All SUD Voucher providers are required to enroll and become credentialed to bill North Dakota Medicaid.
Become an enrolled SUD Voucher provider:
North Dakota licensed Substance Abuse Treatment Program
- Complete the Provider Application and MOA
- Review Provider Program Guidance
- Review Provider Portal System Training
Out-of-state licensed Substance Abuse Treatment Program
- Complete Assessment of Need (AON)
- Complete the Provider Application and MOA
- Review Provider Program Guidance
- Review Provider Portal System Training
Provider Application
Find out eligibility requirements and more individual application information.
Individual Application Information
Find out eligibility requirements and more individual application information.
Additional Information
Provider Requirements
Enrolled SUD Voucher programs must meet the following guidelines:
Resources for Providers
- Authorization to Disclose Information (SFN 1059)
- Substance Use Disorder (SUD) Voucher Brochure
- Portal Payment System PowerPoint (February 2020)
- Portal Payment System Website
- Download Free Materials
Archived Provider Guidance Documents
- Version 10 (December 2022)
- Version 9 (September 2022)
- Version 8 (June 2021)
- Version 7 (June 2020)
- Version 6 (January 2019)
- Version 5 (March 2018)
- Version 4 (July 2017)
- Version 3 (January 2017)
- Version 2 (September 2016)
- Version 1 (July 2016)
Provider Reimbursement
*Services must meet medical necessity: an accepted health care service provided by health care entities that is appropriate to the evaluation and treatment of a disease, condition, illness, or injury and is consistent with the applicable standard of care.
Providers shall only submit one invoice per month per participant to ensure timely reimbursements can be made. Billing for services must be submitted within 180 days from when services are provided. If it is past 180 days from when services are provided, reimbursement will be forfeited.
Provider reimbursements will be paid in the PPS once per calendar month between the first and the fifth working day.
| Service | Rate | Specification |
| Screening | $23.19 | Per Screening |
| Assessment | $179.03 | Per Assessment |
| Individual Therapy | $77.58 | 30 minutes |
| $102.50 | 45 minutes | |
| $150.95 | 60 minutes | |
| Group Therapy | Adult - $577.30 | Daily Rate for ASAM Level 3.5 |
| Adolescent - $577.30 | ||
| Adult - $374.18 | Daily Rate for ASAM Level 2.5 (20 hours minimum per week) | |
| Adolescent - $374.18 | ||
| $192.43 | Daily Rate for ASAM Level 2.1 (9 or more hours per week) | |
| $15.50 | 15 minutes (1 unit) for ASAM Level 1 | |
| Family Therapy | $97.94 | Per Session without patient |
| $101.45 | Per Session with patient | |
| Room & Board (R&B) | Adult - $98.00 | Per service day (individual occupancy at 12:00AM |
| Adolescent - $98.00 | ||
| Recovery Coach/ Peer Support | $12.63 | 15 minutes (1 unit) |
| Urine Analysis | $17.14 | Limit 1 per day |
| Transportation | ||
| $0.45 per mile | Provider administrative costs cannot exceed individual reimbursement | |
| MAT Intake | $112.37 | Week 1 of starting Medication Assisted Treatment (MAT) program |
| MAT Maintenance | $75.18 | Per week, starting with week 2, and weekly thereafter |
| MAT Administration | $3.30 | 1 unit per day |