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Medicaid Information for Participants

Cost Sharing Begins

Some Medicaid participants will pay a cost sharing premium beginning October 1, 2006. If you must pay a monthly premium for your child’s Medicaid benefits you will get a letter telling you the amount of the premium and where to send the payment. 
Information and before-tax income guidelines.
 
Medicaid rewards cost sharing participants for being up to date on thier immunizations and well-child check-ups.  
Preventive Health Assistance (PHA) benefit.

Idaho Medicaid's Benefit Plans

Medicaid now does more to improve your health, find new health problems early, and manage current health problems. If you are eligible for Medicaid, you will get benefits based on your health needs. For more information about each plan, click on the plan names below.

  1. The Medicaid Basic Plan is for healthy low-income children and adults with eligible dependent children. This plan provides complete health, prevention, and wellness benefits for children and adults who don't have special health needs. Most Medicaid participants will be enrolled in this benefit plan.
  2. TheMedicaid Enhanced Plan is for participants with disabilities or special health needs. This plan includes all benefits in the Basic Plan, plus additional benefits.
  3. The Medicare-Medicaid Coordinated Plan is for participants who are eligible and enrolled for both Medicare and Medicaid.

If you are enrolled in the Medicaid Basic Plan and your health changes, you may need to get an assessment to find out whether you should be in the Medicaid Enhanced Plan.

If you would like to apply for Medicaid, click on the link to the Medicaid Application to the right. If you need more information, call Family Medicaid at 1-866-326-2485 (toll free) or call the Idaho Careline at 2-1-1.

 

 

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