North Dakota is adding more oversight to parts of its Medicaid provider system.
Governor Kelly Armstrong announced the changes Friday. The move follows a request from the Centers for Medicare and Medicaid Services for states to review higher-risk Medicaid providers.
North Dakota Health and Human Services will expand oversight of three provider groups July 1st: qualified service providers, non-emergency medical transportation providers and 1915(i) home and community-based service providers.
The state says those areas were selected because many providers work independently, provide services in home or community settings and have had inconsistent use of National Provider Identifiers.
The changes include more frequent provider revalidation, stronger enrollment rules, added competency checks and more site visits.
North Dakota Medicaid will also pause new provider enrollment for about six months in certain areas. That includes non-emergency medical transportation providers statewide, along with some provider groups in Cass and Burleigh counties.
Armstrong says the goal is to increase accountability and transparency while protecting Medicaid recipients, providers and taxpayers.
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