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Service & Program Gateway
Medicaid & Health
/services-programs/medicaid-health
… Medicaid & Health Services & Programs Medicaid & Health Providing healthcare services for … pregnant women, the elderly, and people with disabilities. Medicaid for Adults Medicaid offers free or low-cost healthcare coverage for …
Webpage
The Future of Idaho Medicaid is Managed Care
/managedcare
… The Future of Idaho Medicaid is Managed Care Do you or a loved one receive Medicaid services in Idaho? The way Medicaid services are administered in Idaho is changing, and …
Webpage
About Medicaid for Adults
/services-programs/medicaid-health/about-medicaid-adults
… About Medicaid for Adults Medicaid offers healthcare coverage that address a variety … with disabilities who meet certain income criteria .  Medicaid programs Medicaid offers different programs …
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Information for Medicaid Providers
/providers/idaho-medicaid-providers/information-medicaid-providers
… Information for Medicaid Providers Idaho Medicaid contracts with Gainwell Technologies  for the MMIS … provider training, billing, and operational support for all Medicaid providers. About Idaho Medicaid Idaho Medicaid …
Webpage
About Medicaid for Elderly or Adults with Disabilities
/services-programs/medicaid-health/about-medicaid-elderly-or-adults-disabilities
… About Medicaid for Elderly or Adults with Disabilities Medicaid covers adults with intellectual and developmental … (DD) as well and adults with physical disabilities. Medicaid also covers elderly persons who may need additional …
Webpage
About Medicaid for Children
/services-programs/medicaid-health/about-medicaid-children
… About Medicaid for Children Medicaid provides health coverage for children who meet … certain eligibility criteria. There are several different Medicaid programs available to address specific circumstances and needs of children.  Medicaid programs Medicaid offers different programs …
Webpage
Medicare Medicaid Members
/services-programs/medicaid-health/medicare-medicaid-members
… Medicare Medicaid Members A dual eligible beneficiary is someone over 21, enrolled in Medicare parts A, B, and D, and has Medicaid enhanced plan benefits. If you fall into this … there are two programs available for you, the Medicare Medicaid Coordinated Plan (MMCP) and the Idaho Medicaid Plus …
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Apply for Medicaid for Elderly or Disabled Adults
/services-programs/medicaid-health/apply-medicaid-elderly-or-disabled-adults
… Adults with disabilities can qualify for Medicaid based on their income and household status. The type of service or care that will be covered by Medicaid is called a Level of Care Determination which will … an individual has been determined financially eligible for Medicaid.  Eligibility for Medicaid for elderly and disabled …
Webpage
Medicaid School-Based Service Providers
/providers/medicaid-school-based-service-providers/medicaid-school-based-service-providers
… Medicaid School-Based Service Providers School districts and charter schools that enroll as Medicaid providers can receive reimbursement for … School districts and charter schools that enroll as Medicaid providers can receive reimbursement for …
Webpage
Medicaid Program Income Limits
/medicaid-program-income-limits
… Medicaid Program Income Limits Find income limits for Medicaid programs. Program Income Limits Click on the … on the link within each program tab below, or visit our Medicaid and Health programs. Income is only one piece of …
Webpage
Idaho Medicaid Pharmacy Program
/providers/pharmacy-providers/idaho-medicaid-pharmacy-program
… Idaho Medicaid Pharmacy Program The goal of the Idaho Medicaid Pharmacy Program is to provide quality care to Medicaid members with the most effective drug at the right …
Webpage
Adult Medicaid (including Expansion)
/services-programs/medicaid-health/adult-medicaid-including-expansion
