ND Medicaid covers services provided by licensed and enrolled Basic Care facilities, as well as nursing facilities that are certified to participate in the Medicare program, licensed, and enrolled with North Dakota Medicaid. This page is intended for long-term care providers with useful links to related Medicaid sites and documents.
Nursing Facilities
Nursing Facility policy (pdf) - Includes policy for nursing facility level of care, limits on leave days, and billing for in-state and out-of-state facilities.
Nursing Facility Rate Setting Manual (pdf) - Communicates reporting requirements, direct care, indirect care and property costs, nonallowable costs, bad debts, taxes, startup costs, rate calculations, adjustment factors, limits and incentives, classifications, appeals, and many other topics related to Nursing Facility rates.
Nursing Facility ND PDPM Classification Manual (pdf) - This is a step-by-step guide for ND PDPM classification.
ND PDPM Quick View for Providers (pdf) - Includes flow-charts and graphs showing how Speech-Language Pathology (SLP), Nursing and Non-Therapy Ancillary (NTA) components are determined for ND PDPM classifications.
ND PDPM Case Mix Values (xlsx) - Includes classifications and Case Mix Index Values for ND PDPM.
MDS 3.0 submission requirements (pdf) - Includes requirements for state MDS submissions.
- MDS Appeal Request Form - Link to state form number (SFN) 247. Use this form to submit a classification appeal for a resident in a Nursing Facility.
Nursing Facilities MDS Appeal Request - Link to state form number (SFN) 247. Use this form to submit a classification appeal for a resident in a Nursing Facility.
The Nursing Facility Incentive Program website describes the quality improvement program for resident care in nursing facilities.
Nursing Facility Rates by Location (pdf) - Includes a list of Nursing Facility base rates.
The Facility Cost Reporting website includes the cover letter for cost reports.
The Maximus PASRR Tools and Resources website includes the Pre-Admission Screening and Resident Review evaluation tool.
The Money Follows the Person (MFP) website is for Medicaid members with disabilities who are interested in transitioning/moving from Nursing Facilities to homes and apartments in the community. MFP connects people to housing, services, and support.
Search for Nursing Facility locations in ND at this website.
Resident and Family ND PDPM resources
ND PDPM Quick View (pdf) - Includes flow-charts and tables to help residents and families understand ND PDPM classifications.
- ND Payment System FAQ (pdf) - Includes answers to common questions about North Dakota's nursing facility payment system.
Basic Care Facilities
Basic Care Policy (pdf) - Includes policy for limits on leave days and billing for Basic Care facilities.
The Facility Cost Reporting website includes the cover letter for cost reports.
Search for Basic Care Facilities in ND at this website.
Swing Bed
Swing Bed policy (pdf) - Includes level of care, limits on leave days, and billing guidelines
Swing Bed fee schedule (pdf) - Includes Swing Bed rate per day and date effective.
The Maximus PASRR Tools and Resources website includes the Pre-Admission Screening and Resident Review evaluation tool.
Psychiatric Residential Treatment Facilities (PRTF)
The Facility Cost Reporting website includes the cover letter for cost reports.
The Maximus PASRR Tools and Resources website includes the Pre-Admission Screening and Resident Review evaluation tool.
The PRTF Providers in ND website lists the PRTF providers in ND.