Provider Section
Medical Advisory Council
CSHS supports a Medical Advisory Council comprised of up to ten physicians that meets annually in May of each year. The council advises CSHS staff about medical eligibility, covered services, and provider credentialing requirements.
| 2007 - 2008 Medical Advisory Council Members | |||
|---|---|---|---|
| Physician Membership | Term Ends | ||
| Thomas D. Carver, M.D. | Pediatrician | Minot | 6-30-2008 |
| Siriwan Kriengkrairut, MD | Pediatric Neurologist | Bismarck | 6-30-2008 |
| Marcus M. Fiechtner, M.D. | Otolaryngologist/Head and Neck Surgeon | Bismarck | 6-30-2009 |
| Jacob Kerbeshian, M.D. | Child Psychiatrist | Grand Forks | 6-30-2009 |
| Lois Freisleben Cook, M.D. | Pediatrician | Williston | 6-30-2008 |
| Ellen Ketterling, MD | Pediatrician | Hettinger | 6-30-2008 |
| Dennis Sommers, DDS | Orthodontist | Minot | 6-30-2009 |
| Thomas Mausbach, MD | Pediatrician | Fargo | 6-30-2008 |
| William Klava, M.D. | Physical Medicine and Rehab. | Fargo | 6-30-2009 |
| Myra Quanrud, M.D. | Pediatrician | Jamestown | 6-30-2009 |
| Continuous Representation | |||
| Maggie Anderson | Director, Medical Services | ||
| Terry Dwelle, M.D. | State Health Officer | ||
| John Baird, MD | Special Populations Section Chief | ||
| Bruce Levi | ND Medical Association | ||
| Gary Betting, M.D. | Medical Consultant, Medical Services | ||
| Joanne Luger, DDS | Dental Consultant, Medical Services | ||
| Jennifer Restemayer | Family Advisory Council Designee | ||
| Robert Wentz, MD | Medical Director, Children's Special Health Services | ||
Medical Advisory Council Minutes
- May 2007 Minutes (86kb pdf)
- May 2006 Minutes (92kb pdf)
- May 2005 Minutes (141kb pdf)
Provider Enrollment
In order to have health care visits paid for by CSHS, North Dakota providers must be approved as participating specialists. To start the enrollment process, providers are encouraged to submit a letter of intent to CSHS. Additional documentation may vary by type of provider, but generally the following is submitted for review by the CSHS Medical Director:
- Copy of license
- Copy of certification
- Vitae (if available)
CSHS uses the Medicaid Management Information System (MMIS) for claims processing. Before payments can be approved by CSHS, providers must complete a Medicaid Program Provider Agreement.
A complete listing of ND Specialists who are authorized to provide services under CSHS is available.
- North Dakota Specialists (83kb pdf)
For more information, please contact Children's Special Health Services at:
Children's Special Health Services
North Dakota Department of Health
600 East Boulevard Avenue, Dept. 301
Bismarck, ND 58505-0200
Phone: 701.328.2436
Toll Free: 800.755.2714
TTY: 800.366.6888
Fax: 701.328.1645
dohcshsadm@nd.gov