Welcome to our ND Medicaid Member E-Newsletter
Get the most from ND Medicaid with program updates, seasonal reminders for staying healthy, resources for help, and more! Together we can make North Dakota the healthiest state in the nation!
September's issue: Navigating ND Medicaid.
There can be a lot to know about using ND Medicaid and we can help you. This issue shares helpful information and contacts to help you navigate ND Medicaid.
Members, you have resources!
We want you to have a space to engage with, learn from, and impact ND Medicaid! Our member engagement webpage shares past issues of our member newsletters, Medicaid Member Engagement Committee work, your member handbook, and more.
You’ll find our member engagement materials at www.hhs.nd.gov/medicaid-member-engagement.
You don’t have to wait all year to get our news!
Our printed newsletter is mailed once yearly. You can sign up to get our Member E-Newsletter emailed straight to your inbox every other month. E-News covers program updates, seasonal tips, community resources, and other news you can use.
Being a ND Medicaid member is more than just having coverage.
You can help us know what is working and what can be improved! Apply to join our Medicaid Member Engagement Committee (MMEC) where you will meet other ND Medicaid members and help shape the ND Medicaid program.
Empower yourself with knowledge about your coverage!
Explore our Medicaid member handbook to learn more about your coverage. The handbook explains our programs, who to contact with questions, and has information to help you navigate your health care.
Do you rely on people you know to get to your appointments?
ND Medicaid may be able to pay the people who drive you to your medical appointments and the pharmacy! Drivers could be a family member, foster care provider, guardian, member of your household, friend, or anyone else who gives you a ride. Drivers must enroll as a Non-Emergency Medical Transportation (NEMT) provider to be paid.
Contact Noridian Healthcare Solutions to find out how people who help you with rides can enroll as NEMT providers:
- Local: (701) 277-6999
- Fax: (701) 433-5956
- Email: ndmedicaidenrollment@noridian.com
- Mail: Noridian Healthcare Solutions
Attn: ND Medicaid Provider Enrollment
PO Box 6055
Fargo, ND 58108-6055
Need to find a ride to your medical appointments?
You can request a ride to medical appointments! You will need to request a ride three days before your appointment and give us your
- Name,
- Pick up time and address,
- Appointment time and date, and
- Drop off address.
One of our travel specialists will check if you are eligible for a ride and make arrangements based on your location and accommodation needs. They will connect you with a local public bus, taxi, or other transportation option. The travel specialist will give an authorization form to your driver. You will sign this form on the date of appointment. This lets us know that you were given the ride you needed.
Urgent requests and help with hotel stay and meals may also be arranged in certain situations.
Contact the Customer Support Center to set up a ride or if you have more questions about transportation help:
- Toll-Free: (866) 614-6005
- TTY: 711
- Email: Applyforhelp@nd.gov : Title your email “Medicaid Travel”
- Fax: (701) 328-1006
- Mail: Customer Support Center
PO Box 5562
Bismarck ND 58506
Have you tried our Self-Service Portal?
Our Self-Service Portal (SSP) is a website where you can complete your reviews, update your information, upload documents, and view notices. Sign up or login to get started!
Appealing a ND Medicaid Decision
ND Medicaid may deny, change, or end your coverage. This can happen for different reasons.
An appeal is when you ask Medicaid to take a closer look at the decision that has been made.
What do you do when your coverage is changed or a medical service was denied, but you still feel you need it? You appeal ND Medicaid decision. You can do this by:
- Visiting our File an Appeal webpage
- Calling to ask for an appeal or ask a question:
- Toll-Free: (800) 472-2622
- Local: (701) 328-2311
- TTY: 711
- Sending a written request for an appeal:
- Email: dhslau@nd.gov
- Fax: (701) 328-2173
- Mail: Appeals Supervisor
Department of Health and Human Services
600 E. Boulevard Ave., Dept. 325
Bismarck, ND 58505-0250
We need your updates!
Have you moved, changed your phone number, had a change in your employment or household size?
It is important to let us know and send us proof of these changes. You can report changes or get help by contacting the Customer Support Center.
Check your mail and read letters from ND Medicaid. There may be very important information included that can keep your coverage active.
