1915(i) Provider Enrollment

Medium

Here is what you need to know about enrolling as a 1915(i) provider. 

 

Medium

Complete steps 1-4 below. 

Group enrollment must happen before you can add (affiliate) individual service providers to your group. Individual 1915(i) provider enrollment will not be approved without an affiliation to an existing, approved group. 

Changing a service provider's group affiliation

Group providers may affiliate individual service providers currently enrolled under a different agency/group by submitting the SFN 1330 Request to Add an Affiliation Form linked below under the "Enrollment Resources" tab.

Removing a service provider from your group 

Individual providers may be affiliated with multiple group providers. If an individual leaves employment with an agency, the agency should complete the SFN 1331 Termination Form linked below under the "Enrollment Resources" tab.

Complete steps 1-3 below. Individual 1915(i) provider enrollment will not be approved without an affiliation to an existing, approved group. 

Questions? Need help?

We have enrollment specialists standing by to assist you between 8 a.m. - 5 p.m. CT, Monday-Friday.

Noridian Healthcare Solutions
Attn: ND Medicaid Provider Enrollment
PO Box 6055
Fargo, ND 58108-6055

Email: NDMedicaidEnrollment@noridian.com
Phone: Toll-free (877) 328-7098 or (701) 328-7098, option 1
After-hours voicemail available.
Fax: (701) 433-5956

Medium
Medium

Obtain a National Provider Identifier (NPI) number. 

If a provider has previously been issued an NPI, they will not apply for a new one, rather they will need to ensure their existing NPI is updated to reflect the proper taxonomy codes for the services they will be enrolling to provide. 

For NPI login assistance, contact the Identity & Access System (I&A):

For assistance once logged in to the NPI system, contact the NPI Enumerator (available M-F 9 a.m. - 5 p.m. ET):

Find out if an NPI has been previously issued to an individual or organization here: Search the NPI Directory.

Online Application

Provider Enrollment Online Application Guide

Find the Group and Individual Taxonomy Codes Here: Service Codes and Limits

Contact the ND Medicaid Provider Relations Call Center with questions or problems with the online application at (701) 328-7098, toll-free at (877) 328-7098, 711 (TTY), or by emailing mmisinfo@nd.gov.

Complete registration for the MCO Portal using the following link: MCO Information

Request a BCBSND contract for 1915(i) services by emailing: ProviderContracting@bcbsnd.com

Once you are enrolled and have received verification of enrollment as an agency (group) provider, complete the below tasks. 

1Review 1915(i) Provider Guidance and Policies
2

Draft and implement agency-specific 1915(i) policies and procedures for quality assurance. Ensure staff are trained on these and that they reviewed and updated as needed.

  • Claims and billing requirements
  • Provider qualifications and onboarding/training
  • Service requirements (service auths where applicable, documentation, etc.)
3

Verify Individual Providers meet provider qualifications for services - i.e., do they have necessary training/certifications/etc.?

Provider qualifications are listed in service policies.

4

Ensure Therap accounts are set up.

Email nd1915i@nd.gov with the following information for your agency and internal Therap administrator (this person will add individual service providers into Therap)

  • Therap admin name and title
  • Phone Number (admin and agency)
  • Business Address 
  • Email address (admin and agency, if applicable)
  • Which services your agency will be providing
5

Attend a Therap Administration Orientation/Overview session

Therap will reach out to your designated administrator.