1915(i) Provider Guidance and Policies | Health and Human Services North Dakota

An official website of the state of North Dakota. Here's how you know

The .gov means it's official.Official North Dakota websites will end in .gov. Before sharing sensitive information, make sure you're on a government site.

The site is secure.The https:// ensures that you're connecting to the official website and that any information you provide is encrypted and sent securely.

Medium

Left

Medium

General Provider Policies

1915(i) Services

Conflict of Interest

Provider Enrollment Screening

Provider Requirements (including documentation requirements)

Service Authorizations

Telehealth (Remote Support)

Medium

Care Coordination Policy and Forms

Care Coordination Policy

Meeting Attendee Signatures

Member and Care Coordinator Signatures & Acknowledgements

Member Rights and Responsibilities

Member Rights and Responsibilities - EXPANSION MEMBERS

Multi-Party Authorization to Disclose Information (Release of Information)

Medium

Service Policies

Benefits Planning

Community Transition

Family Peer Support

Housing Support

Non-Medical Transportation

Prevocational Training

Supported Education

Supported Employment

Training and Support for Unpaid Caregivers

Medium

Billing & Claims Guidance

Link to Payer Spaces webpage in Availity: Document Title "1915(i) Medicaid Expansion Providers Only- Availity Provider Resource Guide"

VIDEO: How to submit a 1915(i) claim in MMIS

MMIS 1915(i) Web Portal Instructions

MMIS Claim Replacement/Void Instructions

MMIS How to Add Claims Attachments

Checking a Member's Eligibility in MMIS

Medicaid Check Write Dates

Place of Service Codes

Service Information - limits, codes, taxonomies, requirements Updated November 2024

For Traditional Medicaid claims-related questions, please contact the Provider Call Center at 877-328-7098.

Medium

Home and Community-Based Services (HCBS) Resources

HCBS Settings Requirements

HCBS Settings Assessment Guide

HCBS Heightened Scrutiny Visit Form

Initial 1915(i) HCBS Settings Review

Medium

Member Discharge

Transfer and Termination of Member Services

Discharge Letter Template

Medium

Reports

Individual Provider Review Report

Provider Agency Review Report

Medium

WHODAS Guidance & Resources

WHODAS Administration Training Requirements

WHODAS 2.0 Manual

WHODAS Training

WHODAS Administration and Scoring Presentation Slides

Needs-Based Eligibility - WHODAS and DLA Assessments

WHODAS 2.0 Interview Assessment

WHODAS Complex Scoring Sheet

WHODAS Flashcard 1

WHODAS Flashcard 2

WHODAS 2.0 Proxy Assessment

Medium

Therap

Therap Login Page

Therap's North Dakota 1915(i) Resources Page

Therap Referrals (How-To)

Therap Referrals (How-To) Video

Therap Adding Contacts & Guardians Therap (How-To)

POC Corrections or Edits Outside of Quarterly Reviews (How-To)

Individual Plan Agendas for Quarterly Reviews (How-To)

Plan of Care Creation (How-To)

Therap Member Discharge (How-To)

Therap Case Notes (How-To)

Therap Member Information Look Up (How-To)

Therap Looking up POC when in service provider account (How-To)

Therap Webinar: Let's Talk about Your Therap Accounts

Medium

Community Transition Service Support Materials

Veridian Fiscal Solutions

1915(i) Community Transition Plan of Care and Request for Funds (only for Community Transition Service)

Medium

Medium

DRAFT POLICIES

DRAFT 1915i Grievance Policy

DRAFT Prevocational Services Policy

DRAFT Supported Employment Service Policy

DRAFT Benefits Planning