NDIS Pilot Programs
ND will increase positive outcomes for children and families through the establishment of pilot programs that build capacity of communities and the state to provide effective integrated health services to CYSHCN. Several ND community primary care providers will work as demonstration sites to pilot test the Medical Home Concept in urban, rural, and American Indian communities. NDIS will also support implementation of a cost effective statewide plan that cross shares information about services and insurance with partners and state systems.
Medical Home Pilot Sites
Dr. Thomas D Carver, DO
Pediatrics
Medical Arts Clinic
400 Burdick Expy E
Minot, ND
Dr. Russell Petty, MD
Family Practice
Devils Lake Community Clinic
425 College Dr S, Suite 14
Devils Lake, ND
Dr. Myra Quanrud, MD
Pediatrics
Innovis Health
401 3rd St SE
Jamestown, ND
Cynthia Davilla MD
Pediatrics
Standing Rock Indian Health Services
10 N River Road
Fort Yates, ND 58538
Christopher Tiongson MD
Pediatrics
MeritCare Children's Southwest
2701 13th Avenue S
Fargo, ND
Medical Home Forms
Online Reporting Form
- Monthly Summary Report and Summary of Change
Printable Reporting Forms (print, fill-in, and send paper copy - pdf format)
- Monthly Summary Report
- Summary of Change Form
Other Forms
- NDCPD Photo Release Form