HIPAA compliant, BAA available

Measurement-Based Care for North Dakota Behavioural Health Teams

For contracted community providers, clinics pursuing CCBHC certification, tribal programs and private practices from Fargo to Williston. Clients answer validated scales from an email or a QR code, scores arrive on submission, and every check-in adds to one chart per person. US customer data stays in Google Cloud US regions.

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HIPAA compliant, BAA available
Data hosted in the US
SOC 2 Type II
Scored on submission
100+
validated assessments
BAA
signed with HIPAA covered entities
US
cloud regions holding US customer data
$25
per month

North Dakota Pays for Outcomes, and Now Certifies CCBHCs

  • North Dakota's Century Code already asks for outcome data. The Department of Health and Human Services may require any provider it funds to submit process and outcome measures (NDCC 50-06-05.1). Its community behavioral health program for people with serious behavioural health conditions pays contract providers per referral per month on a pay-for-performance model that considers identified outcomes (NDCC 50-06-41.2). Programs accepting substance use disorder treatment vouchers must collect and report process and outcome measures (NDCC 50-06-42).

    In 2025 the Legislature told the Department to certify community behavioural health clinics, and the rules took effect on 1 April 2026 (NDAC chapter 75-03-44). A certified clinic must use standardized, validated and developmentally appropriate screening and assessment tools, collect encounter, outcome and quality data, report the required clinic-collected quality measures every year, and keep a data-driven quality improvement plan that reviews suicide deaths and attempts, overdoses and 30-day behavioural health readmissions. On 28 May 2026 SAMHSA named North Dakota one of ten states joining the four-year CCBHC Medicaid demonstration.

    None of these rules names a particular scale. What they share is an expectation that change is recorded as data. HiBoop gives your team validated scales such as the PHQ-9, GAD-7 and C-SSRS Screener, scored on submission and charted for each client, with exports for whatever the Department asks you to submit. Submitting it remains your clinic's job.

  • Pay for Performance

    Per-referral monthly payments that consider identified outcomes, set in NDCC 50-06-41.2

  • Validated Tools by Rule

    Standardized screening and assessment required of certified clinics since 1 April 2026

  • CCBHC Demonstration State

    Selected by SAMHSA on 28 May 2026 for the four-year Medicaid demonstration

All regions

How HiBoop Fits North Dakota Programs

  • North Dakota funds behavioural health through state-run regional clinics, contracted community providers and Medicaid, and it asks for outcome data across all three. HiBoop handles the scales; clinical judgement stays with your clinicians.

  • Validated Tools at Every Screening

    Certified clinics must screen with standardized, validated tools. The PHQ-9, GAD-7, C-SSRS Screener and ASSIST are ready to send before an intake, scored by the time the client arrives.

  • Outcome Data Per Referral

    When payment considers identified outcomes, each referral needs a baseline and follow-ups. Schedule repeat scales and every result joins the client's chart, so progress is visible month by month. The scores inform clinical decisions; they don't make them.

  • Phone Check-Ins Across a Big State

    The Department runs eight regional clinics, and many clients live far from any of them. Clients complete scales on their own phone from an email link or a QR code, so measurement continues between visits, whether in person or by telehealth.

  • Exports for Quality Improvement

    Export score histories as CSV or PDF for a client review or for the data your quality improvement plan draws on. The entire account can be exported whenever your clinic needs it.

  • Substance Use Screening and Brief Intervention

    Certified clinics that find unsafe substance use must follow with a brief intervention. The ASSIST, TAPS and CAGE-AID sit next to the mental health scales, so one intake covers both.

  • Trauma and Youth Scales

    For child and family services, HiBoop includes the PHQ-A for adolescent depression, the SCARED for child anxiety and the PCL-5 for post-traumatic stress in older adolescents and adults.

Mental health in North Dakota

Research data

  • Each figure below links to the source it comes from.

  • 23.0%

    of North Dakota adults had any mental illness in the past year (model-based annual average, 2023-2024)

    SAMHSA NSDUH, 2023-2024

  • 16.4%

    of North Dakotans aged 12 to 17 had a major depressive episode in the past year (annual average, 2023-2024)

    SAMHSA NSDUH, 2023-2024

  • 26.5%

    of North Dakota adults received mental health treatment in the past year (2024)

    SAMHSA NSDUH, 2024

Research from North Dakota

  • Standardized screening for refugees

    A pilot at a Fargo community health center added the Refugee Health Screener-15 to refugee health screening; of 178 adults screened between August 2013 and July 2014, 51 (28.6%) screened positive for risk of emotional distress, and 30 of them completed primary care follow-up.

