Serving North Dakota Medicaid Members
Welcome to ND Medicaid's Provider Education and training webpage. Check back soon for exciting new trainings coming in 2025.
Thank you for being a ND Medicaid provider serving Medicaid members.
Training Materials and Resources
Behavioral Health
North Dakota Medicaid IMD Policy Update (Oct. 8, 2021) (277kb pdf) Recording (total running time: 25 minutes)
Expansion of North Dakota Medicaid Coverage for ASAM 3.2, 3.7 and a bundled rate for medication assisted treatment (161kb pdf) Recording (total running time: 14 minutes)
Billing/Claims
ND MMIS Web Portal Claim Submission Instructions
ND MMIS Web Portal Dental Claim Form Submission Instructions May 2023
ND MMIS Web Portal Institutional Claim Form Submission Instructions July 2024
ND MMIS Web Portal Professional Claim Form Submission Instructions April 2025
ND MMIS Web Portal QSP and DD Claim Form Submission Instructions May 2023
MMIS Web Portal Claims Status Inquiry for 837 or Web Portal Claims Training (669kb PDF)
MMIS Web Portal Template Training (931kb pdf)
How to adjust or void a claim (582kb pdf)
VIDEO: How to Submit a DME Service Authorization Training (Total Running Time - 20 min.) (Feb. 4, 2021)
MMIS Paper Claim Form Submission Instructions
This information is for providers who have been approved for the exemption to submit electronic claims.
Children's Services
TeleECHO™ Series
The goal of this TeleECHO™ series is to improve access to oral health care for patients in rural and underserved communities throughout North Dakota, by building and strengthening capacity among primary care and other providers responsible for supporting patient well-being. Earn free CEs and learn about best practices in oral health screening, fluoride varnish application, oral health case management, and billing for these services in primary and public health care settings through didactic and case presentations. Clinics are on the second and fourth Thursday of the month.
Visit: Oral Health in Primary Care TeleECHO clinics
Non-IEP Services
Behavioral Health (Non-IEP) Services Provided by Schools (Jan. 21, 2021) (793kb pdf)
Recording of training (total running time: 54 minutes)
Health Tracks
Health Tracks (Early Periodic, Screening, Diagnostic and Treatment - EPSDT) (1.70mb pdf)
Recording of training (total running time: 1 hour, 25 minutes)
Health Tracks Provider Training - Part 1 (total running time: 1 hour, 25 minutes)
Health Tracks Provider Training - Part 2 (total running time: 2 hours, 15 minutes)
Health Tracks (EPSDT) Provider Toolkit presentation - July 19, 2023 (total running time: 32 minutes)
School Medicaid Webinar Series
Recording: Medicaid 101 for schools webinar - June 8, 2023 (total running time: 1 hour)
Presentation: Medicaid 101 for schools
Recording: Nuts & Bolts of School Medicaid webinar - Aug. 10, 2023 (total running time: 59 minutes)
Presentation: Nuts & Bolts of School Medicaid
Recording: Medicaid 1915(i) Services and Supports in Schools webinar - Sept. 28, 2023 (total running time: 59 minutes) Presentation: Medicaid 1915(i) Services and Supports in Schools
Program Integrity
CMS.GOV Medicaid Integrity Program Educational Resources
October 26, 2023
- Agenda
- Recording: ND Medicaid Provider Integrity Unit update (total running time is 27 minutes)
- PowerPoint Slides
- Question and Answer
August 9 and 10, 2023
- Agenda
- Recording: ND Medicaid Provider Integrity Unit update (total running time is 35 minutes) Coming soon
- PowerPoint Slides
March 22 and 23, 2023
- Agenda
- Recording: ND Medicaid Provider Integrity Unit update (total running time is 35 minutes)
- PowerPoint Slides
- Question and Answer
Oct. 26 and 27, 2022
- Agenda
- Recording: ND Medicaid Provider Integrity Unit update (total running time is 24 minutes)
- PowerPoint Slides
July 27 and 28, 2022
- Agenda
- Recording: ND Medicaid Provider Integrity Unit update (total running time is 30 minutes)
- PowerPoint Slides (316kb pdf)
Feb. 23 and 24, 2022
- Agenda
- Recording: ND Medicaid Provider Integrity Unit update (total running time is 28 minutes)
- PowerPoint slides (229kb pdf)
- Question and Answer (43kb pdf)
Oct. 27 and 28, 2021
- Agenda
- Recording: ND Medicaid Provider Integrity Unit update (total running time is 47 minutes)
- PowerPoint slides (334 kb pdf)
- Question and Answer (76 kb pdf)
June 23 and 24, 2021
- Agenda
- Recording: ND Medicaid Provider Integrity Unit update (total running time 37 minutes)
- PowerPoint slides (553 kb pdf)
- Question and Answer (71 kb pdf)
Feb. 24 and 25, 2021
- Agenda
- Recording: ND Medicaid Provider Integrity Unit update (total running time 27 minutes)
- PowerPoint slides (275 kb pdf)
- Question and Answer (77 kb pdf)
Program of All-Inclusive Care for the Elderly (PACE) Program
PACE overview (PowerPoint slides with audio) (May 2021)
Provider Enrollment
See the Provider Enrollment and QSP webpage for information on enrollment.
Qualified Service Providers (QSPs)
Find training and educational resources on the QSP webpage.
Quality
ND Medicaid Quality Strategy training (PowerPoint with audio) Posted Dec. 14, 2020
Telehealth
May 1, 2023
- Recording: ND Medicaid Updated Telehealth Policy Webinar (total running time 32 minutes)
- PowerPoint Slides
- Frequently Asked Questions
Common Medicaid Abbreviations
| ACIP | Advising Committee on Immunization Practices |
| ADRC | Aging and Disability Resource Center |
| AETS | Adult Education Transitional Services |
| AFFC | Adult Family Foster Care |
| APC | Ambulatory Payment Classification Code unique identifier |
| ASP | Average Sales Price |
| CAHPS | Consumer Assessment of Healthcare Providers and Systems |
| CERT | Comprehensive Error Rate Testing |
| CFS | Children and Family Services |
| CHIP | Children's Health Insurance Program |
| CFR | Code of Federal Regulations |
| CMS | Centers for Medicare & Medicaid Services |
| CMS 64 | Medicaid report |
| CMS21 | SCHIP report |
| CMSO | Center for Medicaid and State Operations |
| CNS | Clinical Nurse Specialist |
| COB | Coordination of Benefits |
| CPT | Current Procedural Terminology |
| CSP | Coordinated Services Program (recipient lock in program) |
| CSR | Continued Stay Review |
| CVS | Comma separated values |
| dataprobe | reporting software that our SURS analysts use |
| DBA | Doing Business As |
| DD | Developmental Disabilities |
| DDC | Database & Documentation Contractor |
| DHS | Department of Human Services |
| DME | Durable Medical Equipment |
| DMEOPS | Durable Medical Equipment, Orthotics, Prosthetics & Supplies |
| DOB | Date of birth |
| DP | (perform DP review) |
| DPI | Department of Public Instruction |
| DRG | Diagnostic related groups |
| DSH | Disproportionate Share Hospital |
| E H R | Electronic Health Records |
| E/M | Evaluation and Management |
| EA | Economic Assistance |
| EMAR | Enterprise Management and Administrative Reporting system |
| EPHI | Electronic private health information |
| EPLS | Excluded Parties List System (being replaced by SAM |
| EPSDT | Early Periodic Screening Diagnostic and Testing |
| EQR | External Quality Review |
| ERRP | Error Rate Reduction Plan |
| ESRD | End Stage Renal Disease |
| FFATA | Federal Funding Accountability and Transparency Act |
| FFP | Federal Financial Participation |
| FFS | Fee for service |
| FIPS | Federal Information Processing Standards |
| FMAP | Federal Medicaid Assitance Percentage |
| FP | Fixed payment |
| FPL | Federal Poverty Level |
| FQHC | Federally Qualified Health Center |
| FS | Family Subsidy |
| FSS | Family Support Services |
| FTP | File transfer protocol |
| GI | General Information |
| HCBS | Home and Community Based Service |
| HCPCS | Healthcare Common Procedure Coding System |
| HCFA | Health Care Financing Administration |
| HEDIS | Healthcare Effectiveness Data and Information Set |
| HHS | Health and Human Services |
| HIPP | Health Insurance Premium Payments |
| HPMP | Hospital Payment Monitoring Program |
| HSC | Human Service Center |
| ICF | Intermediate Care Facility |
| ICF/MR | Intermediate Care Facility/Mentally Retarded |
| ICN | Internal control number |
| IDEA | Individuals with Disabilities Education Act |
| I H S | Indian Health Services |
| IM | Interoffice Memorandum |
| IPIA | Improper Payment Information Act |
| ISLA | Individualized Supported Living Arrangement |
| ISP | Individualized Service Plan |
| IT | Information Technology |
| LAC | Licensed Addiction Counselor |
| LEIE | List of Excluded Individuals/Entities |
| LICSW | Licensed Independent Clinical Social Worker |
| LSW | Licensed Social Worker |
| MA | Medical Assistance |
| MC | Managed Care |
| MCO | Managed Care Organization |
| MDS | Minimum Data Set |
