The state of North Dakota operates two Medicaid managed care programs—a primary care case management (PCCM) program and a managed care organization (MCO) program.
The MCO program serves the Medicaid expansion population (childless adults with income up to 138% of the FLP). Under this program, the state contracts with one full-risk capitated health plan, Sanford Health Plan. Medicaid expansion individuals who are medically frail, which includes individuals with serious mental illness, may enroll in the traditional Medicaid fee-for-service program.
This North Dakota Medicaid Contract is for Sanford Health Plan, signed December 31, 2013
For more information on North Dakota’s Medicaid managed care programs, and to view other contracts, visit North Dakota Medicaid Managed Care Contracts.