High call volumes

Our member and provider services may be experiencing higher than normal call volumes from 12/22/25-1/9/26 due to a large number of staff being out of office.  We encourage you to utilize alternative forms of communication including secured messaging through online Member Services and Availity Essentials Provider Portal.

Show More

Member and Provider Services Representatives will be unavailable Thursday, Jan. 1, due to the holiday. We are unable to accept walk-ins on Friday, Jan. 2., due to short staffing.


Show More

Care management

The BCBSND Care Management program is designed to help members navigate their healthcare journey with personalized support. Through collaboration with a registered nurse, members receive guidance in understanding care options, managing chronic or complex conditions, and working toward improved health and daily functioning. This service is offered at no additional cost to members.

Care coordinators—registered nurses —recognize the emotional impacts of serious illness and are trained in:

  • Motivational interviewing
  • Crucial conversations
  • Care coordination

Assessments

Care management often includes voluntary assessments including:

  • Comprehensive health screening
  • Screening for depression and anxiety
  • Assessment of Member’s Health Engagement
  • Medication reconciliation

Interventions

Care coordination interventions include:

  • Goal setting with members to achieve optimal health outcomes
  • Motivational interviewing to assess barriers to change
  • Assessment of member engagement into their health
  • Providing education regarding health risks and needs assessment
  • Collaboration/referral to Patient Centered Medical Home/primary care provider
  • Transition of care planning for complex cases
  • Coordination of local, regional and nationwide health care services
  • Ongoing care management for especially complex and chronic cases
  • Referrals to disease management professionals for rare and complex disease management
  • Assisting members in making informed health care decisions
  • Connecting the members to the right resources within BCBSND to help them understand their benefits

Care management referrals

A member or their authorized representative must consent and agree to participate in the care management program. Enrollment is voluntary, at no additional cost to the member.

Care management referrals can be initiated by:

  • The member/patient
  • The member's authorized representative
  • A health care provider

To initiate a referral to care management, contact BCBSND at 800-336-2488.

Arkos Health Care Management Support

Blue Cross Blue Shield of North Dakota (BCBSND) partnered with Arkos Health to enhance our support to Medicaid Expansion and Nextblue patients across the state of North Dakota.

Arkos is a population health management company that works with health insurers and patients’ primary care team to help provide supplemental coordinated care to Medicaid Expansion and Nextblue patients at no additional cost to the patient or provider.

This added support is all about meeting patients where they’re at and closing gaps where they may otherwise fall through the cracks.

In order for Arkos to best partner with providers, they have hired staff who can further assist with care management services. The program will start with a small team working across the state. Arkos team will include nurses and social workers under the direction of ND-based market president.

For more information regarding Arkos view the below websites

Medicaid Expansion https://www.bcbsnd.com/providers/medicaid-expansion/arkos-health-care-management

Nextblue https://www.nextbluend.com/arkos