North Dakota Assignment Checklist

State:
Multi-State
Control #:
US-OG-429
Format:
Word; 
Rich Text
Instant download

Description

The Assignment Checklist form, is a checklist for assignments to be used in dealings with oil, gas and minerals.
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FAQ

Covers screening and diagnostic services to determine physical and mental status, and treatment to correct or eliminate defects or chronic conditions and help prevent health problems from occurring for children under 21. Also covers medically necessary orthodontia and vaccinations.

Medicaid expansion in North Dakota is managed by Blue Cross Blue Shield of North Dakota (this is as of 2022; prior to that, the managed care contract was with Sanford Health Plan).

Medicaid is a program that helps pay for medical services for qualifying low-income adults, children, pregnant women, older adults and people with disabilities. Medicaid Members: Learn more about Medicaid renewals and what you need to do to prepare on our Stay Covered ND webpage.

Application Information 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.

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

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North Dakota Assignment Checklist