Medicaid Provider Manuals and Guidelines

Medium

Download guidelines for provider enrollment and Medicaid-covered services (860kb pdf) - October 2022 

General Information for Providers Manual

Attention Nursing Facility Providers - An updated MDS 3.0 Submission Guideline has been posted for assessments submitted starting January 1, 2020.


Specialty Manuals and Guidelines

Medium
Behavioral Health
Dental

Manuals

Dental Provider Manual (July 2022)

Training

Family Support
Institutions for Mental Diseases (IMD)

IMD policy (Updated November 2021)

Non-Emergency Medical Transportation

Non-Emergency Documentation Guidelines

Published by Centers for Medicare & Medicaid Services (CMS). As the document indicates, it is a general reference and policies and procedures vary by state.

Visit website: Non-Emergency Medical Transportation Toolkit

Nursing Facility

The department’s vendor Ascend, a Maximus company, has updated its manuals and forms. Some information is proprietary. Providers should visit Ascend’s website to access current versions of this information. The link appears below.

Visit website: Ascend PASRR/Level of Care manual and forms

For assistance, call 1-833-997-2777

Targeted Case Management

Serious Mental Illness/Serious Emotional Disturbance (Updated October 1, 2022) (174kb pdf)

Child Welfare (Updated July 2022) (181 kb pdf)

  • Visit website: ONLINE Training - Medicaid Targeted Case Management for Child Welfare Professionals

High-Risk Pregnant Women (Updated Oct. 2020) (216 kb pdf)

Pharmacy
Under 21 Psychiatric Providers

The department’s vendor Ascend, a Maximus company, has updated its manuals and forms. Some information is proprietary. Providers should visit Ascend’s website to access current versions of this information.

Visit website: Ascend tools, forms and resources

For assistance, call 1-629-230-5034

Medium

Contact Information

Medical Services Division
North Dakota Health and Human Services
600 E. Boulevard Ave., Dept. 325
Bismarck, ND 58505-0250

Phone: (701) 328-7068
Toll-Free: (800) 755-2604
Fax: (701) 328-1544
711 (TTY)
Email: dhsmed@nd.gov