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Public Notices & Meetings
/public-meetings-and-notices/division-medicaid-seeks-comment-amendments-regarding-new-model-idahos
… Division of Medicaid seeks comment on amendments regarding new model for … The Idaho Department of Health and Welfare Division of Medicaid provides public notice of its intent to submit a … benefit plan amendment to the Centers for Medicare and Medicaid Services in connection with the implementation of a …
News
/news/medicaid-members-offered-free-credit-and-theft-protection-monitoring-after-possible-data
… Medicaid members offered free credit and theft protection … person gained access to a payment account belonging to a Medicaid healthcare provider. This access may have exposed … received by 2,501 members, or 0.7% of the total Idaho Medicaid enrollment. At this time, there is no evidence …
Public Notices & Meetings
/public-meetings-and-notices/dhw-seeks-tribal-input-medicaid-state-plan-amendment
… DHW seeks tribal input on Medicaid State Plan Amendment Type of notice/meeting Public … (DHW) is seeking tribal input through March 31, 2021, on a Medicaid State Plan Amendment to update the 2020 cost of … to submit the amendment to the Centers for Medicare and Medicaid Services by March 31, 2021. Resources Medicaid …
Public Notices & Meetings
/public-meetings-and-notices/idaho-medicaid-hold-stakeholder-engagement-meeting-about-managed-care-0
… Idaho Medicaid to hold stakeholder engagement meeting about … a.m. MT March 1 Type of notice/meeting Public Meeting Idaho Medicaid to hold stakeholder engagement meeting about … This is to gather feedback on the state’s draft Idaho Medicaid Managed Care Quality Strategy (idaho.gov) posted to …
Public Notices & Meetings
/public-meetings-and-notices/idaho-medicaid-hold-stakeholder-engagement-meeting-about-managed-care-1
… Idaho Medicaid to hold stakeholder engagement meeting about … MT March 10 Type of notice/meeting Public Meeting Idaho Medicaid to hold stakeholder engagement meeting about … This is to gather feedback on the state’s draft Idaho Medicaid Managed Care Quality Strategy (idaho.gov) posted …
Public Notices & Meetings
/public-meetings-and-notices/idaho-medicaid-hold-stakeholder-engagement-meeting-about-managed-care
… Idaho Medicaid to hold stakeholder engagement meeting about … strategy Type of notice/meeting Public Meeting Idaho Medicaid to hold stakeholder engagement meeting about … This is to gather feedback on the state’s draft Idaho Medicaid Managed Care Quality Strategy (idaho.gov) posted to …
Public Notices & Meetings
/public-meetings-and-notices/dhw-conduct-negotiated-rulemaking-medicaid-program
… DHW to conduct negotiated rulemaking for Medicaid program Type of notice/meeting Public Notice DHW … for implementation of a new resource allocation model for Medicaid's Adult Developmental Disabilities Program. This …
Public Notices & Meetings
/public-meetings-and-notices/idaho-medicaid-hosts-public-hearing-aged-and-disabled-waiver-renewal
… Idaho Medicaid hosts public hearing for Aged and Disabled Waiver … Updates to align with recent changes to Idaho code Idaho Medicaid will host a public hearing from 9 a.m. to noon MT …
Public Notices & Meetings
/public-meetings-and-notices/idaho-medicaid-dur-board-meet-april-21-webex-and-boise
… Idaho Medicaid DUR Board to meet April 21 via Webex and in Boise Type of notice/meeting Public Meeting Idaho Medicaid Drug Utilization Review Board to meet at 9 a.m. …
Public Notices & Meetings
/public-meetings-and-notices/idaho-medicaid-hold-quarterly-meeting-idaho-tribes-nov-18
… Idaho Medicaid to hold quarterly meeting with Idaho tribes on Nov. 18 Idaho Medicaid to hold quarterly meeting with Idaho tribes at 9 …
Public Notices & Meetings
/public-meetings-and-notices/medicaid-accepting-public-input-notice-intent-seek-renewal-idahos-1915i
… Medicaid accepting public input on notice of intent to seek … be held on Tuesday, Dec. 1, 2020 at 3 p.m. (MT) via WebEx. Medicaid will accept comments on or before Wednesday, …
Public Notices & Meetings
/public-meetings-and-notices/idaho-medicaid-section-1115-behavioral-health-transformation
… Idaho Medicaid Section 1115 Behavioral Health Transformation … Public Forum Type of notice/meeting Public Notice Idaho Medicaid Section 1115 Behavioral Health Transformation …
News
/news/idaho-medicaid-seeks-public-input-transition-comprehensive-managed-care
… Idaho Medicaid seeks public input on transition to comprehensive … (DHW) is seeking public input to help shape the future of Medicaid services as Idaho begins its transition to … comprehensive managed care. A new state law directs Idaho Medicaid to procure contracts for managed care organizations …
Webpage
/services-programs/about-kw-lawsuit
