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APPLICANTS , PLEASE COMPLETE ALL INFORMATION BELOW ... - Ndhealth
Get APPLICANTS , PLEASE COMPLETE ALL INFORMATION BELOW ... - Ndhealth
T Name Last Name Maiden/Middle Initial Current Mailing Address (Include C/O Address) City State Date of Birth F County E-Mail Address Home Phone M Zip Code Work Phone Social Security Number (Required) Cell Phone Name of Employer City State Employer s Contact Name Employer s Phone Number Registrant ID # Current Expiration Date ALL QUESTIONS MUST BE COMPLETED BY APPLICANT Have you ever been arrested, charged, or convicted of a felony (You must answer yes if the felony arr.
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Contendere FAQ
Who is eligible for North Dakota Medicaid Program? Household Size*Maximum Income Level (Per Year)1$19,3922$26,2283$33,0644$39,9004 more rows
Report changes to your address, phone number or email address by using our Self-Service Portal at hhs.nd.gov/applyforhelp/ssp-help or contacting the Customer Support Center: Toll-free: 866-614-6005, 711 (TTY)
ND Medicaid must receive a provider's original Medicaid primary claim submission within 180 days from the date of service. Final submission of claims that will be considered for adjudication (including resubmitted claims) must occur within 365 days from the date of service.
A: No. Because each state has its own Medicaid eligibility requirements, you can't just transfer coverage from one state to another, nor can you use your Medicaid coverage when you're temporarily visiting another state, unless you need emergency health care.
All providers are required to apply for enrollment electronically on the ND Health Enterprise MMIS portal. The exception is Qualified Service Providers. All enrollment documentation submitted must include the application tracking number (ATN) from the online enrollment application.
Medicaid Expansion Patient Protection and Affordable Care Act (Health Care Reform): North Dakota has expanded access to Medicaid to cover more individuals.
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