1915(i) Forms | Health and Human Services North Dakota

An official website of the state of North Dakota. Here's how you know

The .gov means it's official.Official North Dakota websites will end in .gov. Before sharing sensitive information, make sure you're on a government site.

The site is secure.The https:// ensures that you're connecting to the official website and that any information you provide is encrypted and sent securely.

Medium

Medium

The 1915(i) application, and other 1915(i) information, can be found on the Medicaid 1915(i) Behavioral Health Services and Supports webpage.

For the Care Coordination Request Report, see the Enrolling as a Provider and Providing Services webpage.

To look up what providers are available in each county, see the Find a Provider webpage.

For other resources, see the 1915(i) Provider Guidance and Policies webpage.