Medicaid Expansion Program - Provider Information
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.
Current BCBSND Providers
To request a Medicaid Expansion addendum, please send an email to firstname.lastname@example.org.
New BCBSND Providers
You can join the BCBSND network and become credentialed for the North Dakota Medicaid Expansion Program by applying to be a BCBSND provider.
Providers Not Enrolled with BCBSND
If you are not a current BCBSND provider and want to be credentialed only for North Dakota Medicaid Expansion, you can enroll with the State of North Dakota.
Providers who deliver home- and community-based services to individuals with behavioral health conditions can enroll as a North Dakota Medicaid 1915(i) provider with the State of North Dakota.
Non-Emergency Medical Transportation (NEMT) Providers
Providers of NEMT are required to enroll to become credentialed with the state of North Dakota for the North Dakota Medicaid Expansion program. Information regarding Medicaid enrollment can be found at North Dakota Department of Human Service (NDDHS).
Meal and Lodging Providers
Providers of meals and lodging can become credentialed for North Dakota Medicaid Expansion through the State of North Dakota.
Retail outpatient pharmacy benefits are administered by the North Dakota Department of Human Services.
A list of Prescription Medications or Drugs that may be covered under the medical benefit and may require Precertification (Prior Approval) for Medicaid Expansion member.
Coordinated Services Program
Medical and Pharmacy Services Coordinated Services Program (CSP) Referral and Specialist Request Form