Promoting and protecting the health and safety of all Idahoans

Surgery and Procedures

To determine whether or not a surgery or procedure requires a Prior Authorization by CPT code, please see the current Medicaid Fee Schedule

Please see Idaho Prior Authorization Codes in the Document Library on Telligen's website to determine if a prior authorization is required by Telligen.

To apply for access to the Telligen Portal please fill out the registration packet located in the document library on the Telligen site. Once approved, providers can submit a request to either Telligen or Medicaid’s Medical Care Unit, but not both.   

The Medical Care Unit also reviews a select number of ICD-10-PCS Codes as isted in the Hospital, Idaho Medicaid Provider Handbook.

Medical Care Unit Authorizations

Prior authorizations that are not reviewed by Telligen should be faxed to the Medical Care Unit at 1 (877) 314-8779 on the Surgery and Procedure Prior Authorization Form. Please, include proof of medical necessity with your request. Requests are only accepted by fax.

The status of a prior authorization request may be checked online at the DXC Technology portal under “Authorization Status”, using your NPI, or by contacting DXC Technology at 1 (866) 686-4272.

For other questions or general information, contact 1 (866) 205-7403.

Telligen, Inc. Authorizations

Prior authorization requests through Telligen, Inc. may be submitted:

Online: Telligen provider portal.
Fax: 1 (800) 826-3836
Mail: Telligen
670 East Riverpark Lane, Suite 170
Boise, ID 83706

The status of a prior authorization request may be checked online at the provider portal, or by contacting Telligen, Inc. at 1 (866) 538-9510.

Please, contact Telligen, Inc. at 1 (866) 538-9510 if you require additional information or assistance.