… About the KW Lawsuit The lawsuit is about Idaho's Medicaid program for adults with intellectual and … of Health and Welfare. You are part of the lawsuit because Medicaid pays for supports and services to help you live the … life you want in the community. Because of this lawsuit, Medicaid started a project to make changes to the Adult DD …
Webpage
/services-programs/medicaid-health/youth-empowerment-services-yes
… Poverty Guidelines (FPG) If your child is approved for the Medicaid YES Program and your income is between 185% and … Division of Behavioral Health. To get a screening for non-Medicaid YES services, call Magellan Healthcare at … the YES website What's Covered If you are eligible for Medicaid through YES, Medicaid covers many healthcare …
Webpage
/providers/acute-and-continuing-care/psychiatric-residential-treatment-facility
… facility that provides inpatient psychiatric services to Medicaid-eligible individuals under the age of 21. A PRTF must have a provider agreement with the Idaho State Medicaid Agency, be accredited, and meet the federal … Program Website. To establish Centers for Medicare/Medicaid Services (CMS) Certification of a PRTF, an …
Webpage
/providers/idaho-medicaid-providers/provider-enrollment
… All providers wishing to participate in the Idaho Medicaid Program must first register for a Trading Partner Account (TPA) at www.idmedicaid.com . Become a Medicaid provider Select “Register” in the upper right hand …
Webpage
/providers/acute-and-continuing-care/hospitals
… care To establish State licensure and Centers for Medicare/Medicaid Services (CMS) Medicare Certification as a hospital … Idaho no longer issues state hospital rules. All Medicare/Medicaid certified hospitals must maintain licensure with … in an emergency room under EMTALA | CMS Become an Idaho Medicaid provider To become an Idaho Medicaid provider, you …
Webpage
/providers/acute-and-continuing-care/ambulatory-surgery-centers
… stay in a hospital). To establish Centers for Medicare/Medicaid Services (CMS) Medicare Certification of an ASC, an … Surgery Center survey results Centers for Medicare & Medicaid Services ASC Website CMS Ambulatory Surgical Center … website Complaint Process How to file a complaint Become a Medicaid provider To become an Idaho Medicaid provider, you …
Webpage
/providers/acute-and-continuing-care/home-health-agencies
… Health Aide Services To establish Centers for Medicare/Medicaid Services (CMS) Medicare certification of an HHA, an … Medicaid Provider Application and Certification Process The … CMS Exhibit 63 for additional document assistance. Become a Medicaid Provider To become an Idaho Medicaid provider, you …
Webpage
/providers/acute-and-continuing-care/rural-health-clinics
… results Complaint Process How to file a complaint Become a Medicaid provider To become an Idaho Medicaid provider, you must submit an Idaho Medicaid provider enrollment application to Gainwell, …
Webpage
/providers/acute-and-continuing-care/outpatient-physical-therapyspeech-pathology
… and CMS Locations Searchable Memo Database Medicare and Medicaid Provider enrollment information CMS requires new … Medicare Provider Enrollment To become an Idaho Medicaid provider, you must submit an Idaho Medicaid provider enrollment application to Gainwell, …
Webpage
/providers/acute-and-continuing-care/end-stage-renal-disease
… website Complaint process How to file a complaint Become a Medicaid Provider To become an Idaho Medicaid provider, you must submit an Idaho Medicaid provider enrollment application to Gainwell, …
Webpage
/services-programs/medicaid-health/apply-katie-beckett
… families. To determine eligibility, please apply for both Medicaid and the Katie Beckett program at the same time. In … size (see the specific income limits by selecting a Medicaid Program in the menu) How can I apply? The … for the Katie Beckett program has three steps. Apply for Medicaid; write Katie Beckett at top of application form …
Webpage
/providers/presumptive-eligibility-providers/presumptive-eligibility-providers
… a policy option that allows hospitals to provide temporary Medicaid coverage to people likely to qualify for Medicaid. Find training and resources available for … is likely to meet modified adjusted gross income (MAGI) Medicaid eligibility criteria. About presumptive …
Webpage
/services-programs/medicaid-health/pregnancy-coverage
… their pregnancy and up to 12 months postpartum care. About Medicaid for Pregnant Women Coverage This coverage ensures … adequate prenatal and postpartum care. To be eligible for Medicaid for pregnant women, you must meet the following … eligible non-citizen Apply online using idalink Apply for Medicaid, including Medicaid for pregnant women, online by …
Webpage
/services-programs/medicaid-health/assisted-care-and-facilities
