North Dakota Medicaid Expansion

The North Dakota Medicaid Expansion Program will be transitioning for the upcoming 2022 plan year. Providers of the North Dakota Medicaid Expansion Program will need to utilize the information below after December 1, 2021.

As a provider of enrollees over the age of 21, you can access information by visiting bcbsnd.com/providers or contacting Customer Service from 8 a.m. to 6 p.m. Monday through Friday at (833)-777-5779 after December 1, 2021.

As a provider of Traditional Medicaid enrollees ages 19 & 20, you can access information by visiting www.nd.gov/dhs/services/medicalserv/medicaid or by contacting Customer Service at (800) 755-2604 (TTY: 711) for help from 8 a.m. to 5 p.m. Monday through Friday. 

This page is for providers in the North Dakota Medicaid Expansion Program, administered by Sanford Health Plan.

ND DHS manages the application and eligibility determination process, as well as administration of retail outpatient pharmacy benefits. If you have questions about pharmacy benefits or covered drugs, please call ND DHS at (800) 755-2604 | TTY: 711.

Sanford Health Plan manages the following services: medical management, customer service, claims, provider relations and medical provider network.

The State of North Dakota’s Traditional Medicaid program and the program administered by Sanford Health Plan, known as North Dakota Medicaid Expansion (NDME), operate under different systems. Please note Medicaid Expansion benefits through Sanford Health Plan are different from traditional Medicaid services provided by the state of North Dakota.

Announcements

Member Documents

Provider Forms

Links

Apply for Coverage: For detailed information on the North Dakota Medicaid Expansion Program, including how to apply for coverage, visit the North Dakota Medical Services website or call (844) 854-4825 (toll-free).

Provider Network: Select the “Individual – ND Medicaid Expansion” network from the dropdown menu

Provider Enrollment Guidance

Stay Connected

Sign Up