For general questions, call our ND Medicaid Expansion Customer Contact Center at 1-833-777-5779. For contracting questions, email providercontracting@bcbsnd.com. For Availity Essentials registration and electronic claim submission questions, contact Availity Client Services at 1-800-282-4548. North Dakota Medicaid does not reimburse for store-and-forward. SOURCE: ND Div. of Medical Assistance, General Information Provider Manual, Telemedicine, p. 155, (Jan. 2022), (Accessed Apr. 2022). ELIGIBLE SERVICES/SPECIALTIES Complete your health assessment and earn $15 This site also has information about your program benefits, plus: Your Medicaid Expansion Member Handbook Access to tools like the HealthyBlue Online Wellness Center Articles on health and wellness Medicaid Expansion Member Handbook View Member Handbook Fargo (Headquarters) 4510 13th Ave. S. Fargo, North Dakota 58121 Blue Cross Blue Shield of North Dakota is an independent licensee of the Blue Cross Blue Shield Association, serving residents and business in North Dakota. Individual Provider Handbook | Form Packet; Send Completed QSP Enrollment Applications To: Noridian Healthcare Solutions Phone: (701) 277-6933 Email: QSPEnrollment@noridian.com Fax: (701) 277-6635 Mail: Noridian Healthcare Solutions Attn: ND Medicaid Provider Enrollment QSP PO Box 6055 Fargo, ND 58108-6055 Need Help? General Information for Providers - ND Medicaid Manual; Vulnerable Adults Abuse Neglect & Exploitation: How to Report; Find Human Service Zone information; 1915i QIS Process Document - revised 11.5.2021; North Dakota Medicaid. Sign up to receive North Dakota Medicaid News and Information; Access Naloxone and Overdose Prevention Training Member Handbook Certificate of Insurance Summary of Benefits and Coverage (SBC) Appeal Rights and Form CONTACT INFORMATION: We can help you find a doctor, understand what's covered, and also help if you need to file an appeal. Sanford Health Plan Customer Service (855) 305-5060 (toll-free) BCBSND administers coverage for North Dakota's Medicaid Expansion Program, which enables more people to access affordable coverage and preventive services. While Medicaid Expansion builds on the success of traditional Medicaid, the benefits, systems and credentialing processes of the two programs may differ. Provider credentialing North Dakota residents can learn if they qualify for Medicaid Expansion and apply for coverage through the State of North Dakota's Department of Human Services (DHS). DHS also administers the retail outpatient pharmacy benefits. If you have questions about pharmacy benefits or covered drugs, please call 800-775-2604 (TTY: 711). Member appeals RE: North Dakota State Plan Amendment (SPA) Transmittal Number 21-0011 Dear Director Knapp: We have reviewed the proposed North Dakota State Plan Amendment (SPA) to Attachment 4.19-B of your state plan, which was submitted to the Centers for Medicare & Medicaid Services (CMS) on July 23, 2021. This plan Each handbook includes the Medicaid regulations, appendices (forms, reports, and instructions) and provider bulletins applicable to each type of Medicaid provider. For a complete listing, go to Rules and Regulations and Provider Bulletins. Printed copies are available upon request. Contact Medicaid Inquiry at (877) 255-3092 for assistance. Center for Medicaid & CHIP Services . 233 North Michigan Ave., Suite 600 . Chicago, Illinois 60601 . Financial Management Group Ocober 20, 2021 Caprice Knapp, Director Medical Serv