… disabilities have different needs. The goal of the Idaho Medicaid program is to provide the right level of care in … of care, such as nursing home services are required. Idaho Medicaid programs living arrangement services This section … services and living arrangements available under the Idaho Medicaid program for individuals with physical, …
Webpage
/services-programs/medicaid-health/apply-childrens-developmental-disabilities-services
… To determine eligibility, please apply for both Medicaid and the Children with Disabilities Program at the … Disabilities Program How can I apply? Step 1: Apply for Medicaid Step 2: Apply for the Children's with … interview with a independent assessor provider 1. Apply for Medicaid Apply online Apply : Online using idalink Be …
Webpage
/services-programs/medicaid-health/womens-health-fit-fall-quit-smoking/womens-health-check
… Elmore Treatment through the Breast and Cervical Cancer Medicaid Program If you are diagnosed with breast and … you may be eligible for the Breast and Cervical Cancer Medicaid Program to help pay for treatment. You must meet …
Webpage
/providers
… Idaho laboratories and testing Licensing and certification Medicaid Public assistance programs Retailers Behavioral … services for children with developmental disabilities. Medicaid school-based service providers Find rules, … training, and resources for schools that are becoming Medicaid providers. Extended Employment Services Information …
Webpage
/providers/behavioral-health-providers/idaho-behavioral-health-transformation-waiver
… Health Transformation Waiver The Centers for Medicare and Medicaid Services approved the state’s Behavioral Health … access to and availability of care, expanded coverage of Medicaid services, improved care coordination, and … Care Risk Mitigation COVID-19 Public Health Emergency (PHE Medicaid Section 1115 Demonstration) The Centers for …
Webpage
/providers/intermediate-care-individuals-intellectual-disabilities/provider-application-and
… services are provided under a contract with the Medicaid program. Application Process To begin the … to set up an initial meeting. Applicants seeking Medicaid Certification and state licensure as an ICF/IID … refer to CMS Exhibit 63 and the Centers for Medicare & Medicaid Services Intermediate Care Facility for People …
Webpage
/appeals-and-fair-hearings
… both sides provide and the applicable program rules. Medicaid Medicaid for Adults, Children's Medicaid, and Children's Health Insurance Program (CHIP) If …
Webpage
/services-programs/whats-new
… and Exhibit Letter April 5, 2023 - Video – Introduction to Medicaid/BDDS March 2, 2023 - Testing Plan Draft March 2, … November 26, 2021 - Request for Comments / Proposed Medicaid Waiver and State Plan Amendments About the New … Adult DD Program November 16, 2021 - Plain Language Draft Medicaid Rules - English November 16, 2021 - Plain Language …
Webpage
/services-programs/medicaid-health/about-childrens-developmental-disabilities
… about services and benefits of each plan, visit the Idaho Medicaid Health Plan Booklet library . Developmental … planned and coordinated. Join us for a listening session Medicaid in Idaho is changing and we need your feedback. … Obtain service steps Contact the local regional Division of Medicaid Developmental Disability Program office at …
Webpage
/services-programs/medicaid-health/about-katie-beckett-program
… About the Katie Beckett Program Katie Beckett is a Medicaid program for children living at home with long-term … or complex medical needs, who may be eligible for Medicaid services even if their family income is above Medicaid federal poverty guidelines. Eligibility for Katie …
Webpage
/services-programs/children-families-older-adults/child-and-family-services-and-foster-care/about
… income criteria is based on the child’s income. Children’s Medicaid Children's Medicaid covers children under the age of 19 years who meet … ends meet. Go to Apply for TAFI Who's eligible Children's Medicaid Children's Medicaid covers children under the age …
Webpage
/about-dhw/reports-and-statistics
… economic and statewide budget forecasting, the divisions of Medicaid and Self-Reliance issue monthly reports of program … Tableau Reader must be downloaded to open interactive file. Medicaid and Health Health Quality Planning Commission … progress made by the Health Quality Planning Commission. Medicaid expansion enrollment (PDF) Cumulative enrollment …
Webpage
/about-dhw/boards-councils-and-committees
… Idaho Council on Domestic Violence & Victim Assistance Medicaid & health Medicaid Advisory Committee Beneficiary Advisory Council … Care Advisory Council Drug Utilization Review Idaho Medicaid Program and Tribes of Idaho Women's health & …
Webpage
/services-programs/kinship-and-caregiving
… TAFI (caretaker grant) