Idaho Medicaid is a medical insurance program that serves as a safety net for people who have low incomes, have a disability, or are elderly.
Idaho offers four different plans to meet the individual needs of participants.
Standard – Provides only federally mandated benefits. All participants have the option to select this Standard Plan.
Basic – Benefits include preventive as well as medical, dental, and vision services for participants who meet income standards.
Enhanced – Benefits include Basic Plan benefits plus long-term, developmental disability, and mental health services and supports for participants who are eligible due to disabilities or have special health needs.
Medicare-Medicaid Coordinated – For participants who are eligible and enrolled in both Medicare and Medicaid. This plan includes the same benefits identified in the Enhanced Plan but include an option to receive services through a Medicare Advantage Plan of their choice.
Effective June 7, 2010, Idaho Medicaid contracted with DXC Technology, formally known as Molina Medicaid Solutions to be the MMIS claims processing center as well as provide provider training, billing, and operational support for all Medicaid providers.
Magellan Medicaid Administration is providing these services for the pharmacy program.
For more information on the Idaho Medicaid Program visit the Medicaid home page.
Idaho Medicaid Provider Exclusion List
Medicaid Provider Self Report Form