Provider Education and Training Resources
Recommend Medicaid service coverage
North Dakota Medicaid provider policies are located on this page. Policies are listed in alphabetical order under categorical headings. Non-service and non-specialty policies are located under General Provider Policies.
If you'd like to recommend Medicaid add coverage for a noncovered service or provider type, fill out and submit the SFN 905 along with any supporting documentation to dhsmed@nd.gov.
If you'd like to be notified of Medicaid coverage changes, visit the Public Comment Notification webpage.
- Coordinated Services Program - Updated April 2026
- Covered Services
- Electronic Visit Verification
- Noncovered Services
- Ordering/Referring/Prescribing Providers
- Other Licensed Providers (OLP)
- Provider Appeals
- Provider Enrollment
- Provider Requirements
- Recipient Liability
- Sign and Oral Language Interpreter Services
- Telehealth
- 1915(i) Medicaid State Plan Amendment
- Autism Applied Behavior Analysis Service
- Behavioral Health Rehabilitative Services - Updated March 2026
- Institutions for Mental Disease (IMD) Policy
- Partial Hospitalization Psychiatric (PHP) Services - Updated April 2026
- Psychiatric Residential Treatment Facilities (PRTF)
- Qualified Residential Treatment Programs (QRTP)
- Substance Use Disorder Treatment and Housing Providers
- Substance Use Disorder Treatment Services - Updated April 2026
- Under 21 Psychiatric Providers ND CTS LOC Manual
- Claims Guidance
- Crossover Claims
- Electronic Claims Submission - Dental Claims
- Electronic Claims Submission - Medical Claims
- Electronic Funds Transfer
- Exemption for Submitting Electronic Claims - SFN 447
- Member Eligibility
- Direct Secure Messaging (DSM) Instructions for Third Party Billers
- Third Party Liability (TPL)
- Third Party Biller
- Timely Claims Filing
- Timely Claims Filing Override Request
- Dental Case Management
- Dental Procedures and Nomenclature
- Dental Provider Training Video - Common Errors - (Total Running Time 39 minutes) April 2022
- Dental Provider Video Training (Total running time 1:05)
- Dental Screening and Assessment
- Dental Training Materials
- Facility Calls
- North Dakota Dental Periodicity Schedule
- Orthodontics
- Place of Service Codes
- Teledentistry
- Tooth Numbering System
- Ambulatory Surgery Center Services
- Basic Care Facilities - Updated April 2026
- Hospital Service - Updated April 2026
- Intermediate Care Facilities (ICF/IID)
- Nursing Facilities - Updated April 2026
- Nursing Facilities - Rate Setting Manual
- Nursing Facilities - MDS 3.0 Submission Guidelines
- Nursing Facilities - MDS Appeal Request Form (SFN 247)
- Nursing Facilities - ND Payment System Booklet (January 2012)
- Nursing Facilities - Maximus PASRR/Level of Care manual and forms
- Swing Bed Facilities - Updated April 2026
- Abortion
- Ambulance Services
- Anesthesia Services
- Breast and Cervical Cancer Detection
- Cardiac Rehabilitation
- Chiropractic Services
- Clinical Trials
- Community Health Worker
- Community Paramedicine
- Family Planning Services
- Forensic Examinations
- Gender Affirming Care
- Home Health - Updated April 2026
- Hospice Services
- Immunizations
- Laboratory and Pathology Services
- Local Public Health Units (LPHU)
- Medication for Opioid Use Disorder (MOUD)
- Non-Emergency Medical Transportation
- Non-Emergency Medical Transportation - Documentation Guidelines
- Non-Emergency Medical Transportation - Toolkit
- Occupational Therapy - Updated April 2026
- Optometric and Eyeglass Services
- Physical Therapy - Updated April 2026
- Physician Administered Drugs - Updated April 2026
- Professional Medical and Surgical Services - Updated April 2026
- Preventive Services and Chronic Disease Management and EPSDT Services
- Private Duty Nursing Services - Updated April 2026
- School-Based Services
- Speech Language Services - Updated April 2026
- Sterilization and Hysterectomy
- Transplant Services - Updated April 2026
Contact Information
Hours are 8:00 a.m. to 5:00 p.m. Monday through Friday (Central Time).
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
Call Center
For questions about member eligibility, payments, denials, or general claims questions
Phone: (701) 328-7098 or (877) 328-7098
Coordinated Services Program
Phone: (800) 755-2604 or (701) 328-2346
Medicaid Expansion through Blue Cross Blue Shield of ND
Phone: (833) 777-5779
Provider Enrollment
See Provider Enrollment policy for contact information
Waste, Fraud and Abuse
Surveillance/Utilization Review Medical Services
North Dakota Health and Human Services, Dept. 325
600 E. Boulevard Ave, Bismarck, ND
Email: medicaidfraud@nd.gov