Essentia Health | Mid Dakota Clinic
Mid Dakota Clinic is a founding member of the PrimeCare health group, along with St. Alexius Medical Center, the Heart & Lung Clinic, and the Bone & Joint Center. The roots of Mid Dakota Clinic date back to the early 1900’s. Today, Mid Dakota is a clinic of over 60 doctors representing many fields of medicine, with multiple locations in the capital city.
The clinic provides a wide array of healthcare services, including:
- Audiology
- Dermatology & dermatopathology
- Dermatologic surgery
- Diabetes & nutrition services
- Ear, nose & throat services
- Endocrinology
- Family medicine
- Gastroenterology
- General surgery
- Gynecology
- Hand surgery
- Hand therapy
- Hematology
- Infertility treatment
- Internal/Adult medicine
- Obstetrics
- Occupational medicine
- Oncology
- Pediatric & adolescent medicine
- Physical therapy
- Plastic surgery
- Podiatry
- Radiology
- Vein surgery
- Weight loss surgery
Sanford Health
Sanford Health is one of the larger hospitals located in the Bismarck-Mandan area.
St. Alexius Medical Center
St. Alexius Medical Center is a 306-bed, full-service, acute care medical center offering a full line of inpatient and outpatient medical services, including primary and specialty physician clinics; home health and hospice services; durable medical equipment services and a fitness and human performance center. Since its founding in 1885, St. Alexius Medical Center has been dedicated to serving the residents of central and western North Dakota, northern South Dakota and eastern Montana.
St. Alexius Medical Center is a Roman Catholic organization whose sponsors are the Sisters of St. Benedict of the Annunciation Monastery, Bismarck ND, and as an organization follows the Ethical and Religious Directives for Catholic Health Care Services as promulgated by the United States Conference of Catholic Bishops. St. Alexius Medical Center is proud of its stellar reputation as a caring, high-quality medical center, and of its many awards for clinical excellence, customer satisfaction and community service. The mission is to “Let All Be Received as Christ.”
Indian Health Service
Purchased/Referred Care (PRC)
Treaties exchanged aboriginal lands for federal trust responsibilities and benefits. Snyder Act authorized funds “for the relief of distress and conservation of health” for the employment of physicians for Indian tribes throughout the United States.” (1921). Transfer Act placed Indian health programs in the PHS. (1955) The appropriation to IHS by Congress to provide medical services and health care programs are made available through the Snyder Act of 1921. The IHS must compete with other agencies for Federal funds through Congress; therefore, funds appropriated for IHS programs cannot be designated as entitlement programs.
The term contract health services originated under BIA when medical health care services were contracted out to health care providers. In 1955 the Transfer Act moved health care from BIA to the Department of Health Education & Welfare & established the IHS. In January 2014, the Consolidated Appropriation Act of 2014 renamed the Contract Health Services program to the Purchased/Referred Care (PRC) program. All policies and practices remain the same.
The PRC funds are used to supplement and complement other health care resources available to eligible Indian people. The funds is used in situations where: (1) no IHS direct care facility exists,(2) the direct care element is incapable of providing required emergency and/or specialty care, (3) the direct care element has an overflow of medical care workload, and (4) supplementation of alternate resources (i.e., Medicare, private insurance) is required to provide comprehensive care to eligible Indian people.
Because IHS programs are not fully funded, the PRC program must rely on specific regulations relating to eligibility, notification, residency, and a medical priority rating system. The IHS is designated as the payor of last resort meaning that all other available alternate resources including IHS facilities must first be used before payment is expected. These mechanisms enhance the IHS to stretch the limited PRC dollars and designed to extend services to more Indians. This renders the PRC program to authorize care at restricted levels and results in a rationed health care system.