Complete any forms we send you right away and send them back. We understand forms can get lost or forgotten. Taking care of them right away gets it off your mind!
Customer Support Center:
- Toll-Free: (866) 614-6005
- TTY: 711
- Email: Applyforhelp@nd.gov
- Fax: (701) 328-1006
- Mail: Customer Support Center
PO Box 5562
Bismarck ND 58506
Are you concerned about the care from your provider?
If you have concerns about the care you received from your provider, you can say something about it.
Call your provider’s office first. Many provider offices have a quality department, patient advocate, or patient liaison. These professionals work with patients to make sure they are getting the best care. You should allow their office time to address the concern. This could take a few days or weeks.
If you have done this and are still concerned about your care experience, you can reach out to the Customer Support Center:
- Toll-Free: (866) 614-6005
- Local: (701) 328-1000
- TTY: 711
- Email: applyforhelp@nd.gov
- Mail: Customer Support Center
PO Box 5562
Bismarck, ND 58506
Reporting Medicaid Fraud, Waste, and Abuse
Medicaid fraud, waste, and abuse is when someone is not using Medicaid dollars and/or services honestly and for the right reasons. We want to stop Medicaid fraud, waste, and abuse so you can have the best Medicaid experience. You can help us by reporting any situation you think may be Medicaid fraud, waste, or abuse.
Visit our Medical Services Fraud, Waste, and Abuse webpage to learn more about Medicaid fraud and abuse. For more information or to report a situation you think may be Medicaid fraud, waste, or abuse contact:
- Fraud Unit
- Toll-Free: (800) 755-2604
- Local: (701) 328-4024
- TTY: 711
- Email: medicaidfraud@nd.gov
- Mail: Fraud, Waste and Abuse Administrator
Medical Services Division
600 E. Boulevard Ave., Dept. 325
Bismarck, ND 58505
Tribal members: Stay enrolled and urge others to apply for Medicaid!
Tribal members and their descendants:
- Have more access to health care and coverage by using Indian Health Service (IHS) and Medicaid! Medicaid covers many things Indian health care programs do not.
- Help their tribe and IHS facilities by enrolling in Medicaid. IHS does not receive enough funds to meet the health needs of tribal members. Medicaid payments help IHS/Tribal facilities expand needed care, improve staff pay, and maintain medical equipment.
- Can use Medicaid for their health care needs when they are away from home or need to see a specialist.
- Don’t have to pay Medicaid premiums or co-pays.
- Can exclude certain income when applying for Medicaid. Excluded income examples are Indian trust income, certain tribal payments, or income from selling cultural crafts.
- Can exclude trust properties on reservations and income from protected natural resources from Medicaid estate recovery rules.
Tribal members can get help with or sign up for Medicaid by contacting the Customer Support Center:
- Toll-Free: (866) 614-6005
- Local: (701) 328-1000
- TTY: 711
- Email: applyforhelp@nd.gov
- Mail: Customer Support Center
PO Box 5562
Bismarck, ND 58506
Respiratory illness season is coming
Medicaid isn’t the only thing to navigate!
Get ready for the upcoming cold and flu season by updating your family’s immunizations.
Influenza (flu), respiratory syncytial virus (RSV) and COVID-19 viruses can make you miss work or school. They can make you very sick, put you in the hospital, and in some cases might cause death. Immunizations can help protect you from severe illness.
Immunization recommendations:
- Flu:
- Everyone six months and older
- COVID-19:
- Everyone six months and older
- RSV:
- Women who are 32-36 weeks pregnant during September through January
- Infants entering their first RSV season (October through March)
- Young children at high risk of severe infection entering their second RSV season
- Adults ages 60-74 with certain health conditions
- All adults ages 75 and older
ND Medicaid pays for these immunizations. Children ages 18 and under who have Medicaid are eligible for no to low cost immunizations under the Vaccines for Children program. Talk to your health care provider, local public health unit, or pharmacy about which immunizations are best for you and your family.
Want to connect about member engagement?
Hey there! I’m Jen Sheppard, ND Medicaid’s Member Liaison. I work with the Medicaid Member Engagement Committee (MMEC), Medicaid Member E-News, our member engagement webpage, and more.
You can connect with me for questions, concerns, or ideas about member engagement at medicaidmembers@nd.gov
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