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September 27, 2016

Information Releases

Idaho Medicaid issues Information Releases (IR) to providers to update them on policy, billing, and/or processing changes. They are listed numerically with the newest at the top.

Looking for an IR prior to 2001? Send a fax or written request to:
Information Release Coordinator
Division of Medicaid
P.O. Box 83720
Boise, ID 83720-0036
Fax: 208-364-1811

Informational Letters are not the same as Information Releases. They are sent only to the intended providers and might not be available on this site.

2008 Releases

2007 Releases

IR 2007-07 - Preferred Agents for Drug Classes
IR 2007-09 - Notice of 2007 Medicaid Rates for Swing-Bed Days and Administratively Necessary Days (A
IR 2007-11 - Placement of residents into Certified Family Homes
IR 2007-12 - Use of NPI on 837 Electronic Professional, Dental, and Institutional Claims - REPLACED
IR 2007-13 - Important Claims Processing Information for Pharmacy Providers Related to
IR 2007-17 - Idaho Smiles - A New Program For Idaho's Basic Plan Participants
IR 2007-20 - Preferred Agents for Drug Classes Reviewed at Pharmacy and Theraputics Committee Meetin
IR MA07-01 - Changes in Federal Legislation Affecting Idaho Medicaid Providers
IR MA07-03 - Co-Payment for Non-Emergency use of an Emergency Room
IR MA07-04 - Co-Payment for Non-Emergency use of Ambulance Transportation Services
IR MA07-05 - Idaho Medicaid Disproportionate Share Hospital (DSH) Survey
IR MA07-08 - Medicaid Nursing Facility Eligibility
IR MA07-10 Information Request Related to PCS Wage
IR MA07-15 - New PCS Payment Rates Effective July 1, 2007
IR MA07-16 - Update to Information Release 2007-12: Use of NPI on 837 Electronic Professional, Denta
IR MA07-18 - Removal of Requirement for Healthy Connections Referral for Outpatient Dental Services
IR MA07-19 - Removal of Requirement for Healthy Connections Referral for Select Services
IR MA07-21 Tamper Resistant Prescription Pads
IR MA07-22 Trasportation Reimbursement Rate Increase
IR MA07-23 - Hospice Rates
IR MA07-24 - Federal Anti Kickback Statute

2006 Releases

No Articles Found.
2005 Releases

No Articles Found.
Older Releases
A recent court ruling that has interpreted an amendment to statute has changed the requirements for state-funded abortions. For abortions performed with dates of service on or after July 1, 2002, the following rules apply:

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We would like to clarify our DME program guidelines regarding spacers, nutritional products, and diabetic test strips. The items mentioned below do not require prior authorization.

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Medicaid Information Release #2002-11 outlined the new reimbursement methodology for the processing of Medicare/Medicaid crossover claims effective May 1, 2002. Based on further clarification from CMS (Center for Medicare/Medicaid Services) and comments from providers, the system has been changed to insure that, for claims submitted electronically, the total payment will not exceed the Medicare allowed amount.

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Revised Policy of the Idaho Medicaid Dental Program

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2006 Attachments

2003 Attachments