Medical/dental care provided at an Indian Health Service (IHS) or tribal health care facility is called Direct Care. The Purchased/Referred Care (PRC) Program at IHS is for medical/dental care provided away from an IHS or tribal health care facility. PRC is not an entitlement program and an IHS medical referral does not imply the care will be paid. If IHS is requested to pay, then a patient must meet the American Indian/Alaska Native tribal affiliation, residency requirements, notification requirements, medical priority, and use of alternate resources (including IHS facility).
All American Indians and Alaska Natives should be aware of the following requirements each time he/she is referred or requests IHS to pay for medical care away from an IHS or tribal health care facility:
- Patient responsibility to comply with ALL PRC requirements
- PRC is not an entitlement program
- PRC Eligibility Requirements
- PRC Notification Requirements
- PRC Patient Process for Authorization for Payment Diagram (link to IHS website)
- Medical/Dental Priority of Care
- Use of Alternate Resource (Medicare, Medicaid, VA, Private Insurance, charity, etc.)
- Appeal Process for Denial of PRC care
Patient Rights & Responsibilities - Directory for an IHS or tribal health care facility near your location
FOR MORE INDEPTH INFORMATION ON PURCHASED REFERRED CARE (PRC) PLEASE VISIT THE IHS WEBSITE
AT:
https://www.ihs.gov/prc/
Standing Rock Service Unit
Mailing Address:
10 Standing Rock Avenue
P.O. Box J
Fort Yates, North Dakota 58538
Fort Yates Hospital General Information: 701-854-3831
Services:
- Emergency Medicine
- Inpatient care
- Comprehensive Primary Care
- Primary Care Medical Home (PCMH)
- Behavioral Health
- Adult and Pediatric Dental
- Eye Clinic
- Radiology
- Laboratory
- Nursing
- Pharmacy
- Public Health Nursing
- Dietician
- Telehealth (including behavior health, internal medicine & rheumatology)
Hours of Operation:
Clinics
Monday – Friday
8:00 a.m. to 4:30 p.m. CST
Emergency Department (ED)
Open 24/7
Inpatient Unit
Open 24/7
Dental Department
Monday – Friday
7:45 a.m. to 4:15 p.m. CST
Pharmacy
Monday – Friday
8:00 a.m. to 5:00 p.m. CST
*All clinics are closed on Federal Holidays. ED and Inpatient Unit remain open.
Contact Information:
- Fort Yates General Hospital 701-854-3831
- Appointment Desk 701-854-8277
- PCMH Team Buffalo Phone Line 701-854-8368
- PCMH Team Eagle Phone Line 701-854-8367
- Purchased Referred Care (Contract Health) 701-854-8259
- Fort Yates Medication Refill 701-854-8301
- Health Information Management (Medical Records) 701-854-8363
- Eye Clinic 701-854-8248
- Dental Clinic 701-854-8220
- Dietician 701-854-8256
- Behavioral Health 701-854-8227
Turtle Mountain Service Unit
Quentin N. Burdick Memorial Health Care Facility
PHS Indian Hospital
P.O. Box 160
Moonlight Drive Highway 5
Belcourt, North Dakota 58316
Hours of Operation:
Primary Care Clinic
- Adult and Pediatric Outpatient Care
- Mon-Tues-Wed-Fri – 8am-4:30pm
Thurs – 12noon-4:30pm
Dental Clinic
- Mon-Tues-Wed-Fri – 8am-6:30pm
Thurs:- 10am-6:30pm
Surgery Clinic
- Mon-Tues-Wed-Fri – 8am-6:30pm
Thurs:- 10am-6:30pm
Same Day Clinic
- Non-Chronic Care, Cough, Colds, etc.
- Mon-Tues-Wed-Fri – 8am-6:30pm
Thurs:- 10am-6:30pm
Saturday/Sunday: 12:00 noon – 6:00 p.m.
Pharmacy
- Mon-Tues-Wed-Fri – 8am-6:30pm
Thurs:- 10am-6:30pm - *not open on holidays.
