The Codes Requiring Service Authorization spreadsheet has been updated. The following drugs will re
The Codes Requiring Service Authorization spreadsheet has been updated. The following drugs will require SA effective May 1, 2024.
All providers
Omnipod coverage is no longer restricted by age. Please visit the Preferred Drug List to view update
Omnipod coverage is no longer restricted by age. Please visit the Preferred Drug List to view updated coverage criteria.
Timely Filing Extension Due to Change Healthcare Cyberattack
Due to the recent cyberattack on Chang
Timely Filing Extension Due to Change Healthcare Cyberattack
Due to the recent cyberattack on Change Healthcare, ND Medicaid will extend timely filing requirements for claims with dates of service on or after 09/21/2023. Claims must be submitted by either 06/25/2024 or the regular timely filing deadline, whichever is later.
If you are unable to submit claims electronically to the department, you may send them on paper or submit your claims via the MMIS Web Portal.
The Hearing Aid Policy has been updated for services on or after April 1, 2024. Changes include:
C
The Hearing Aid Policy has been updated for services on or after April 1, 2024.
Changes include:
Changes include:
- Coverage of binaural hearing aids for all ages
- Removal of the primary care documentation requirement
Check active provider enrollments before submitting new enrollments!To reduce processing time, pleas
Check active provider enrollments before submitting new enrollments!
To reduce processing time, please verify your provider is not actively enrolled with North Dakota Medicaid before submitting a new online enrollment application in the MMIS portal. If a provider is actively enrolled, a new online application is not required.
To reduce processing time, please verify your provider is not actively enrolled with North Dakota Medicaid before submitting a new online enrollment application in the MMIS portal. If a provider is actively enrolled, a new online application is not required.
General Information for Provider Manual October 2023 update. This manual update is now published on
General Information for Provider Manual October 2023 update. This manual update is now published on the Provider webpage. Please review important updates in the manual and note their effective date of October 1, 2023.
MMIS system outage Effective on blah blah date there will be a complete system outage. Here's what y
MMIS system outage Effective on blah blah date there will be a complete system outage. Here's what you need to know about this and how to be prepared.
Codes Requiring Service Authorization spreadsheet has been updated
The following drugs have been add
Codes Requiring Service Authorization spreadsheet has been updated
The following drugs have been added and will require service authorization for dates of service on or after April 1, 2024.
UPDATED ICD-10-CM Coding Guidance - Administering Abrysvo™ (CPT 90678) to Pregnant Individuals
CDC
UPDATED ICD-10-CM Coding Guidance - Administering Abrysvo™ (CPT 90678) to Pregnant Individuals
CDC recommends one dose of Pfizer’s bivalent RSVpreF vaccine (Abrysvo) during RSV season for people who are 32 through 36 weeks pregnant. For claims to correctly adjudicate for this population of ND Medicaid members, an ICD-10-CM code specific to the third trimester of pregnancy AND an ICD-10-CM code from the Z3A.32 - Z3A.36 range must be present on the claim and pointed to the specific line that 90678 is billed on.
Attention Providers: Cybersecurity Isse Impact on ND Medicaid
ND Medicaid is aware of a cyber securi
Attention Providers: Cybersecurity Isse Impact on ND Medicaid
ND Medicaid is aware of a cyber security issue that occurred on February 21, 2024, that impacts providers who use Change Healthcare as their clearinghouse, trading partner, or pharmacy switch vendor. ND Medicaid systems and claims processing are not affected by the cyber security issue. Connections with Change Healthcare will be re-established when Change Healthcare is no longer experiencing cyber security issues.