… Adult Medicaid (including Expansion) Medicaid provides health coverage for all adults with  … as long as you meet eligibility criteria. About Adult Medicaid Coverage The Adult Medicaid program provides full …
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Medicaid for Workers with Disabilities
/services-programs/medicaid-health/medicaid-workers-disabilities
… Medicaid for Workers with Disabilities The Medicaid for Workers with Disabilities (MWD) program is … more money by working and still be eligible for the for Medicaid.  Keep in mind that your Social Security benefits …
Webpage
Medicaid Programs
/services-programs/medicaid-health/medicaid-programs
… Medicaid Programs People are different, and so are their healthcare needs.  Population-specific Medicaid Learn more about adult developmental disabilities … programs, breast and cervical cancer screening, Medicaid for workers with disabilities, pregnancy coverage, …
Webpage
Manage my Katie Beckett Medicaid
/services-programs/medicaid-health/manage-my-katie-beckett-medicaid
… Manage my Katie Beckett Medicaid Learn how to choose a primary care provider for your child, use your Medicaid ID card, and report changes. Medicaid ID Card The first time you are eligible for Idaho …
Webpage
Manage my Adult with Disabilities Medicaid
/services-programs/medicaid-health/manage-my-adult-disabilities-medicaid
… Manage my Adult with Disabilities Medicaid Learn more about your Medicaid ID card, recertification, reporting requirements, and proof of health coverage.  Medicaid ID Card The first time you’re eligible for Idaho …
Webpage
Manage Medicaid for my Child with a Disability
/services-programs/medicaid-health/manage-medicaid-my-child-disability
… Manage Medicaid for my Child with a Disability Learn more about your Medicaid ID card, recertification, reporting requirements, and proof of health coverage.   Medicaid ID Card The first time you’re eligible for Idaho …
Webpage
Manage my Adult Medicaid
/services-programs/medicaid-health/manage-my-adult-medicaid
… Manage my Adult Medicaid Learn more about your Medicaid ID card, recertification, reporting requirements, and proof of health coverage.   Medicaid ID Card The first time you’re eligible for Idaho …
Webpage
Manage my Children's Medicaid
/services-programs/medicaid-health/manage-my-childrens-medicaid
… Manage my Children's Medicaid Your child's healthcare is important. Find a primary care provider who accepts Idaho Medicaid and will provide the best treatment for your child. Medicaid ID Card The first time you are eligible for Idaho …
Webpage
Apply for Medicaid
/services-programs/medicaid-health/apply-medicaid-0
… Apply for Medicaid You should submit an application for Medicaid even if you are not sure you are eligible. Income guidelines can be found under Medicaid for children ( Medicaid Programs ). Generally, …
Webpage
Medicaid Programs
/services-programs/medicaid-health/medicaid-programs-0
… Medicaid Programs Children are different, and so are their healthcare needs.  Population-specific Medicaid Learn more about the different types of Medicaid children can qualify for. CHILDREN SERVICES …
Webpage
Medicaid School-Based Services
/services-programs/medicaid-health/medicaid-school-based-services
… Medicaid School-Based Services School-based services are … Schools School districts and charter schools that enroll as Medicaid providers can receive reimbursement for … services provided that: The child is eligible for Medicaid Each service is specifically identified on an …
Webpage
Idaho's Medicaid Lead Program
/providers/idaho-medicaid-providers/idahos-medicaid-lead-program
… Idaho's Medicaid Lead Program Lead poisoning can still be a problem … children. There is evidence that children eligible for Medicaid may be at higher risk for lead exposure. Elevated … of six are at highest risk. The Centers for Medicare and Medicaid (CMS) mandates that all Medicaid eligible children …
Webpage
Apply for Medicaid
/services-programs/medicaid-health/apply-medicaid
