Is my ND Medicaid active?

Providers can check claim status through the Automated Voice Response System by dialing 1-877-328-7098 and selecting option 4. Claim status can also be obtained through the secure provider portal. We appreciate your participation in the ND Medicaid program and continuing to care for our North Dakota citizens.

Does ND Medicaid cover eyeglasses?

Covers exam, glasses, frames and some hard contact lenses for the correction of certain conditions. Replacement eyeglasses may only be provided after a minimum of 12 months for children under 21 or 24 months for adults if a lens change is medically necessary.

Does North Dakota have managed Medicaid?

North Dakota contracts directly with primary care physicians to manage care for Medicaid enrollees in the PCCM program. Primary care providers are paid a monthly per-member case management fee in addition to the regular Medicaid fee-for-service reimbursement.

Does ND Medicaid cover dental?

For adults ND Medicaid covers re-treatments of anterior teeth (D3346) and does require service authorization. For recipients under the age of 21, ND Medicaid covers re-treatment of bicuspid root canals and molar root canals (D3347 and D3348).

What is the name of the federally sponsored health care program that all citizens 65 and older in the US are eligible to receive?

Medicare is a Federal health insurance program for people 65 years or older, certain people with disabilities, and people with end-stage renal disease (ESRD).

What is the income limit for Medicaid in North Dakota?

Who is eligible for North Dakota Medicaid Program?

Household Size* Maximum Income Level (Per Year)
1 $18,075
2 $24,353
3 $30,630
4 $36,908

Is health insurance required in North Dakota?

Does North Dakota require you to have health insurance? The Affordable Care Act requires all North Dakota residents to maintain a minimum level of coverage. North Dakota does not have a any state-specific health insurance requirements outside of the ACA (also known as Obamacare).

Does North Dakota Medicaid cover braces?

Braces are only covered when the child has an extreme need due to difficulty eating, chewing, speaking, or breathing. All braces must be pre-approved.

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