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Public Notice ND Medicaid Program Effect

Public Notice ND Medicaid Program Effective for dates of service on or after January 1, 2023, North Dakota Medicaid will be providing a 3.75% inflationary increase for all Nursing Facility services. ND Medicaid will be submitting a State Plan amendment to update the rate methodology for nursing facility services effective January 1, 2023. Medicaid expenditures for these services are expected to increase $15 million for a 12-month period. Effective for date of service on or after January 1, 2023, North Dakota Medicaid will be providing a one-fourth percent inflationary increase for all Psychiatric Residential Treatment Facility services. In addition to the one-fourth percent inflationary increase and consistent with Medicaid State Plan Authority, rates for Medicaid-eligible individuals residing in instate psychiatric residential treatment facilities will be adjusted, based on cost reports submitted by the facilities within the current rate methodology. Medicaid expenditures for these se ....

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Public Notice ND Medicaid Program Effect

Public Notice ND Medicaid Program Effective for dates of service on or after April 1, 2022, North Dakota Medicaid will now include the Medicare Average Sales Price Drug Pricing file in the overall lesser of logic calculation for prescribed drugs. Medicaid expenditures for these services are expected to decrease $500,000 for a 12-month period. North Dakota Medicaid assures coverage of COVID-19 vaccines and administration of the vaccines and coverage for any medically necessary COVID-19 vaccine counseling for children under the age of 21. North Dakota Medicaid assures coverage of COVID-19 testing consistent with the Centers for Disease Control and Prevention (CDC) definitions of diagnostic and screening testing for COVID-19 and its recommendations for who should receive diagnostic and screening tests for COVID-19. North Dakota Medicaid assures coverage of COVID-19 treatment, including specialized equipment and therapies. ND Medicaid follows the National Correct Coding Initiative (NCCI) E ....

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