Medicaid Expansion Prior Approved Precertification

Blue Cross Blue Shield of North Dakota (BCBSND) Medicaid Expansion is reminding providers for members who already have an approved Medicaid Expansion precertification in place prior to the January 1, 2022 administration change from Sanford Health Plan to BCBSND will need to have a new approved precertification in place to continue care for services that extend into 2022.

BCBSND Medicaid Expansion will allow a 30-day continuity of care for providers to obtain a new approved precertification, providers will have until January 31, 2022, to obtain the approval through the Availity precertification approval process. If you do not have Availity access, register at the attached link Availity Essentials Portal Registration.

Some precertification requirement may have changed due to the administration change, review the Medicaid Expansion precertification requirements at Precertification for Medicaid Expansion.

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