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July 23, 2018

Long Term Care (LTC)

The Bureau of Long Term Care (BLTC) works with multiple provider types that assist participants with maintaining independence in their home through authorized services.  Periodic Quality Assurance Reviews ensure that participants are receiving safe and high quality care and services.

These web pages offer information on overviews, processes, regulatory requirements, department training's, forms and links to valuable resources.  The information provided serves as means of communication and it is focused on the agency/facility.

BLTC has oversight of the following services and programs:


State Plan Personal Care Services (PCS):

  • Include personal Care Services (grooming, bathing, toileting, dressing, food and nutrition, and incidental housekeeping)

Aged and Disabled Waiver Services (A&D):

  • Include Adult Day Health, Adult Residential Care, Specialized Medical Equipment and Supplies, Non-Medical Transportation, Attendant Care, Chore Services, Companion Services, Consultation, Home Delivered Meals, Homemaker Services, Environmental Accessibility Adaptations, Personal Emergency Response System, Respite Care, Skilled Nursing, Supported Employment, Habilitation.

Click here to apply to become a Medicaid Provider

News and Improvements

  • June 28, 2018 - We are excited to meet you in Twin Falls and host you as our guest for lunch!
    Join Blue Cross of Idaho, Molina Healthcare of Idaho and Idaho Department of Health and Welfare for a lunch and learning session.
    Find out more about the exciting opportunities that are happening now with Idaho‚Äôs Medicare-Medicaid Coordinated Plan (MMCP) and the new mandatory Idaho Medicaid Plus program.
    Thursday, June 28, 2018
    Enrollment Fair:  10 am - 12 pm.
    Join us for Lunch:  12 pm. - 1 pm
    Enrollment Fair: 1 pm - 3 pm

    Health and Welfare Regional Office
    601 Pole Line Rd.
    Twin Falls, ID

    Representatives will also be on hand to answer your questions about becoming a provider with Blue Cross of Idaho and Molina Healthcare of Idaho. To start the process, it may be helpful to bring the following items on June 28th:

    - Copy of the applicable current state license, registration or certificate
    - Copy of the current liability insurance/copy of homeowner's insurance
    - Medicaid participation letter (if available)

    Please let us know if you'll be joining us on June 28th by emailing us at IdahoDuals@dhw.idaho.gov. 

  • The Electronic Visit Verification has been updated to include specific requirements related to the frequency in which Progress Notes must be printed and placed in the participants home.  

  • Beginning second (2nd) quarter of 2018 the Residential Assisted Living Facility (RALF) Providers will be receiving Quality Assurance Survey data on a quarterly basis.  Providers should be prepared to review the data and immediately re-mediate all deficiencies.

  • Beginning January 1, 2018, the Bureau of Long Term Care (BLTC) will no longer require that Service Plans developed by Personal Assistance Agencies (PAAs) be signed by an agency Registered Nurse.  It is currently required that a professional with clinical oversight complete the Service Plan and we will continue to provide technical assistance to ensure that Service Plans are compliant during our Provider Audits. Please note that Certified Family Home Providers are still required to submit Service Plans to the BLTC Nurse Reviewer for approval and signature. 

  • For 2018, the BLTC Quality Assurance team will be focusing on meaningful RN oversight of all Aged and Disabled (A&D) Waiver services and Personal Care Services (PCS) delivered by PAAs in the following areas:
    * Oversight of participant Progress Notes
    * Regular reviews of the participant Service Plan
    * Management of the Significant Change process*Note: the Significant Change process must have oversight by the agency RN and the BLTC document requires an RN signature 

  • Beginning January 1, 2018 all daily rate authorizations (S5140) will be authorized on a monthly basis.  This enhancement affects Residential Assisted Living Facilities and Certified Family Home providers.

Coming Soon

  • Frequently Asked Questions by provider type is currently under development. Contact your HUB Quality Improvement Specialist if you have specific questions you would like answered.

  • Provider Service Agreements have been enhanced with a new section for back-up plans, risk factors and interventions. Check out the forms page for the new Service Agreement Example.

 

Contact Information

Region 1 - Coeur d' Alene
(208) 769-1567
  Region 5 - Twin Falls
(208) 736-3024
Region 2 - Lewiston
(208) 799-4430
  Region 6 - Pocatello
(208) 239-6260
Region 3 - Caldwell
(208) 455-7150 

Region 7 - Idaho Falls
(208) 528-5750
Region 4 - Boise
(208) 334-0960


  Quality Improvement Specialists (QIS)
Regions 1 and 2 - (208) 799-4433
Regions 3 and 4 - (208) 455-7118
Regions 5, 6 and 7 - (208) 528-5724

 

 

 

 

 

 

 

 

 

 

For regional maps click here for county information.