Medicaid

How to Get Credentialed with North Dakota Medicaid in North Dakota

Network: Open
30-60 Days

Quick Overview

Timeline

30 - 60 days

CAQH

Not Required

Re-credentialing

Every 5 year(s)

Delegated

No

North Dakota-Specific Requirements

North Dakota Medicaid enrollment steps: (1) Obtain NPI via NPPES. (2) Register through the North Dakota DHS (Department of Human Services) Medicaid provider enrollment portal. (3) Submit application with ND state license, proof of malpractice insurance, and required documentation. (4) Background check including state and federal criminal history is required for all providers. North Dakota operates primarily fee-for-service with no managed care organizations. Behavioral health providers accepted include LPCC, LCSW, and LMFT with active North Dakota licensure. Revalidation is required every 5 years.

Medicaid Information — North Dakota

Agency: North Dakota DHHS

Program: North Dakota Medicaid

Portal: https://www.hhs.nd.gov/healthcare/medicaid

Phone: 1-800-755-2604

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for North Dakota.

2

Prepare Your Application

Complete North Dakota Medicaid's provider enrollment application with all required information and supporting documentation.

3

Submit Your Application

Submit your completed enrollment package to North Dakota Medicaid.

4

Track & Follow Up

Credentialing typically takes 30-60 days. Monitor your application status and respond promptly to requests for additional information.

Required Documents Checklist

Background Check

Federal/state background check required for Medicaid enrollment

CV/Resume

Work history required

Malpractice Insurance

Conditional

Required in most states; some state programs waive for government employees

Medical License

NPI Certificate

Enrollment Forms

North Dakota Medicaid Provider Enrollment

Required
Online Open →

Contact Information

Provider Enrollment

National

1-800-755-2604

General Provider Inquiries

National

1-800-755-2604

Quick Links

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