    Polcher and Calloway, Journal of Primary Care & Community Health, 2016 PMID 26944513

  • Outcome monitoring in trauma treatment

    The Treatment Collaborative for Traumatized Youth, a statewide North Dakota partnership, was created to disseminate efficacious treatments for traumatized children and to monitor outcomes across a broad rural area, and the paper reports outcomes for clinicians and child participants.

    Wonderlich et al., Behaviour Research and Therapy, 2011 PMID 21802657

  • Rural stigma around mental illness

    In a weighted survey of 749 North Dakotans using the Day's Mental Illness Stigma Scale, rural residence was associated with higher stigma on most measures, and women in rural areas held more stigma than women in urban areas.

    Schroeder et al., Health Education & Behavior, 2021 PMID 33218261

  • Validated screening of hospital staff

    In 2021, 771 North Dakota hospital staff completed validated behavioural health screening tools; anxiety, depression, burnout and stress were higher among those working directly with COVID-19 patients, while rural staff reported lower burnout and higher compassion satisfaction.

    Kelly et al., Journal of Rural Health, 2022 PMID 35315126

  • Opioid risk screening in pharmacies

    Among 74 patients screened for opioid-related risk through the ONE Program in North Dakota community pharmacies, 86.5% felt comfortable with the process and 86.3% felt safer because of their pharmacist's attention.

    Lothspeich et al., Journal of Pharmacy Practice, 2023 PMID 35704458

North Dakota's Behavioural Health System

  • HiBoop operates independently of these programs and does not connect to state or Medicaid systems. This is the context your contract managers and certification reviewers work in.

  • Certified Community Behavioral Health Clinics

    NDAC 75-03-44

    NDCC 50-06-41.4 requires any CCBHC operating in the state to be certified by the Department. The rules, effective 1 April 2026 and based on the national certification criteria, cover screening and assessment, primary care screening and monitoring, data collection and a continuous quality improvement plan. In December 2024 the Department received a one-year, $1 million SAMHSA planning grant.

    CertificationQuality measuresDemonstration

  • Community Behavioral Health Program

    NDCC 50-06-41.2

    The Department contracts with community providers to serve people with serious behavioural health conditions through integrated, multidisciplinary care teams. It sets referral, eligibility and discharge criteria, oversees the program with outcome and provider reporting metrics, and pays providers per referral per month on a pay-for-performance model.

    Pay for performancePer referralOutcome metrics

  • Regional Behavioral Health Clinics

    Eight regions

    The Department runs eight regional behavioural health clinics offering walk-in assessment and same-day care, 24/7 crisis and residential services, peer support, and farmer and veteran mental health support. A sliding fee scale gives a full discount at or below 125% of the 2025 poverty level, with discounts stepping down to 10% at 200%.

    Same-day care24/7 crisisSliding fee

  • Medicaid Rates for Screening

    October 2026

    North Dakota Medicaid's professional fee schedule, updated 1 October 2026, lists 96127 as covered at $5.26, with telehealth allowed, modifier 93 for audio-only and service authorization once limits are reached. The same schedule lists the collaborative care codes 99492 to 99494, G2214 and 99484 as not covered.

    96127 coveredTelehealth99492 not covered

Care Teams Across North Dakota

  • HiBoop runs in a browser, so the same check-ins work for a Fargo practice and a provider covering the Badlands. Each line names the Department's regional behavioural health clinic for that area.

  • Fargo

    Southeast Behavioral Health Clinic serves the Fargo region.

  • Bismarck

    West Central Behavioral Health Clinic serves the Bismarck region.

  • Grand Forks

    Northeast Behavioral Health Clinic serves the Grand Forks region.

  • Minot

    North Central Behavioral Health Clinic serves the Minot region.

  • Williston

    Northwest Behavioral Health Clinic serves the Williston region.

  • Dickinson

    Badlands Behavioral Health Clinic serves the Dickinson region.

  • Jamestown

    South Central Behavioral Health Clinic serves the Jamestown region.

  • Devils Lake

    Lake Region Behavioral Health Clinic serves the Devils Lake region.

Data sovereignty

Why North Dakota clinics choose HiBoop

  • Outcome Tracking for North Dakota Providers

    • Google Cloud US regions for US customer data, with encryption in transit and at rest
    • HIPAA compliant and SOC 2 Type II certified, with a BAA for covered entities
    • Staff see what their role allows, and every view and export is logged
    • Care is $25/month with no long-term contract, and starting needs no credit card
    • Email links or a waiting-room QR code; clients use their own phone

  • USD pricing & support

    Transparent pricing in USD with flexible payment options for clinics of every size.

