New IBHP

The new Idaho Behavioral Health Plan (IBHP) will transform and improve Idaho’s behavioral healthcare system by coordinating behavioral health benefits for Idaho residents. Services will be managed by Magellan Healthcare, Inc. beginning July 1, 2024.

What is an IBHP and how is the new one different?

The IBHP is the framework for how behavioral health services for conditions such as mental health and substance use disorders are administered in Idaho. The new IBHP contract is structured differently than the previous one because a managed care provider, Magellan Healthcare, Inc., will manage behavioral health services for the Divisions of Behavioral Health and Medicaid. Magellan will also manage the provider network for the Department of Juvenile Corrections. Magellan will oversee behavioral health services for Idahoans who have Medicaid, other types of insurance, and who don’t have insurance. Because outpatient behavioral health services will be included in the plan, the Division of Behavioral Health (DBH) will no longer offer outpatient behavioral health services.

Next steps

On July 1, 2024, Magellan will begin managing services for the IBHP. Before that date, nothing will change from your current service delivery. 

Important things to know:

  • Magellan will honor all authorizations from BPA, Telligen, and Optum that have been approved and span past July 1, 2024. The end date of the authorization will be the same as what Optum, Telligen, and BPA told your provider. 
  • Magellan will ensure that your care is not disrupted during the transition.
  • Magellan has reached out to your provider to offer a contract to join Magellan's network and are actively recruiting all Idaho behavioral health providers to their network. 
  • If you get treatment or services now from a provider who is not in Magellan’s network, you can keep seeing them for at least the first 90 days after July 1, 2024, and Magellan will cover the services.
  • Tribal members in active treatment with Indian healthcare providers may continue receiving services from that provider for as long as they need to, and Magellan will cover the services.

Magellan will mail out a member welcome packet beginning in June to members currently served by Medicaid, DBH, and BPA, Optum, and Telligen. Beginning June 1, visit the Magellan of Idaho website for details about covered services, pre-authorization requirements and other items.  
 

Current Medicaid participants

Keep your current Medicaid card. You will continue to use your current Medicaid card when Magellan begins managing the IBHP. Questions about your current coverage can be directed to 855-202-0973. This customer service phone number will stay the same and transfer to Magellan starting July 1. 

Printed map of Idaho showing surrounding states
What do members need to do?
Nothing right now.

Magellan will mail you a letter with information on what is changing and what steps you need to take.
As the current IBHP contract neared its end date, Idaho completed a thorough review of behavioral healthcare and realized this was an opportunity to improve services for Idahoans. 

FAQ

What is changing?

Idaho has awarded a contract to Magellan Healthcare, Inc. who will take over managing behavioral health services and coordinating care for Medicaid and non-Medicaid members.

Who should I contact if I have questions?
  • If you have questions about your coverage, contact the phone number on the back of your insurance card.
  • For eligibility questions, contact the Division of Self-Reliance at 877-456-1233.
  • For general referrals, contact the Idaho CareLine at 2-1-1. 
  • For questions about the future Idaho Behavioral Health Plan or other questions, contact IBHP@dhw.idaho.gov to connect with the Idaho Behavioral Health Plan Governance Bureau.
When will the changes happen?

Magellan will begin managing the IBHP on July 1, 2024.

How will I know if this change will affect me?

This change will affect all eligible Medicaid members. You will receive a letter telling you that you will be enrolled in a managed care organization (MCO). Magellan, as the MCO,  will mail you a welcome packet.

What is an MCO?

A managed care organization (MCO) is an organization that helps you manage your health. Idaho's new MCO for behavioral health is Magellan Healthcare, Inc. Magellan will help you get the services you need by coordinating care and providing behavioral healthcare services through a network of providers.

What behavioral health or non-Medicaid services are covered through the IBHP (or by the MCO )?

For questions about specific services that are covered in the IBHP, contact the number on the back of your insurance card. In general, covered services include mental health services and substance use disorder services. This can mean therapy services, recovery and support services, and crises services. You can learn more about services included in the Idaho Health Plan.