service providers that offer competitively priced services.
QSPs are independent contractors that have met certain competency standards required to provide services to eligible clients.
- QSP Rates (July 1, 2021)
- QSP Rural Differential Rates (July 1, 2021)
To become a QSP, contact the department's Medical Services Division at dhshcbs@nd.gov or (701) 328-4602, 711 (TTY) for information.
Qualified Service Provider (QSP) Development Grant - Available
BACKGROUND: The North Dakota Department of Human Services wants to support the development or expansion of Qualified Service Provider (QSP) agencies through a competitive grant process. These grants are being made available for the purpose of providing the funds necessary to either start a new QSP agency or expand the services of a current QSP agency. The expanded capacity of the QSP agency will provide needed support and services to enable individuals to transition from institutional settings to community living or to continue to live successfully in the community.
- QSP Agency Develpment Grant Description
- Attachment A - Grant Application (Word document) - DUE Nov. 8, 2021
- Attachment B - Budget Template (Excel document)
- Attachment C - Grant Evaluation Tool (PDF)
Qualified Service Provider Handbooks
- Individual Provider (1mb pdf) Forms Packet (2.33mb pdf) (Updated Dec. 2021)
- Agency Provider (1.04mb pdf) Form Packet (1.96mb pdf) (Updated Nov. 2021)
- Family Home Care Provider (609kb pdf) Form Packet (1.70mb pdf) (Updated Dec. 2021)
- Adult Family Foster Care Provider (357kb pdf)
- Agency Foster Home for Adults (AFHA) (914kb pdf)
Once You are Enrolled
Informational packet for NEW QSPs (330kb pdf) (March 24, 2020)
Billing Instructions
- MMIS Professional Claim Form Submission Instructions (694 kb pdf)
- SFN 1730 Paper Billing Instructions - Paper Billing Example
- SFN 1730 Paper Claim Correction Void and Replacement Instructions - Void and Replacement Example
- SFN 1730 HCBS Billing Form (blank)
- Web Portal HCBS/DD QSP Billing Instructions
- FACT SHEET: Internet Browser Compatibility
- Web portal HCBS/DD QSP Void and Replacement Instructions
- Benefits of Online Billing - February 2017
- Pay Dates
Documentation Guidelines for Individual Providers
Critical Incident Reporting
- Critical Incident Reporting Module (ADDED Jan. 10, 2022)
- Critical Incident Reporting Recorded Webinar
- Instructions for reporting a critical incident (Jan. 10, 2022)
- Therap General Event Reporting Forms
Computer-Based Training
- SFN 1730 HCBS/DD QSP Billing Form - View Computer-Based Training
Electronic Visit Verification System Information
- WEBINAR Recording: Service Authorizations and Professional Billing in Therap for QSPs Providing Services Not Subject to EVV (Posted Nov. 18, 2020)
- Frequently Asked Questions about EVV (updated Nov. 16, 2020)
- WEBINAR Recording: Electronic Visit Verification System for Aging Services Qualified Service Providers (Fall 2020)
- Therap Electronic Visit Verification System in North Dakota (Website Link)
- PRESENTATION: Electronic Visit Verification System Public Input Meetings (Fall 2019)
- PRESENTATION: Electronic Visit Verification System Public Input Meetings (Spring 2018)
Resources
- Instructions on how to get a NPI number (1.90mb pdf) (Posted Dec. 9, 2020)
- 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)
- QSP Toolkit
- ONLINE TRAINING - Fraud, Waste and Abuse
Newsletters
- Qualified Service Provider Newsletter - March 2019
- Qualified Service Provider Newsletter - March 2018
Various Links
- MMIS Web Portal (submit claims for payment)
- Learn more about the ND Health Enterprise Medicaid Management Information System (MMIS)
- Human Service Zone Offices
Finding a Qualified Service Provider
- Searchable database of Qualified Service Providers (real-time information)
Outreach/Educational Material
- Print Ad (487kb pdf)
- Poster (4.76Mb pdf)
- Television Ad (5.8Mb mov)
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