Medicaid | Prairie Public Broadcasting


Medicaid fraud case pending in Pembina County

Apr 13, 2020

North Dakota’s new Medicaid Fraud unit has begun prosecuting its first case.

The 2019 Legislature created the unit.

North Dakota was the last state to create such a unit. Attorney General Wayne Stenehjem had made the proposal for several sessions.

"Finally, the US Department of Human Services decided they were going to end the exemption thatt was created solely for the state of North Dakota," Stenehjem said. "The Department said North Dakota had to have a unit established."

State MMIS system now certified

Jun 6, 2019

After 10 years and millions of dollars, one of the state’s biggest IT projects has now been certified.

It’s called the “Medicaid Management Information System.”

"It was quite the project," said the assistant Medicaid director for the state Department of Human Services, Erik Elkins.

The MMIS system processes claims and pays providers.

"The entire process is to provide a better, more economical and more efficient system," Elkins said. "That should help both providers and recipients."

Senate votes for a 'contingency' medicaid fraud unit

Apr 7, 2017
ND Legislature

The Senate has agreed to establish a “Medicaid fraud” unit in the Attorney Generals’ office – on a contingency basis.

North Dakota is the only state that doesn’t have such a unit. The state has had a waiver – but the federal Center for Medicare and Medicaid has told the state that waiver likely end soon. However, CMS hasn’t given a definite date when the waiver would disappear.

The amendment would establish the fraud unit if and when CMS gives the state a deadline—sometime before the next Legislative session.

ND Lawmakers to re-open debate on Medicaid expansion

May 23, 2016

The chairman of an interim Legislative committee studying health care says he’s not sure the state will continue Medicaid expansion – at least in its current form.

10,000 have signed up for Medicaid expansion in ND

Jul 18, 2014

As of July first, about 10,600 North Dakotans have enrolled in expanded Medicaid.

The 2013 Legislature approved the expansion of Medicaid to provide medical insurance for lower income North Dakotans.

"Our projections prior to the expansion were around 20,500," said Julie Schwab, the director of the state Department of Human Services' Medical Services Division. "The Kaiser Foundation had a little higher projection, 32,000."

Schwab says at this point, it’s only speculation as to why the numbers weren’t close to the projections.

A new option to apply for expanded Medicaid

Dec 6, 2013

Low income North Dakotans have another option to apply for health care coverage through the expanded Medicaid program.

Until now, they could apply on-line or in-person. The new option: by phone.

"We actually have contracted with a vendor (Automated Health Systems), who will take applications over the phone, if they would prefer to make an application that way, rather than in person or on-line," said North Dakota Human Services Director Maggie Anderson. She says people have already been applying via computer or paper.

Legislature passes Medicaid expansion

Apr 10, 2013

It’s part of the federal Affordable Health Care Act – commonly known as “Obamacare.”

And North Dakota lawmakers have voted to expand Medicaid to make sure that 20-thousand North Dakotans who don’t have health insurance will be covered. The federal government will pick up the entire tab for at least the next two years.

Sen. Judy Lee (R-West Fargo) says under the bill, North Dakotans are paying taxes for the Act – so the state should be getting something in return.

Senate committees endorse Medicaid expansion

Apr 4, 2013

They may not like it – but a majority of the members of the Senate Appropriations Committee have voted to approve a plan to expand Medicaid – to cover uninsured North Dakotans.

It’s part of the federal Affordable Care Act – and at least for the next two years, the federal government will pick up the tab.

The committee vote was 7 to 6. Sen. Karen Krebsbach (R-Minot) hesitated for a moment, before voting “yes.”

ND House approves Medicaid expansion

Feb 28, 2013

The House has agreed to an expansion of Medicaid – to cover low income North Dakotans who don’t have health insurance.

It’s part of the federal Affordable Care Act – which has been dubbed “Obamacare.”  The new coverage will be handled by private insurers – or through a new federal health care insurance exchange.

Rep. Robin Weisz (R-Hurdsfield) chairs the House Human Services Committee. He told his House colleagues the program is fully federally funded – through taxes that came with the ACA.