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Providers warn North Dakota PRTF payment structure is outdated as rule changes move forward
Summary
PRTF operators told the Administrative Rules Committee the state’s payment methodology is roughly 30 years old, producing multi‑million‑dollar shortfalls that threaten in‑state care; providers urged the committee to approve minor rule fixes now while expediting a planned study and legislative cleanup to prevent out‑of‑state placements.
Members of the Administrative Rules Committee heard urgent testimony from psychiatric residential treatment facility (PRTF) providers who said current payment rules leave them operating at heavy losses and place in‑state treatment capacity at risk.
"This is a 30‑old metric," said Tim Ganger of Dakota Boys and Girls Ranch, testifying that the Ranch operates 48 PRTF beds in North Dakota and that last year the organization absorbed a $7.5 million loss while a sustainable breakeven target would be closer to a $2.5 million loss. "We cannot continue on like this," he told the…
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