| MEQC | Medicaid Eligibility Quality Control |
| MMAC | Medicaid Medical Advisory Committee |
| MMIS | Medicaid Management Information System |
| MR | Mentally retarded |
| MSLA | Minimally Supervised Living Arrangement |
| MTM | Medication Therapy Management |
| MTMP | Medication Therapy Management Program |
| MTMS | Medication Therapy Management System |
| NASHP | National Academy for State Health Policy |
| NCCI | National Correct Code Initiative |
| NDC | National Drug Codes |
| NDMA | North Dakota Medicaid |
| NDMA | North Dakota Medical Association |
| NEMT | Non-emergent medical transportation |
| NET | Non-emergency transportation |
| OAR | Option Adjustment Request |
| OIG | Office of Inspector General |
| OGC | Office of General Counsel |
| OMB | Office of Management and Budget |
| OOS | Out of State |
| PA | Prior Authorization |
| PA | Physician Assistant |
| PACE | Program of All- inclusive Care for the Elderly |
| PBQI | Process Based Quality Improvement |
| PCP | Primary Care Provider |
| PCMP | Prescription Drug Monitoring Program |
| PDL | Preferred drug list |
| PECOS | Provider Enrollment, Chain and Ownership System |
| PERM | Payment Error Rate Measurement |
| PERT | PERM Eligibility Review Tracking |
| PETT | PERM Eligibility Track Tool |
| PHI | Personal Health information |
| PHP | Partial Hospitalization Program |
| PI | Program Integrity |
| PIHP | Prepaid Inpatient Health Plan |
| PII | Personally identifiable information |
| PIP | Personal Injury Protection |
| PIP | Performance Improvement Plan |
| PMPM | Per member per month |
| PRTF | Psychiatric Residential Treatment Facility |
| POC | Point of contact |
| PTAR | Prior Treatment Authorization Request |
| QC | Quality Control |
| QSP | Qualified Service Provider |
| RA | Remittance Advice |
| RAC | Recovery Audit Contractor |
| RC | Review Contractor (Specific to PERM) |
| RCCF | Residential Child Care Facility |
| RCR | Real Choice Rebalancing |
| RDARS | Report Data Archive and Retrieval System |
| REOMB | Recipient Explanation of Medical Benefits |
| RHC | Rural health clinic |
| RL | Recipient Liability |
| PRO | Professional Review Organization |
| SA | Service Authorization/Prior Authorization |
| SAM | System for Award Management (for screening providers) |
| sampling unit | smallest individually priced unit paid for a beneficiary |
| SC | Special consideration |
| SC | Statistical Contractor |
| SCHIP | State Children's Health Insurance Program |
| SFTP | Secure File Transfer Protocol |
| SLA | Supported Living Arrangement |
| SMA | State Medicaid Agency |
| SMERF | State Medicaid Error Rate Findings |
| SNAP | Supplemental Nutritional Assistance Program |
| SNF | Skilled Nursing Facility |
| SPA | State Plan Amendment |
| SPED | Service Payments for the Elderly and Disabled |
| SPIA | State Program Integrity Assessment |
| SUD | Sampling Units Disposition |
| SUR | Surveillance Utilization Review |
| SURS | Surveillance Utilization Review System |
| TAG | Technical Advisory Group |
| TANF | Temporary Assistance for Needy Families |
| TCLF | Transitional Community Living Facility |
| TCN | Transaction Control Number/Claim Number |
| TECS | Technical Eligibility Computer System |
| TOB | Type of Bill codes |
| TPA | Third Party Administrator |
| TPA | Trading Party Agreement |
| TPL | Third Party Liability |
| UR | Utilization Review |
| VFC | Vaccine for Children |
| XIX | Medicaid expenditures (title 19) |
| XXI | SCHIP expenditures (now known as CHIP, title 21) |
Questions? Contact Us
The North Dakota Medicaid Call Center's hours of operation are Monday-Friday from 8 a.m. to 5 p.m. CT.
Email: mmisinfo@nd.gov
Toll-Free: (877) 328-7098, 711 (TTY)
For questions regarding specific training topics or training materials, contact our provider education team.