Welcome to your daily briefing on healthcare developments in North Dakota. Today we're covering 8 key stories including updates on north dakota healthcare headlines, background & context. Let's dive in.
5 stories
The North Dakota Department of Health and Human Services provides codes, licensing and regulation information for evaluating inpatient care facilities and outpatient programs, including their services, staff, buildings and equipment.
Healthcare professionals in ND rely on these standards to maintain compliant operations and quality patient care across facility types.
The Public Health Division's webpages now offer fast, easy access to current health information spanning respiratory illness updates, gender- and age-specific health topics, infectious diseases, and immunization details.
Healthcare professionals across ND can leverage these centralized resources to support coordinated, community-wide approaches to patient care and population health management.
CMS has published updated Medicare provider and supplier enrollment contact information for North Dakota.
Healthcare professionals in ND need current enrollment contacts to maintain Medicare participation and resolve credentialing issues.
The North Dakota Medicaid program announced that eligibility criteria will shift for some enrollees beginning in 2026.
Healthcare professionals in ND should anticipate potential changes in patient coverage status and prepare to guide individuals through enrollment transitions.
The CMS-10114 National Provider Identifier (NPI) Application/Update Form provides the standard federal form for obtaining or updating an NPI.
North Dakota healthcare professionals must maintain current NPI records to enroll and bill ND Medicaid.
Reach healthcare professionals
3 stories
A vendor is a business associate if they create, receive, maintain, or transmit PHI on behalf of the covered entity. They are NOT a business associate just because they happen to be in a building with PHI or could conceivably access it. The functional test matters, not the proximity test.
Forcing BAA execution on vendors who do not meet the functional test creates contractual bloat and weakens the negotiating position with vendors who actually do. Failing to execute BAAs with true business associates exposes the covered entity to OCR enforcement.
Covered entities must annually recertify their 340B eligibility through HRSA. Missing the recertification window pushes the entity to inactive status, which means immediate loss of 340B pricing and potentially diversion violations on previously dispensed drugs. Reinstatement requires a new application.
The discount value of 340B pricing for a covered entity often exceeds six figures annually. Letting the recertification lapse for paperwork reasons is one of the most expensive administrative errors in the regulation.
The No Surprises Act good-faith-estimate requirement applies to all licensed providers offering services to self-pay or uninsured patients — not just hospitals or large groups. The estimate must be provided within timeframes that vary by how far in advance the appointment is scheduled.
Patient-provider dispute resolution under NSA typically defaults to the patient when the practice cannot produce a timely good-faith estimate. The penalty is the full disputed amount being struck.
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