Provide services to at least one North Dakota Medicaid eligibile recipient.
Meet the conditions regulating the specific type of provider, program, and/or service.
Hold a current license, certification, accreditation, or registration according to North Dakota state laws and regulations.
Providers that are on the List of Excluded Individuals and Entities, provided by the Office of the Inspector General, cannot apply for enrollment. A list of current, excluded parties can be obtained at http://exclusions.oig.hhs.gov/.
To report suspected Medicaid Fraud, please email medicaidfraud@nd.gov, or call 1-800-755-2604 and ask for an attendant.
You may also complete the Surveillance and Utilization Review Section (SURS) Referral form and submit it to the Department.