Blue Cross Blue Shield of North Dakota Medicaid Expansion: A Year in Review

child in a wheelchair giving a high five to a doctor

On January 1, 2022, Blue Cross Blue Shield of North Dakota (BCBSND) became the administrator for North Dakota Medicaid Expansion. Our partnership with North Dakota’s Department of Health and Human Services (DHHS) began with servicing around 30,000 enrolled Medicaid Expansion members, after which enrollment steadily climbed to just over 34,000 enrolled members throughout 2022. We currently have 1,302 provider facilities participating within the Medicaid Expansion network.

In the first year, BCBSND processed around 657,000 claims and assisted with over 33,000 phone calls. Along with claims processing and phone calls, our Utilization Management team looked at 8,911 precertification reviews and 487 referrals.

BCBSND worked closely with DHHS to assist in the development of the 1915(i) program and to expand the non-emergency medical transportation program across the state of North Dakota. 

BCBSND partnered with Arkos Healthcare to enhance our care management support to Medicaid Expansion members. Arkos Healthcare is a population health management company that works with health insurers and members’ primary care team to help provide supplemental coordinated care to Medicaid Expansion members at no additional cost to the patient or provider. Visit BCBSND Arkos Health Management to learn more.

BCBSND expanded the Medicaid Expansion Provider Information website to provide new information to providers who joined the Medicaid Expansion network. Three educational videos were developed and a specific Medicaid Expansion provider manual was created. 

BCBSND wants to thank the provider community for their engagement throughout 2022. We look forward to the continued partnerships in 2023 as we strive to improve the health and well-being of North Dakota’s Medicaid Expansion members.