Quality Health Associates provides review services for Medicaid.

Quality Health Associates uses InterQual Clinical Decision Support for all Medicaid utilization and quality reviews in North Dakota.

Preauthorization Guidance

Areas Requiring Preauthorization

  • 100% screening of admissions to Vibra, Long Term Acute Care Hospitals
  • 100% required Cosmetic Procedures
    – Ear Procedures
    – Nose Procedures
    – Mammoplasties/Gynecomastectomies
    – Facial Surgery
  • 100% Obesity Procedures

Click on the following for more Medicaid preauthorization guidance: