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The BCBSND Medicaid Expansion program provides the opportunity to NEMT providers to coordinate non-emergency medical transportation to and from medical appointments for our ND Medicaid Expansion members when no other transportation source is available.
BCBSND began administering services for North Dakota’s Medicaid Expansion program effective January 1, 2022. NEMT Providers who have credentialed with the North Dakota Department of Human Services (NDDHS) ND Medicaid program can now participate with BCBSND Medicaid Expansion network program.
1. Enroll in our network by contacting our Provider Contracting department at providercontracting@bcbsnd.com.
2. Start transporting members.
3. Begin submitting claims.
Claims will be submitted through the Availity Essentials provider portal. Availity Essentials is a secure online portal to submit, review and manage claims.
1. Review the Availity Essentials provider portal getting started course.
2. Begin registration on the Availity Essentials provider portal.
3. Once registered through Availity Essentials.
4. Providers who are currently unable to complete your Availity Essentials registration, BCBSND Medicaid Expansion will allow NEMT providers to file a paper claim and invoice one of two ways.
Print and mail the completed Medicaid Expansion Non-Emergency Transportation, Meals, Lodging Billing Form and your internal invoices to:
Blue Cross Blue Shield of North Dakota
Attn: Medicaid Expansion Claims
4510 13th Avenue South
Fargo, ND 58121
NEMT providers refer to following procedure codes for billing guidelines.
Code | Description | Qualifier |
A0080 | Non-emergency transportation, per mile (noncommercial/volunteer) | N/A |
A0100 | Non-emergency transportation; taxi, each way | 2 |
S0215 | Non-emergency transportation: mileage, per mile, loaded | Trips greater than 15 miles one-way |
S0215 | Non-emergency transportation: mileage, per mile, unloaded | Trips greater than 15 miles one-way |
A0110 | Non-emergency transportation and bus, intra or interstate carrier, each way | |
A0120 | Non-emergency transportation: minibus (member is ambulatory), each way | 2 |
A0170 | Non-emergency transportation: mini-bus mileage, per mile, loaded | Trips greater than 15 miles one-way |
A0170 | Non-emergency transportation: mini-bus mileage, per mile, unloaded | Trips greater than 15 miles one-way |
A0130 | Non-emergency transportation: wheelchair van (member is transported in a wheelchair), each way | 2 |
A0130 | Non-emergency transportation: wheelchair van (member is ambulatory), each way | 2 |
S0209 | Non-emergency transportation; wheelchair van; per mile, loaded | Trips greater than 15 miles one-way |
S0209 | Non-emergency transportation; wheelchair van; per mile, unloaded | Trips greater than 15 miles one-way |
A0140 | Non-emergency transportation and air travel (private or commercial) intra or inter state | N/A |
T2005 | Non-emergency transportation; stretcher van, each way | 2 |
T2049 | Non-emergency transportation; stretcher van, mileage; per mile, loaded | Trips greater than 15 miles one-way |
T2049 | Non-emergency transportation; stretcher van, mileage; per mile, unloaded | Trips greater than 15 miles one-way |
*ND Medicaid rate is based on the ND Medicaid Non-Emergency Medical Transportation Fee Schedule in effect on the date of transport
*A typical transport involved one base rate per way. There are minimal exceptions to the base rates allowed; for clarification on additional base rates for A0100, A0120 and A0130.
NEMT providers may need to correct a claim due to billing errors, by submitting a replacement or void (cancellation) of the original claim. Providers will follow the appropriate guidelines and timeframes to correct claims.
A ND Medicaid Expansion member or authorized representative will contact our BCBSND Medicaid Expansion Customer Contact Center at 1-833-777-5779 two days or more in advance to schedule a ride for a NEMT request for an upcoming appointment. Once the request is authorized, our Customer Contact Center will reach out to the NEMT provider to arrange a ride.
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.