Behavioral Health

Information about the transformation of the behavioral healthy system in Idaho.

The Idaho Behavioral Health Plan (IBHP) offers a variety of outpatient behavioral health services to Medicaid members in Idaho.

The IBHP provides services for children and adults, based on medical necessity.

In compliance with the Jeff D. Settlement Agreement, new and updated services have been formed for all children, including those with serious emotional disturbance (SED). Further, Medicaid obtained a 1915(i) State Plan Option to allow expanded income limits for children with SED, when their family would not otherwise qualify based on income. Through Expansion, all adults that obtain Medicaid eligibility are now eligible to receive behavioral health services through the IBHP, including adults with serious mental illness (SMI) or serious and persistent mental illness (SPMI). Members are always able to choose their provider within the Optum network and have the right to change their provider at any time.

Optum Contract Documents

The most recent and up-to-date components of the contract between the Department of Health and Welfare and Optum are available for download.

To access the entire contract, please make a public records request to the Department of Administration, Division of Purchasing.  

Additional Resources

Optum Idaho
Optum Idaho is the managed care contractor for Behavioral Health benefits.
Fair Hearing Request Form
Request a fair hearing by filing out and submitting the fair hearing request form
Member phone number
Provider phone number