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Medicaid Modernization Documents
 Title
Announcement for MH Rules Training Opportunity
August 2006 Calendar
Basic Plan Amended Pages
Basic Plan Approval Letter
Benchmark Plan Benefits Summary
Citizenship Affadavit
Citizenship Affadavit, Spanish
Citizenship Brochure
Citizenship Brochure, Spanish
Citizenship Poster
Citizenship Poster, Spanish
CMS 1500 Claim Form and Instructions
CMS Proposed Regulation Rehabilitative Services
CMS Proposed Rule on School-based service claiming and transportation
Coordinated Plan Amended Pages
Coordinated Plan Approval Letter
cost sharing and income guidelines
Cost Sharing Under Med Mod
Cost Sharing Under Med Mod - Spanish
Current Initiative List and Implementation Update
Do Your Children Need Health Insurance
Do Your Children Need Health Insurance - Spanish
Enhanced Plan Amended Pages
Enhanced Plan Approval Letter
Enrollment Process 1-pager
EPSDT Cover Letter
EPSDT PCS Request for Additional Services
EPSDT Requests for Additional Services
False Claims Act
FAQ's
FAQs about Idaho Medicaid Modernization
FAQs for MH Reform 2009 Rules
Final CMS Citizenship Rules Fact Sheet
Focused Policy Discussions summary report
Frequently Asked Questions about Governor Directed Reductions
Frequently Asked Questions Regarding the Reinstatement of Non-Emergency Medical Transportation Benefits in the Medicaid Basic Benchmark Plan
H0002 Form for IR MA06-27, 28, 29
Healthy Schools Fact Sheet
Healthy Schools Report 2008
Healthy Schools Table
HW1040 - Newborn Medicaid Coverage Form
Idaho Smiles Access to Dental Care 2008
Idaho Smiles FAQ's
Idaho Smiles Letter for Basic Plan Participants
Identity Affadavit
Identity Affadavit, Spanish
July 2006 Calendar
July Well Baby Flier
June 2006 Calendar
June 2006 Mailing
Letter to Mental Health Providers
May 2006 Calendar
Med Modernization Health Care Conference
Medicaid Basic Plan
Medicaid Coordinated Plan
Medicaid Cost Containment Approach
Medicaid Enhanced Plan
Medicaid Enhanced Plan Participant Letter Regarding Budget Reductions
Medicaid Initiatives - Status Report
Medicaid is Getting Better
Medicaid Mental Health and Substance Abuse Reform Project
Medicaid Standard Benefit Plan
Medicaid State Plan Services Comparison
Medicare Medicaid Coordinated Plan Participants Info
Medicare-Medicaid FAQ's
Memorandum of Understanding between Comprehensive Advocacy, Inc and the Department of Health and Wel
Mental Health Comprehensive Assessment Template
Mental Health Comprehensive Assessment Template - Word Format
Mental Health FAQs
Mental Health Treatment Plan Template
Mental Health Treatment Plan Template - Word Format
MH Reform Rules Training
NPI Subparts
October 2006
Overview of Chronic Disease Management Pay-for-Performance Pilot
Overview of Preventive Health Assisistance
Participant Communication June, 2006
Participant Communication May 2006
Participant Rights and Responsibilities
PERM FAQs
PHA Briefing Paper
Plan Choice Insert for Application for Assistance
Preferred Drug List
Proposed CMS Cost Limits on Public Providers on hold
Proposed Mental Health Reform Rules
Proposed Re-Visit Fees
Psychosocial Rehabilitation Services Service Plan Authorization Form
Rate Analysis at Procedure Level
Rate Study Executive Summary
Reform Authority/DRA 1-pager
reform implementation authority chart
Region 1 HC Provider List
Region 2 HC Provider List
Region 3 HC Provider List
Region 4 HC Provider List Ada County
Region 5 HC Provider List
Region 6 HC Provider List
Region 7 HC Provider List
Region IV Provider List Other than Ada County
Registration Form for Mental Health Rules Training
Reimb Web Survey
SBS FAQs
SCHIP Overview
SCHIP Reauthorization Summary by Kaiser Commission
School-Based Services Parent Letter
School-Based Services Participant Letter
School-Based Services Provider Letter
September 2006 Calendar
Status of Federal Approval of Idaho Medicaid Reform
Status of State Legislative Approval of Idaho Medicaid Reform
Tamper-resistant prescription pad regulations
Transportation Brokerage Fact Sheet
Medicaid Docs
Medicaid Additional Documents
 Title
2006 Federal Poverty Guidelines
2008 IHCC information
2008 Informational Meeting for AHI
Abortion Procedures
Agent Certification
Ambulance Request for Adjustment
Ambulance\Ambulance Prior Authorization Form
Application Cover Sheet for HI Reps
Clinic Owners Facing Fraud Charges (03/21/2006)
Dental Authorization Form
Dental Medical Necessity Form
DME - Ingenix 2008 HCPCS Level II Code Book Definitions
Do you Disagree with a Decision
Employer Agreement - HI
FAQ's about employer participation
Fetal Development
Gibler Gives Jail Time for Medicaid Fraud Charge (11/08/05)
Glossary of Terms - HI
HC Provider Referral Requirements
Healthy Connections Regional Coordinators
Hospice Intake Form
Idaho Health Quality Data Exchange Plan 5-2008
Idaho Medicaid Orthodontic Program
Information on Eligibility for Idaho Smiles
Interceptive Auth form
Invoice Process - HI
Letter to Mental Health Service Providers
Limitation Report
List of Health Benefit Companies
MC - DM April 4, 2008 Meeting Minutes
MC - DM Data Submission Instructions
MC - DM February 8, 2008 Meeting Minutes
MC - DM January 4, 2008 Minutes
MC - DM July 11, 2008 Meeting Minutes
MC - DM Performance Indicators
MC - Lead - AAP List of Resources
MC - Lead Machine Inventory List
MC - Lead Nutritional Guidelines
MC - Lead Risk Factors
MC - List for Surgery Prior Auth
MC - P4P Collection Templates
MC - Surgery Prior Authorization Form
MC - Vision Contact Lens Prior Auth Form
MC - Vision Prior Auth Form
MC - Vision products requiring Prior Authorization
Medicaid and You — Participant Booklet — English Jan 08
Medicaid and You — Participant Booklet — Spanish
Medical Care - Lead CLIA Requirements
Medical Care - Lead MOA template
Medical Care - Lead Policy with Attachments
Medical Care Lead - Lead Based Paint Flyer
MIP - TRP FAQs 9 12 2007 final(1)
Non-Emergent Transportation Brokerage FAQ
Ortho Auth Form
Pharmacy - Tamper Resistant Forms
Pharmacy Idaho Medicaid Academic Detailing Grant
Privacy Notice
Provider List - PSR & MH Clinics
RALF - Hospice and Outside Services 05-03-07 - PowerPoint Slides
RALF - Informational Letters 2007-01 & 2007-02
RALF - Reportable Incidents - PowerPoint
Roles and Responsibilities
Service Limitations Doc
Slot Managment Process
Spanish - FAQ's about AHI
Spanish FAQ's about Employee Participation
Spanish HI Page
Temp File
Transportation Request Form
TRPP Best Practice Examples for Handwritten or Printed Prescriptions
TRPP Final Letter to Medicaid Directors
TRPP Identifying Tamper Resistant Prescription Pad Features
TRPP Patient Education FAQ's
TRPP Pharmacist Education FAQs
TRPP Prescriber Information
Vendor Enrollment Packet - HI
Web Registration - HI Page
Welfare Fraud Complaint Form
Medical Care Advisory Committee (MCAC)
DD Documents
 TitleOwnerCategoryModified DateSize (Kb) 
DDA IBI Assessment Report 6-06SuperUser Account 4/13/200961.95Download
DDA Request for IBI Assessment 6-06SuperUser Account 4/13/200932.77Download
DDA-IBI Regional CoordinatorsSuperUser Account 4/13/200934.82Download
Advisory Board ApplicationSuperUser Account 4/13/2009589.82Download
Alternatives to Guardianship 6-06SuperUser Account 4/13/200936.35Download
DD Eligibility Determination Standards DHW 16-03-10-501SuperUser Account 4/13/200941.47Download
Medicaid Docs
Medicaid Modernization Documents
 TitleOwnerCategoryModified DateSize (Kb) 
Medical Care Advisory Committee (MCAC)
 TitleOwnerCategoryModified DateSize (Kb) 
MCAC Minutes for 2003 MeetingsSuperUser Account 4/13/2009UnknownDownload
MCAC Minutes for 2004 MeetingsSuperUser Account 4/13/2009UnknownDownload
MCAC BylawsSuperUser Account 4/13/2009UnknownDownload
April 2005 MinutesSuperUser Account 4/13/2009UnknownDownload
January 2005 MinutesSuperUser Account 4/13/2009UnknownDownload
Additional Documents
More Information
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Medicaid Non-Emergent Transportation.

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test page for facility standards

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   Find information on NPI

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Payment Error Rate Measurement (PERM)

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