638:
Elbowoods Memorial Health Center
Bridging the Dental Gap
Bridging the Dental Gap is a non-profit organization designed to provide easy access to dental care for those who may not have otherwise have access to dental insurance or care.
Bridging the Dental Gap is open Monday thru Friday with varying office hours. The Clinic opens at 8:00 daily except for holidays and staff meeting dates. Lunch time is at 1:00. We are closed over most lunch periods. The Clinic closes at 5:00 Monday thru Thursday and 1:30 on Fridays. Earlier closing times occur when patients cancel or miss appointments.
Bridging the Dental Gap is located on South 12th Street, just south of Bismarck Expressway, near Jack’s Steakhouse. Parking is located in front of the building for patient ease. We are handicap accessible for wheelchair patients.
Currently 600 plus patient appointments for dental care are provided each month. All patient care is handled through appointments. Toothpain patients are given appointments as soon as possible, some the same day for at least a screening and emergency care.
Bridging the Dental Gap offers basic dental care services for low income, un-insured, under-insured and Medicaid Patients. 68% of the patients served are Medicaid patients. Non-Medicaid patients are served on a sliding fee scale based on the National Poverty level. Discounts are given for services for those patients who qualify. Some patients may choose to pay full fee and are on a payment plan. Our patients range in age from 2 to 100. Patients not on Medicaid are required to make some form of payment at time of service to cover at least part of the costs.
The first step in accessing Bridging the Dental Gap would be to complete the New Patient forms, medical history and income information (if applicable). Verification of income information is required in the forms of bank statements, copies of past tax forms or current copies of paystubs. The receptionists can help you to determine the forms needed.
In most instances, a new patient examination and x-rays are done to determine what dental care is needed. If you have toothpain, this will be treated first. A treatment plan and costs are provided to individuals who are on sliding fee or full fee.
Types of services provided are:
- Exams
- X-rays
- Cleanings (Prophies)
- Fillings (composite and amalgam)
- Extractions
- Root planing and scaling for deep cleaning gums due to infection
- Sealants and fluoride
- Root Canals—primarily on front teeth
- Stainless Steel crowns
- Some partials and dentures
Children’s Health Insurance Program (CHIP)
The Children’s Health Insurance Program (CHIP) is also called Healthy Steps. The Healthy Steps insurance is intended to meet the needs of working families, who cannot afford health insurance coverage for their children, yet earn too much to qualify for Medicaid. Coverage is available for uninsured children age 18 and younger who live in families with qualifying incomes. Single 18-year-olds with eligible incomes may also apply.
Healthy Steps insurance is for children who:
- Do not have health insurance coverage
- Are 18 years of age or younger
- Do not qualify for the North Dakota Medicaid Program
- Live in families with qualifying incomes
Services covered may include clinic services, inpatient and outpatient hospitalization, prescriptions, mental health services, preventive well-child exams, immunizations, dental, and vision services are covered (see your own card, once issued, for specific coverage).
To apply:
- Call the toll-free phone number at 1-877-KIDSNOW (1-877-543-7669) to request an application by mail or for information. Healthy Steps brochures include a postage-paid reply postcard which can be used to send for an application.
- Pick up an application at most county Social Service offices.
- Fill out an on-line application on the ND State web site (PDF format).
Completed applications should be mailed to the Medical Services Division in Bismarck for processing. The mailing address is listed on the application. Face to face interviews are not necessary to apply for the children’s health insurance plan.
Ronald McDonald House
Parents or guardians with a pediatric patient receiving medical treatment at any of the local medical facilities in Bismarck may stay at the Ronald McDonald House. Patients are generally 18 and under, but exceptions may be made for financially dependent, unmarried college aged children (up to age 22). Siblings of patient are also welcome with a maximum of 4 family members per room occupancy. Families living 30 miles or more from Bismarck and high risk maternity patients are also eligible for staying at the House.
*Registered guests must be 18 or older. If they are under 18 and unmarried, they must be accompanied by their parent or legal guardian.