A dual eligible beneficiary is someone over the age of 21, enrolled in Medicare parts A, B, and D, and Medicaid enhanced plan benefits. There are two programs available for dual eligible beneficiaries, the Medicare Medicaid Coordinated Plan and the Idaho Medicaid Plus Program.
There are changes coming to Idaho Medicaid duals' programs this year. The department is sending additional program updates via mail and email. Updates are also shared on this page.
| Publish date | Resource link | Summary |
| February 11, 2025 | Program Updates Frequently Asked Questions | Common questions about duals' programs and upcoming changes. |
| February 5, 2025 | Medicaid Information Release MA25-03 | UnitedHealthcare will offer Idaho Medicaid Plus in June. |
| December 17, 2024 | Medicaid Information Release MA24-29 | Blue Cross of Idaho duals' contracts are ending. |
The Medicare Medicaid Coordinated Plan is a voluntary program that integrates both Medicare and Medicaid coverage into one single plan, at no cost to the participant, which means members will have:
- One set of comprehensive benefits. One accountable entity to coordinate delivery of services. One care management team to coordinate care.
- Receive additional supplemental benefits over and above original Medicare and Medicaid.
- Participant Medicare premiums are paid by Medicaid.
- Participants will have access to the health plans network of providers.
There are two different health plans that offer Medicare Medicaid Coordinated Plan (MMCP) based on the MMCP service area. Please call Blue Cross of Idaho or Molina Healthcare of Idaho if you would like to enroll or receive additional information.
Blue Cross of Idaho: 888-495-2583
Molina Healthcare of Idaho: 866-403-8293
The MMCP combines all services covered under Medicare parts A, B, and D (prescription drug coverage) and all services in the Medicaid enhanced plan. Developmental disability services, non-emergency medical transportation, and dental benefits are available through Idaho Medicaid, separate from the MMCP.
The MMCP offers additional services over and above original Medicare/Medicaid. Please contact each of the health plans for the full listing of all supplemental benefits available through the MMCP.
Idaho Medicaid operates a mandatory managed care program, called Idaho Medicaid Plus (IMPlus). This program covers all Medicaid enhanced plan benefits and gives members the option to choose their Medicare health plan.
Idaho Medicaid Plus = Medicaid Benefits Only! With no changes to your Medicare coverage.
Beginning January 1, 2025, IMPlus is mandatory in the following counties (if you aren't enrolled in MMCP): Ada, Adams, Bannock, Benewah, Bingham, Blaine, Boise, Bonner, Bonneville, Boundary, Canyon, Cassia, Clark, Clearwater, Elmore, Freemont, Gem, Gooding, Jefferson, Jerome, Kootenai, Latah, Lincoln, Madison, Minidoka, Nez Perce, Owyhee, Payette, Power, Shoshone, Twin Falls, Valley, and Washington.
IMPlus is open for voluntary enrollment if you live in Idaho County. Individuals who live in this county can choose to opt-out of IMPlus. If a participant chooses to opt out of IMPlus, their services will remain with fee-for-service Idaho Medicaid. Fee-for-service benefits are not managed by a health plan.
Duals may select Molina Healthcare of Idaho or Blue Cross of Idaho for their Idaho Medicaid Plus plan. Duals have 90 days before the program effective date to select a health plan and an additional 90 days after the effective date of their program to change their health plan. After the initial enrollment period there will be an Annual Open Enrollment (October 15 through December 7) in which duals can change plans if they would like to.
- Call us toll free at 833-814-8568 to speak with our contract monitoring team, or email us at IdahoDuals@dhw.idaho.gov
- When you receive your Idaho Medicaid Plus Selection Notice in the mail, just complete the enclosed Idaho Medicaid Plus Enrollment form and mail it in the envelope provided.
More information about duals' programs
The Bureau of Long Term Care hosts an online Complaint Submission System. This system is available to all stakeholders and allows you to enter a complaint and provide us with all the details to help us investigate and resolve your concerns. Once the complaint is received, it is routed directly to our triage team and either Blue Cross of Idaho or Molina Healthcare of Idaho who are responsible to prioritize and manage all submitted complaints.