North Dakota Department Of Health & Human Services Prior Authorization Lookup
- North Dakota Department Of Health & Human Services timely filing
- North Dakota Department Of Health & Human Services coverage criteria
- All North Dakota Department Of Health & Human Services policy updates
Latest North Dakota Department Of Health & Human Services prior authorization updates6
- Prior AuthClinical/Medical PolicyEff. 2024-07-01Limitations on Amount, Duration and ScopeEstablishes coverage limits, eligibility requirements, provider qualifications, billing responsibilities, and prior authorization requirements for selected North Dakota Medicaid services.All North Dakota Department of Health & Human Services updates
- Prior AuthClinical/Medical PolicyEff. 2021-07-01Continuous Glucose Monitor and SuppliesThis policy governs North Dakota Medicaid coverage routing and prior authorization for continuous glucose monitors and related supplies. It applies to providers submitting claims under the Medicaid fee-for-service program, with pharmacy-claim billing generally used except for Medicare crossover claims.All North Dakota Department of Health & Human Services updates
- Prior AuthClinical/Medical PolicyEff. 2014-07-01Cochlear Implants and Auditory Osseointegrated Implants (BAHA) Replacement Parts/RepairThis policy governs North Dakota Medicaid DME coverage, prior authorization, documentation, and limitations for replacement parts and repairs for cochlear implants and auditory osseointegrated implants (BAHA). Implant devices and implant procedures themselves are not reimbursed under the DME program.All North Dakota Department of Health & Human Services updates
- Prior AuthClinical/Medical PolicyEff. 2007-03-01Continuous Passive Motion Exercise (CPM)This policy governs Medicaid coverage, prior authorization, documentation, and limitations for continuous passive motion exercise equipment following total knee replacement.All North Dakota Department of Health & Human Services updates
- Prior AuthClinical/Medical PolicyEff. 2007-03-01Home Apnea Monitor CoverageThis policy governs Medicaid coverage, documentation, prior authorization, and continued rental of home apnea monitors for infants. Initial coverage is available for specified apnea or desaturation conditions for up to six months, with prior authorization and additional documentation required for continued coverage.All North Dakota Department of Health & Human Services updates
- Prior AuthClinical/Medical PolicyOut-of-State ServicesThis policy governs when North Dakota Medicaid may cover services provided outside North Dakota, including provider enrollment, prior authorization, emergency care, temporary travel, specialized programs, adoption and foster-care assistance, and telehealth.All North Dakota Department of Health & Human Services updates
Tool Description
Search North Dakota Department Of Health & Human Servicesprior authorization policies by drug name, procedure, or policy title. Results include any policy that mentions prior authorization requirements (drug coverage criteria, imaging guidelines, site-of-service rules) not just documents titled “prior authorization.” Every result links to a full policy page with clinical criteria, covered billing codes, documentation requirements, and effective dates.
Filter by payer, specialty, policy type, or effective year; or search directly for a drug (“Wegovy,” “Ozempic”), a procedure (“MRI,” “knee arthroplasty”), or a policy number.
Coverage spans 110+ payers. Jump straight to the busiest prior-auth publishers: UnitedHealthcare, Cigna, Aetna, Anthem, and Centene. You can also browse the full policy updates feed.
Pair a prior-auth search with the billing code lookup to confirm the CPT or J-code on the claim, the payer lookup for plan footprint, and payer profiles for contacts and coverage context.
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Prior auth requirements change all the time. Keep up with every payer policy update in the live policy feed, or browse payers with prior authorization policies.
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