Providers warn North Dakota PRTF payment structure is outdated as rule changes move forward
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.
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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.
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