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Medicaid Expansion: Psychiatric & Substance Use Services Guidelines Update

For Institutional Providers
Blue Cross Blue Shield of North Dakota (BCBSND) has removed the requirement to bill modifier 52 for Residential Treatment Center Services for Medicaid Expansion. Claims previously billed with modifier 52 will be processed and apply the appropriate fee schedule rate. Effective immediately, modifier 52 will no longer be needed for these services. The following reimbursement policy will be revised and is available at Psychiatric and Substance Use Services Guidelines | BCBSND.

For additional questions please contact the BCBS Medicaid Expansion Provider Service Center at 1-833-777-5779.