We are required by the state of North Dakota to contact all Medicaid Members within 72 hours of being discharged from the Emergency Room (ER). To assist us, please submit the attached form as soon as possible after discharge.
Note: if the Medicaid Member is admitted to the hospital, there is no need to submit a form.
Providers delivering crisis services for Medicaid Expansion members must notify BCBSND by submitting the member information and services provided through the Medicaid Expansion Crisis Utilization form.
This form is to be used to submit a Provider Dispute. The Provider Complaint system permits the submission of a dispute on BCBSND’s policies, procedures, or any aspect of BCBSND’s administrative functions, including proposed actions, claims/billing disputes, and service authorizations.
For any disputes not related to Medicaid Expansion, visit the Provider Manual for direction.
The program may apply to Medicaid Expansion Members who are using emergency department medical and/or pharmacy-related services at a frequency or amount that may not be medically appropriate and necessary, to ensure these Members receive services that match their medical needs.
Arkos is a population health management company that works collaboratively with health insurers and patients’ primary care team to help provide supplemental coordinated care to Medicaid Expansion patients at no additional cost to the patient or provider.