North Dakota Medicaid

MedicaidND

ABA billing requirements · Source: North Dakota HHS — Autism Spectrum Disorder Waiver

High confidence

Verified 2026-03-01

Authorization Requirements

Requires prior auth Yes

Initial auth durationN/A

Renewal auth durationN/A

Submission deadlineN/A

Unit tracking cadenceTotal

Requires FBA Yes

Diagnostic eval validityN/A

Re-eval cadenceN/A

State licensure requiredBCBA state licensure required via ND Board of Psychologist Examiners

Documentation Requirements

Parent signatures required Yes

Start/stop times required Yes

Treatment plan componentsService Management (SM), Respite care, Assistive technology/Community Connector, Remote monitor service

Progress summary cadenceEvery 6 months

Policy Notes

Age limit is through age 20. Services are authorized by an individual authorization completed quarterly. Participant Directed services are reimbursed up to the individual budget limit.

CPT & Modifier Rules

CPT rules require a free account

View H-codes, modifiers, unit limits, and billing restrictions for North Dakota Medicaid.

Official policy source:North Dakota HHS — Autism Spectrum Disorder Waiver

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Data last verified: 2026-03-01 · Confidence: High · See our methodology

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