… In order to receive health coverage through one of the Adult Medicaid programs, you must complete the application process … size (see the specific income limits by selecting a Medicaid Program in the menu) Your resources must not exceed … online self-service portal, where you can manage your Medicaid, food, cash, and child care assistance all in one …
Webpage
Children's Medicaid
/services-programs/medicaid-health/childrens-medicaid
… Children's Medicaid Children's Medicaid covers children under the age of 19 years old who … eligibility criteria. You can still qualify for children's Medicaid even if you have other health insurance. Medicaid …
Webpage
Medicaid Nursing Facilities
/providers/idaho-medicaid-providers/medicaid-nursing-facilities
… Medicaid Nursing Facilities Medicaid oversees nursing facility reimbursement, the … all members, regardless of payment source, admitting to a Medicaid nursing facility. The PASRR screens for serious … Behavioral Care Units (BCUs) are nursing facilities with a Medicaid approved status that provide care to individuals …
Webpage
Medicaid Supports
/services-programs/medicaid-supports
… Medicaid Supports Idaho Medicaid pays for the supports you need to help you live the …
Boards, Councils, & Committees
Medicaid Advisory Committee
/about-dhw/boards-councils-committees/medicaid-advisory-committee
… Medicaid Advisory Committee The Medicaid Advisory Committee (MAC) advises Idaho Medicaid in the development and refining of the Medicaid …
Boards, Councils, & Committees
Idaho Medicaid Program and Tribes of Idaho
/about-dhw/boards-councils-committees/idaho-medicaid-program-and-tribes-idaho
… Idaho Medicaid Program and Tribes of Idaho The Idaho Department of … basis with the six tribes in Idaho on matters relating to Medicaid eligibility and services. This committee was … are included in decision-making regarding changes in the Medicaid program that have a direct compliance cost or …
Blog Article
From DHW Director Dave Jeppesen: An update on what the federal COVID-19 Public Health Emergency means for Idaho Medicaid recipients
/dhw-voice/dhw-director-dave-jeppesen-update-what-federal-covid-19-public-health-emergency-means
Blog Article
From DHW Director Dave Jeppesen: Helping implement Medicaid Expansion was one of my first and biggest challenges at DHW
/dhw-voice/dhw-director-dave-jeppesen-helping-implement-medicaid-expansion-was-one-my-first-and
Blog Article
DHW cares about kids: how Idaho worked to keep eligible children (and adults) on Medicaid
/dhw-voice/dhw-cares-about-kids-how-idaho-worked-keep-eligible-children-and-adults-medicaid
Blog Article
From DHW Director Dave Jeppesen: DHW continues re-evaluations for those in Medicaid Protection
/dhw-voice/dhw-director-dave-jeppesen-dhw-continues-re-evaluations-those-medicaid-protection
Blog Article
From DHW Director Dave Jeppesen: More than 20,000 participants on Medicaid Protection determined to be eligible so far
/dhw-voice/dhw-director-dave-jeppesen-more-20000-participants-medicaid-protection-determined-be
Blog Article
Federal requirement for continuous Medicaid enrollment expires March 31, 2023
/dhw-voice/federal-requirement-continuous-medicaid-enrollment-expires-march-31-2023
Blog Article
An FAQ about Medicaid Expansion and continuous enrollment
/dhw-voice/faq-about-medicaid-expansion-and-continuous-enrollment
Blog Article
DHW looking at additional Personal Care Services options for those on Medicaid as public health emergency ends
/dhw-voice/dhw-looking-additional-personal-care-services-options-those-medicaid-public-health
Blog Article
From DHW Director Dave Jeppesen: DHW has processed re-evaluations for 32,898 people on Medicaid Protection; a little less than half remain eligible
/dhw-voice/dhw-director-dave-jeppesen-dhw-has-processed-re-evaluations-32898-people-medicaid
Blog Article
From DHW Director Dave Jeppesen: Medicaid Protection is ending soon  
/dhw-voice/dhw-director-dave-jeppesen-medicaid-protection-ending-soon-0
Blog Article
From DHW Director Dave Jeppesen: Idaho Medicaid serves the vulnerable, the poor, the young, and the old
/dhw-voice/dhw-director-dave-jeppesen-idaho-medicaid-serves-vulnerable-poor-young-and-old