    Care
    One clinician, no long-term contract
    $25
    USD/month
    Team
    Starting price for unlimited clinicians
    $200
    USD/month
    Network
    Multi-location providers
    Custom
    Enterprise pricing

100+ validated scales for North Dakota clinics

  • Validated scales grouped by what they measure, each with its scoring and source. Public programmes often call this routine outcome monitoring (ROM), or patient-reported outcome measures (PROMs): the same practice of giving a validated scale at regular points and reading the scores over time.

  • Screening at Intake

    • PHQ-9 (Depression)
    • GAD-7 (Anxiety)
    • C-SSRS Screener (Suicide Risk)

  • Substance Use and Brief Intervention

    • ASSIST (Substance Involvement)
    • TAPS (Tobacco, Alcohol and Other Substances)
    • CAGE-AID (Alcohol and Drug Use)

  • Children, Youth and Trauma

    • PHQ-A (Adolescent Depression)
    • SCARED (Child Anxiety)
    • PCL-5 (PTSD)
Browse all assessments

North Dakota Consent and Data Rules

  • HIPAA sets the federal baseline. North Dakota adds its own consent ages, data duties for certified clinics and outcome reporting for funded providers. None of these certifies a software vendor; the duties belong to your organization, and HiBoop provides safeguards that help.

  • What North Dakota law asks

    • Accept consent from a person aged 14 or older to examination, care or treatment for substance use disorder without a parent or guardian (NDCC 14-10-17); for mental health treatment of younger clients, plan for parent or guardian consent and confirm with counsel
    • Accept consent to behavioural health care from an unaccompanied homeless minor aged 14 or older, with the documentation the statute describes (NDCC 14-10-20)
    • As a certified clinic, collect, report and track encounter, outcome and quality data, capturing it electronically using widely available standards where feasible (NDAC 75-03-44-37)
    • Follow HIPAA's privacy, security and breach notification rules, with a business associate agreement for every vendor handling protected health information

  • What HiBoop supplies

    • A business associate agreement for HIPAA covered entities
    • US customer data held in Google Cloud US regions and encrypted in transit and at rest
    • Role-based access controls and a log of each view and export of client data
    • SOC 2 Type II certification, with the controls documented on our trust page

  • Preparing a certification or contract review?

    Our trust page explains hosting, encryption, access controls and SOC 2 Type II. Get in touch for a BAA or help with a vendor security questionnaire.

    Go to the trust centre

Grants & funding for North Dakota mental health clinics

Funding Guide

  • Public and private funding programs that support measurement-based care implementation.

  • SAMHSA — Substance Abuse and Mental Health Services Administration

    Certified Community Behavioral Health Clinic (CCBHC) Expansion Grants

    Tech eligible

    SAMHSA’s CCBHC grants fund detailed behavioral health services including the infrastructure, staffing, and technology required to meet CCBHC standards. Outcome measurement and digital assessment platforms are explicitly eligible as required infrastructure for CCBHC certification.

    $1M–$5M/yearLearn more

  • SAMHSA

    Mental Health Block Grant (MHBG)

    Tech eligible

    States receive federal MHBG funds and redistribute them to community mental health organizations. Technology, quality improvement, and workforce development are eligible uses. Contact your state mental health authority to understand how MHBG flows in your state.

    State-distributedLearn more

  • SAMHSA

    Primary and Behavioral Health Care Integration (PIPBHC)

    Tech eligible

    SAMHSA’s PIPBHC program funds integration of primary and behavioral health care, including the technology infrastructure needed to coordinate care across disciplines. Outcome measurement platforms and digital assessment tools are eligible as integration infrastructure.

    $500K–$900K/yearLearn more

  • HRSA — Health Resources and Services Administration

    Rural Health Network Development Program

    Tech eligible

    HRSA funds rural health networks to develop shared infrastructure including technology platforms, telehealth systems, and outcome measurement tools. Mental health-focused networks in rural areas can use this to fund shared digital assessment and measurement platforms.

    $250K–$500K/yearLearn more

  • HRSA

    Behavioral Health Workforce Development Program

    Tech eligible

    Supports expanding the behavioral health workforce through training, clinical placements, and technology-supported care delivery. Technology platforms that support supervision, measurement, and case management are eligible uses.

    $250K–$1MLearn more

  • CMS Innovation Center (CMMI)

    ACCESS Model — Behavioral Health Track

    Tech eligible

    The Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) model includes a Behavioral Health Track for practices treating depression and anxiety. It shifts from fee-for-service to monthly payments tied to outcomes — explicitly requiring technology-enabled care and outcome measurement.

    Enhanced per-patient paymentsLearn more
View all grants & funding

Resources for North Dakota practitioners

  • Billing guides, compliance documentation, and clinical practice resources.

  • CCBHCHiBoop for CCBHCs

    Validated screening and repeat measurement for certified community behavioral health clinics

  • AnxietyGAD-7 Clinical Guide

    Scoring, severity bands and when to repeat it

  • Substance useASSIST Guide

    The WHO screening test and how its risk levels guide a brief intervention

  • BillingCPT 96127 Guide

    Documenting brief standardized emotional and behavioural assessments

North Dakota Laws, Rules and Rates

  • Official bodies, clinical guidelines, and regulatory references. North Dakota.

  • Certified Community Behavioral Health Clinics

    Department of Health and Human Services

    North Dakota's CCBHC rules, planning grant, demonstration selection and certification process.

  • NDAC chapter 75-03-44

    North Dakota Legislative Branch

    The certification rules for CCBHCs, including screening, data collection and quality improvement.

  • NDCC chapter 50-06

    North Dakota Legislative Branch

    Department duties, including outcome measures from funded providers, the community behavioral health program and the voucher system.

  • Medicaid fee schedules

    Department of Health and Human Services

    Professional and behavioural health fee schedules, updated October 2026.

  • Regional Behavioral Health Clinics

    Department of Health and Human Services

    The eight state-run clinics, their services and the sliding fee scale.

  • NDCC chapter 14-10

    North Dakota Legislative Branch

    Minors' consent to substance use disorder treatment, and consent by unaccompanied homeless minors.

  • Professional fee schedule, October 2026 (Excel file)

    Department of Health and Human Services

    The coverage, rate and telehealth entries for 96127 and the collaborative care codes quoted on this page.

Latest in mental health in California

Crisis and urgent help lines

More crisis lines

Measurement-based care

…starts with what we measure, and how long.

Frequently Asked Questions

  • Does North Dakota require measurement-based care?

    Not by that name, but outcome data is required in several places. The Department may require funded providers to submit process and outcome measures, the community behavioral health program pays on a pay-for-performance model, voucher programs report outcome measures, and certified CCBHCs must use standardized, validated tools and report quality measures. Check your contract or certification for the specific measures that apply.

  • Will HiBoop send outcome data to the Department of Health and Human Services?

    No. HiBoop is not connected to Department or Medicaid systems. It sends and scores the scales, charts each client's progress and exports results as CSV or PDF, so your team can compile what the Department asks for.

  • Can a teenager consent to their own treatment in North Dakota?

    For substance use disorder, yes: NDCC 14-10-17 lets a person aged 14 or older receive examination, care or treatment without a parent or guardian. An unaccompanied homeless minor aged 14 or older may consent to behavioural health care under NDCC 14-10-20. For other mental health treatment of minors, plan for parent or guardian consent and confirm with your counsel. HiBoop's role-based access lets you limit who sees a young client's scores.

  • Is HiBoop HIPAA compliant for North Dakota providers?

    Yes. HiBoop is HIPAA compliant and signs a business associate agreement with covered entities. If you are a certified CCBHC, the data rules in NDAC 75-03-44 also apply to how you collect and report information, so review them with your compliance lead.

Official sources for North Dakota

  • Billing and payment routes

    1. 1.CMS MLN909432: Behavioral Health Integration Services · public program · codes 99484, 99492, 99493, 99494, G2214, G0323 (read in the document on 2026-11-01)
    2. 2.CMS Physician Fee Schedule look-up · fee schedule
    3. 3.SAMHSA: Certified Community Behavioral Health Clinics (CCBHC) · public program

    Fee codes and amounts are set by each payer and change; check the linked schedule before you bill. HiBoop does not submit claims.

    Regulators and licensing

    1. 1.ASPPB: psychology licensing boards · psychologists
    2. 2.ASWB: social work regulatory boards · social workers
    3. 3.Counseling Compact · counsellors
    4. 4.Social Work Licensure Compact · social workers

    Data and statistics

    1. 1.SAMHSA: NSDUH state reports
    2. 2.HRSA: HPSA Find (mental health shortage areas)
    3. 3.NIMH: mental illness statistics

    Listed for reference so you can find the official source. HiBoop is not affiliated with, and is not endorsed by, any of these organizations.