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

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General Provider Policies

1915(i) Services

Conflict of Interest

Provider Enrollment Screening

Provider Requirements (including documentation requirements)

Service Authorizations

Telehealth (Remote Support)

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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)

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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

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Billing & Claims Guidance

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

Billing and Claims - Submitting Claims in MMIS

Creating a Claim Template in MMIS

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.

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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

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Member Discharge

Transfer and Termination of Member Services

Discharge Letter Template

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Reports

Individual Provider Review Report

Provider Agency Review Report

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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

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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)

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Community Transition Service Support Materials

Veridian Fiscal Solutions

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

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DRAFT POLICIES

DRAFT 1915i Grievance Policy

DRAFT Prevocational Services Policy

DRAFT Supported Employment Service Policy