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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

 Title
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

REIMBURSEMENT FOR HEARING AID BATTERIES

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CHANGES TO BILLING FOR INDIVIDUALS WITH A CLIENT CONTRIBUTION

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RATE INCREASE DEVELOPMENTAL DISABILITY SERVICES AND RESIDENTIAL HABILITATION SERVICES EFFECTIVE JULY 1, 2006

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ELIGIBILITY AND BENEFIT PLAN COVERAGE UNDER MEDICAID MODERNIZATION

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2005 Releases
Replacing information in IR 2004-46 for this drug class only: NEW PREFERRED AGENTS FOR URINARY INCONTINENCE DRUG CLASS

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PRIOR AUTHORIZATION CRITERIA FOR LEUKOTRIENE DRUG CLASS

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PRIOR AUTHORIZATION CRITERIA FOR INHALED CORTICOSTEROID DRUG CLASS

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PRIOR AUTHORIZATION CRITERIA FOR INHALED BETA-2 AGONIST DRUG CLASS

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Older Releases
The Division of Medicaid will continue to hold commercial transportation rates to the April 2000 fee schedule on file with the Medicaid Transportation Unit.

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GUIDELINES ON REPORTING AND TESTING DAY TREATMENT SERVICES PERFORMED FOR PARTICIPANTS IN A LICENSED DEVELOPMENTAL DISABILITY CENTER

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SURGICAL CODES FOR PRIOR AUTHORIZATION REVIEW

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Temporary rules have been instituted effective July 1, 2001 to include Licensed Marriage and Family Therapists as a reimbursable Medicaid provider in a Mental Health Clinic, and Rehabilitation Option for Mental Health Services agency.

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2006 Attachments

2003 Attachments