Information for providers of personal care services and home and community-based waivers.
The Bureau of Long Term Care (BLTC) works with multiple healthcare providers that help participants maintain independence in their home through authorized services. Periodic quality assurance reviews make sure that participants receive safe and quality care and services.
BLTC has oversight of the following services and programs:
- State Plan Personal Care Services (PCS):
- Grooming, bathing, toileting, dressing, food and nutrition, and incidental housekeeping.
- Aged and Disabled Waiver Services (A&D):
- 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, and habilitation.
Personal Assistance Agency Prospective Provider Enrollment
A prospective Personal Assistance Agency (PAA) must complete the Prospective Home and Community Based Services (HCBS) Provider Toolkit as part of the enrollment application with the Department’s provider enrollment vendor. This toolkit provides important information to assist prospective providers in the application process to ensure compliance to all rules, regulations, and contractual obligations.
Prospective HCBS Provider Toolkit
Prospective Provider Resources
If you are interested in becoming a Medicaid provider please visit the prospective provider resource library to find frequently asked questions, enrollment resource guide, and other documents that may be helpful.
All new providers must be trained by the Quality Assurance Specialist prior to application approval and before providing any services for the Aged & Disabled Waiver or State Plan Personal Care Services. This includes Certified Family Home, Residential Assisted Living Facility, Home Delivered Meals, and Personal Emergency Response System prospective providers.
To schedule a training, please call 1-877-799-4430 or email the quality assurance team directly at BLTCQA@dhw.idaho.gov.
HCBS Setting Compliance
Idaho received final approval in 2019 for its Statewide Transition Plan (STP) to ensure all Idaho HCBS settings are compliant with federally required setting qualities.You can review the Statewide Transition Plan here.
A&D Waiver Case Management for Home and Community-Based Services (HCBS) refers to the coordination and management of services for individuals on the A&D Waiver that meet specific criteria and who receive support to live in their own homes or in community settings, rather than in an institutional setting, i.e., nursing facility.
The goal is to ensure that individuals with chronic conditions, disabilities, or aging-related needs can access a range of services that promote independence, safety, and well-being in the least restrictive environment possible.
| Case Manager Handbook v1.0 | Case Management Provider Help Aid v1.2 |
| CM Stakeholder Meeting DEC 2024 | CM Training DEC 2024 |
Operational materials related to the Family Personal Care Services (FPCS) benefit, which allows for a parent of a minor child or spouse to provider Personal Care Services and Attendant Care to eligible participants, are below. Please note that the department intends to end this program effective January 31, 2025. Please visit the Idaho 1115 Family Personal Care Services Waiver document library to review the draft amendment and for instructions on how to submit public comments if you wish to do so.
| Agency RN Supervisory Visit Form | Family PCS Request Help Aid |
| FPCS FAQs | FPCS Request Form |
| FPCS Workgroup Meeting Agendas and Minutes | FPCS Termination FAQs |
The General BLTC Staff Directory has been removed from this website. If you have questions or concerns, please call the statewide toll-free BLTC phone number at (877) 799-4430 or send an email to the respective regional team email box as listed below.
If you have an inquiry about a new Family Personal Care Services or Aged and Disabled Waiver assessment that has already been referred to our team for scheduling, the assigned nurse reviewer will call you when he or she is able to do so. Our team schedules assessments in the order received. Repeated calls, messages, or emails will not expedite scheduling. Due to the extremely high volume of referred assessments and inquiries, the BLTC will not be taking action on messages related to initial assessment status.
Region 1: BLTCRegI@dhw.idaho.gov
Region 2: BLTCRegII@dhw.idaho.gov
Region 3: BLTCRegIII@dhw.idaho.gov
Region 4: BLTCRegIV@dhw.idaho.gov
Region 5: BLTCRegV@dhw.idaho.gov
Region 6: BLTCRegVI@dhw.idaho.gov
Region 7: BLTCRegVII@dhw.idaho.gov
To view our Quality Assurance Team Directory, please click the link below.
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 our Complaint Intake Managers who are responsible to prioritize and manage all submitted complaints.
Submit a complaint
Dual Eligible Providers with questions about UAI Assessment, Service Plan, Authorizations, or any anything related to the Aged and Disabled Waiver, Personal Care Services, or Behavioral Health Services should contact the health plans Utilization Management Teams by email:
- Molina Healthcare of Idaho: MHIDPriorAuthorizations@MolinaHealthCare.Com
- Blue Cross of Idaho: mmcp-mqm@bcidaho.com
| Medicaid Coordinated Plan (MMCP) | Idaho Medicaid Plus (IMPlus) |
| Blue Cross of Idaho Customer Service 1-888-495-2583 Blue Cross customer representatives are available from 8 a.m. to 8 p.m. MT, Monday - Friday Provider Questions: 1-866-432-4612 Molina HealthCare of Idaho Customer Service 1-844-239-4913 Molina HealthCare customer representatives are available from 8 a.m. to 8 p.m. 7 days a week, every day of the year. Provider Questions: 844-239-4914 |
Blue Cross of Idaho |