Medicaid Provider Information
Attention Nursing Facility Providers - An updated MDS 3.0 Submission Guideline has been posted for assessments submitted starting January 1, 2020.
Provider Manuals and Guidelines
General Information for Providers Manual (complete guidelines for provider enrollment and Medicaid covered services) October 2021 (860kb pdf)
Dental Providers
- Dental Provider Manual (July 2021)
- CDT Code: D1352 (Dental Policy Guideline)
- Orthodontic Transfers (Dental Policy Guideline)
- CDT Codes Requiring Tooth Numbers/Quadrants (Excel File - March 2016)
- CDT Code - D9410 House/Extended Care Facility Call (Dental Policy Guideline - Effective April 1, 2017)
- CDT Code D1354 - Silver Diamine Fluoride (Revised March 1, 2021)
- Documentation Requirements for Periodontal Services (Revised July 2020)
- Teledentistry Policy (July 2019)
- Prosthodontics Policy (January 1, 2020)
- North Dakota Dental Periodicity Schedule (Posted May 2020)
- Palliative Treatment of Dental Pain (Created Aug. 2020)
- Orthodontia and Third Party Liability Policy (Created Sept. 2021)
Dental Provider Training Material
- NEW -Dental Provider Video Training - Sept. 2017 (Total running time 1:05)
- NEW -Training Materials (402kb pdf)
Durable Medical Equipment Providers
- DME Service Authorization Entry Instructions
- Durable Medical Equipment Provider Manual (November 2019)
Family Support
- Family Support Services Policy and Procedures (Revised March 2018)
Institutions for Mental Diseases (IMD)
- IMD policy (Updated October 2021)
Medication Therapy Management Providers
- Medication Therapy Management Provider Manual (August 2018)
Non-Emergency Medical Transportation
Non-Emergency Medical Transportation Toolkit - Published by Centers for Medicare & Medicaid Services (CMS). As the document indicates, it is a general reference and policies and procedures vary by state.
Nursing Facility Providers
- Nursing Facility Rate Manual (July 2021)
- RUG IV Classification Manual (July 2020)
- MDS 3.0 Submission Guildlines (August 2020)
- MDS Appeal Request Form (SFN 247)
- Video Training - Assigning the MDS 3.0 Classification for Payments and Appeal Process (38 minutes) PowerPoint Presentation (January 2016)
- Video Training - Basic Medicaid MDS 3.0 Training (32 minutes) PowerPoint Presentation (January 2016)
- ND Nursing Facility Payment System Booklet (January 2012) - May be printed in booklet form. Choose under 'Page Scaling' in the Adobe print screen.
The department’s vendor Ascend, a Maximus company, has updated their manuals and forms. Some information is proprietary. Providers should visit Ascend’s website to access current versions of this information. Link appears below.
- Ascend PASRR/Level of Care manual and forms
- For assistance, call 1-833-997-2777
Targeted Case Management
Serious Mental Illness/Serious Emotional Disturbance (Revised Jan. 2021) (174kb pdf)
- ONLINE Training (April 23, 2020)
Child Welfare (Updated October 2019) (181 kb pdf)
- ONLINE Training - Medicaid Targeted Case Management for Child Welfare Professionals
High-Risk Pregnant Women (Updated Oct. 2020) (216 kb pdf)
Long-Term Care (July 2015) (250 kb pdf)
Pharmacy Providers
- Pharmacy Provider Manual (May 2021)
Under 21 Psychiatric Providers
The department’s vendor Ascend, a Maximus company, has updated their manuals and forms. Some information is proprietary. Providers should visit Ascend’s website to access current versions of this information. Link appears below.
- Ascend tools, forms and resources
- For assistance, call 1-629-230-5034
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