Medicaid Expansion Pre-Service Appeal Requests for Members

Blue Cross Blue Shield of North Dakota (BCBSND) is informing Medicaid Expansion providers that pre-service appeals can only be initiated by the member or their authorized representative. If a provider files a pre-service appeal request on behalf of a Medicaid Expansion member, a signed and dated Authorization to Release Information (ARI) form is required. If a pre-service appeal is submitted by a provider without a valid ARI included, it will be returned without review.

Additional Medicaid Expansion appeal information can be found on our Medicaid Expansion provider website at Appeals Process for Medicaid Expansion. The Medicaid Expansion provider manual will also be updated with this clarification within the next 30 days.

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