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MedicaidCoverageMedium impact

Coding and Reimbursement Policy Update

Blue Cross Blue Shield of North Dakota·ND·Coding
Effective date
Oct 1, 2025
We identified it
Jun 19, 2026
Days to comply

Summary

Blue Cross Blue Shield of North Dakota has added exceptions for Status B codes under Medicaid Expansion, effective October 1, 2025, when billed by a Community Health Worker. This creates new billing opportunities for practices working with Community Health Workers serving Medicaid Expansion patients.

Action Required

Action needed
By October 1, 2025: Billing team must identify Status B codes that can now be billed for Medicaid Expansion patients when services are provided by Community Health Workers. Update billing system to allow these exceptions and train staff on the new billing guidelines. Contact Provider Services at 833-777-5779 for specific Status B code details and implementation guidance.