Manage my Medicaid with Healthy Connections

Healthy Connections is the Idaho Medicaid program that helps participants connect with a Primary Care Provider (PCP)/clinic who will coordinate their healthcare needs.

Your PCP will coordinate your care, including giving referrals to other providers to allow medically necessary services to occur.
Healthy connections follows a fixed enrollment process
- You will stay enrolled with your PCP unless you qualify for a reason to change.
- You can change your PCP for any reason during Open Enrollment every July and August.

If you need additional information you can contact Healthy Connections at 888-528-5861 or by email at hccr7@dhw.idaho.gov.

Enrollment in Healthy Connections will be with a clinic, not a specific provider. The clinic will work with you to determine your specific primary care provider or primary care team.

When searching for a Healthy Connections Primary Care Provider, the results will show a Healthy Connections Tier 1, 2 or 3 next to the clinic. The provider requirements for those tiers are listed below:

Healthy Connections Tier I:

Provide primary care including monitoring and coordinating patient care
Provide timely referrals to medically necessary services
Provide 24 hour, 7 days a week availability of information, referral, and treatment for emergency medical conditions

Healthy Connections Care Management Tier II:

Provide all requirements listed in Healthy Connections Tier I
Provide additional access to care, which may include:
- Being open 46 hours or more each week
- Having a patient portal
- Offering telehealth
Provide patient outreach and education activities
Provide quality improvement activities
Provide care coordination
Track and follow-up on referrals
Exchange patient-level information with other healthcare systems

Healthy Connections Medical Home Tier III:

Provide all requirements listed in Healthy Connections Care Management Tier 2
Be nationally recognized as a Patient-Centered Medical Home

Find a Healthy Connections Primary Care Provider

Search for a primary care provider.
Submit your choice of primary care provider.

Idaho Medicaid Health Plan Booklet

This booklet has information about each of Medicaid’s healthcare benefit plans.

Resources

View participant Healthy Connections forms.

View information and resources for Healthy Connections providers.

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