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 adaptions, 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 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.
If you have questions or concerns, or need additional information please contact the BLTC. To view our current statewide staff directories, please select the following link(s).
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.
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: firstname.lastname@example.org
|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