Promoting and protecting the health and safety of all Idahoans
Español    About Us    Contact Us    Careers   
October 23, 2016

About Medicaid

Medicaid has different programs available that provide health coverage for:

  • Children under age 19
  • Parents or other related adults with children under age 19
  • Pregnant women
  • Women diagnosed with breast or cervical cancer or pre-cancer
  • People aged 65 or older
  • People who are blind or disabled (using Social Security criteria)


You can apply for Medicaid with just your name, address and signature on an application for assistance, or you may use any of the following options to apply for Medicaid and other Health Coverage Assistance options:

•  Telephone application, 1-877-456-1233
•  Visit 

Call 1-877-456-1233 for more information.

If your family’s income is determined too high for Medicaid, you still may qualify for other Health coverage assistance programs.  To view other programs, visit the Health Coverage Assistance page.


In order to receive Medicaid, certain eligibility requirements must be met in areas such as, citizenship/immigration status, income, resources, work requirements, and other areas based on your household's circumstances.


Medicaid and SCHIP will pay for a number of services, such as prescriptions and dental care. While it is possible to have Medicaid and private health insurance, children who have private health insurance cannot qualify for SCHIP.


The Idaho Medicaid State Plan is made up of the Standard State Plan which includes mandatory minimum benefits and three Benchmark Benefit plans that are aligned with the health needs of Idahoans and includes an emphasis on prevention and wellness.  Click on the plan titles below to see the benefits included in each.

Idaho Access Monitoring Review 2016

Medicaid recently completed a report using paid claims data to better understand how our members access the following services: 

Primary Care, Specialists, Labor and Delivery, and Home Health.  This report will be repeated a minimum of every three years to monitor access trends.  Updates to this report will be posted on Medicaid’s web site as they occur. We welcome your comments about the report.  We are providing a comment period for 30 business days (August 18, 2016 to September 17, 2016).  All comments are to be emailed to the Access Review project lead no later than the end of day on September 17.  

Access Monitoring Review - 2016