Blog Article
From DHW Director Dave Jeppesen: Idaho completes Medicaid reevaluations efficiently and accurately
/dhw-voice/dhw-director-dave-jeppesen-idaho-completes-medicaid-reevaluations-efficiently-and
Blog Article
From DHW Director Dave Jeppesen: Over half of our Medicaid Protection re-evaluations have been processed
/dhw-voice/dhw-director-dave-jeppesen-over-half-our-medicaid-protection-re-evaluations-have-been
Public Notices & Meetings
Idaho Medicaid hosts public hearing on May 12 about Medicaid Plus Waiver renewal
/public-meetings-and-notices/idaho-medicaid-hosts-public-hearing-may-12-about-medicaid-plus-waiver
… Idaho Medicaid hosts public hearing on May 12 about Medicaid Plus Waiver renewal Type of notice/meeting Public Meeting The current Idaho Medicaid Plus §1915(b) waiver is set to expire on Oct. 31, …
Public Notices & Meetings
Idaho Medicaid holds negotiated rulemaking for Medicare - Medicaid Coordinated Plan
/public-meetings-and-notices/idaho-medicaid-holds-negotiated-rulemaking-medicare-medicaid
… Idaho Medicaid holds negotiated rulemaking for Medicare - Medicaid Coordinated Plan Type of notice/meeting Public Meeting The Division of Medicaid is holding a required negotiated rulemaking for …
News
Continuous Medicaid enrollment ends April 1. First batch of notices issued today
/news/continuous-medicaid-enrollment-ends-april-1-first-batch-notices-issued-today-0
… Continuous Medicaid enrollment ends April 1. First batch of notices … emergency, states were not allowed to remove anyone from Medicaid unless they moved out of the state, asked to be removed, or died. This was called continuous Medicaid enrollment or  Medicaid Protection . As people’s …
News
DHW encourages Idaho Medicaid providers to apply for funding before Dec. 18 deadline
/news/dhw-encourages-idaho-medicaid-providers-apply-funding-dec-18-deadline
… DHW encourages Idaho Medicaid providers to apply for funding before Dec. 18 … deadline December 9, 2020 Author DHW Communications Idaho Medicaid providers may be eligible for funding from the Medicaid Provider CFAC  Stabilization Funding Opportunity, …
News
CMS approves Idaho Medicaid Behavioral Health Transformation 1115 waiver allowing reimbursement for services for adults in IMDs and residential settings
/news/cms-approves-idaho-medicaid-behavioral-health-transformation-1115-waiver-allowing
… CMS approves Idaho Medicaid Behavioral Health Transformation 1115 waiver … has received approval from the Centers for Medicare and Medicaid Services (CMS) for  a Medicaid 1115 waiver  to allow reimbursement of services for …
News
Idaho Medicaid submits behavioral health transformation/IMD waiver for federal approval
/news/idaho-medicaid-submits-behavioral-health-transformationimd-waiver-federal-approval
… Idaho Medicaid submits behavioral health transformation/IMD waiver … transformation waiver  to the Centers for Medicare and Medicaid Services (CMS) for federal consideration. This 1115 … 2019 legislative session, seeks federal approval to allow Medicaid reimbursement for mental health and substance use …
Public Notices & Meetings
Medicaid to submit aged and disabled waiver amendments
/public-meetings-and-notices/medicaid-submit-aged-and-disabled-waiver-amendments
… Medicaid to submit aged and disabled waiver amendments Type … The Idaho Department of Health and Welfare Division of Medicaid provides public notice of its intent to submit to the Centers for Medicare and Medicaid Services (CMS) amendments to the Aged and Disabled …
Public Notices & Meetings
DHW hosts a Zero-Based Rulemaking Public Hearing - Docket 16-0317-2201 Medicare Medicaid Coordinated Plan
/public-meetings-and-notices/dhw-hosts-zero-based-rulemaking-public-hearing-docket-16-0317-2201
… Rulemaking Public Hearing - Docket 16-0317-2201 Medicare Medicaid Coordinated Plan Type of notice/meeting Public Notice DHW's Division of Medicaid will host a Zero-Based Rulemaking Public Hearing on Docket 16-0317-2201 Medicare Medicaid Coordinated Plan at 1 p.m. Oct. 13 via Webex.  It …