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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
Title
270-271 Eligibility Vendor Specs
276/277 Health Care Claim Status Request/Response
Complete List of Mental Health and PSR Providers
Dental Vendor Specs - 837 Transaction
Frequently Asked Questions for Service Coordination and Paraprofessionals
Institutional Vendor Specs - 837 Transaction
NCPDP Vendor Specs
Notice - Paper Claim Forms
NPI 835 Vendor Specs
NPI FAQ's
NPI Information for Pharmacies
NPI Information for Vendors and Clearinghouses
NPI Reg Instruct for Indiv
NPI Reg Instruct for Org
NPI Registration Quick Tips
Professional Vendor Specs - 837 Transaction
Taxonomy codes
UB-04 Billing Instructions and Form
UB-04 FAQ's
Vendor Specification for 835 Remittance Advice Transaction
Web Table - DDA
Web Table - MHC
Web Table - NF Participant (Combined)
Web Table - Non-Emergent Transportation Rates
Web Table - RMH
Web Table - SBS
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)
Title
April 2006 Minutes
January 2006 minutes
July 2005 Minutes
MCAC Membership Roster (9-15-05)
October 2005 Minutes
DD Documents
Title
Owner
Category
Modified Date
Size (Kb)
DDA IBI Assessment Report 6-06
SuperUser Account
4/13/2009
61.95
Download
DDA Request for IBI Assessment 6-06
SuperUser Account
4/13/2009
32.77
Download
DDA-IBI Regional Coordinators
SuperUser Account
4/13/2009
34.82
Download
Advisory Board Application
SuperUser Account
4/13/2009
589.82
Download
Alternatives to Guardianship 6-06
SuperUser Account
4/13/2009
36.35
Download
DD Eligibility Determination Standards DHW 16-03-10-501
SuperUser Account
4/13/2009
41.47
Download
Medicaid Docs
Title
CMS 1500 Form and Instructions
Medicaid Contacts
Notification of Birth for Medicaid Eligibility (updated 3/1/07)
NPI December Newsletter
NPI February Newsletter
NPI January Newsletter
NPI Linking Help
NPI March Newsletter
Prior Authorization Automated Process
Prior Authorization of New Drugs
Qualis Health Provider Manual
Medicaid Modernization Documents
Title
Owner
Category
Modified Date
Size (Kb)
Medical Care Advisory Committee (MCAC)
Title
Owner
Category
Modified Date
Size (Kb)
MCAC Minutes for 2003 Meetings
SuperUser Account
4/13/2009
Unknown
Download
MCAC Minutes for 2004 Meetings
SuperUser Account
4/13/2009
Unknown
Download
MCAC Bylaws
SuperUser Account
4/13/2009
Unknown
Download
April 2005 Minutes
SuperUser Account
4/13/2009
Unknown
Download
January 2005 Minutes
SuperUser Account
4/13/2009
Unknown
Download
Additional Documents
Title
Owner
Category
Modified Date
Size (Kb)
Healthy Connections — Your Guide to Good Health Care Brochure — Spanish
SuperUser Account
4/13/2009
324.52
Download
Medicaid Transportation PA Request Form
SuperUser Account
4/13/2009
72.46
Download
Provider Fraud Complaint Form
SuperUser Account
4/13/2009
6.53
Download
Coeur d'Alene Dentist Charged in Medicaid Fraud Scheme (6/24/2004)
SuperUser Account
4/13/2009
9.36
Download
Dentist Admits Filing False Claims for Medicaid Funds
SuperUser Account
4/13/2009
220.01
Download
Healthy Connections — Your Guide to Good Health Care Brochure — English
SuperUser Account
4/13/2009
318.16
Download
More Information
Current Articles
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02
Medicaid Transportation Unit
DNNDMZQualSU
posted on March 02, 2009 11:18
Medicaid Non-Emergent Transportation.
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02
Nursing Homes
DNNDMZQualSU
posted on March 02, 2009 11:18
test page for facility standards
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02
National Provider Identifier (NPI)
DNNDMZQualSU
posted on March 02, 2009 11:18
Find information on NPI
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02
Payment Error Rate Measurement (PERM)
DNNDMZQualSU
posted on March 02, 2009 11:18
Payment Error Rate Measurement (PERM)
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02
Medical Care - BCC
DNNDMZQualSU
posted on March 02, 2009 11:18
BCC
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02
Medical Care - Dental Services
DNNDMZQualSU
posted on March 02, 2009 11:18
Dental
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02
Medical Care - Hospice Services
DNNDMZQualSU
posted on March 02, 2009 11:18
Hospice
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02
Medical Care - Lead
DNNDMZQualSU
posted on March 02, 2009 11:18
Lead
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02
Medical Care - Vision
DNNDMZQualSU
posted on March 02, 2009 11:18
Vision
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02
Medical Care - Surgery
DNNDMZQualSU
posted on March 02, 2009 11:18
Surgery
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02
Disease Management
DNNDMZQualSU
posted on March 02, 2009 11:18
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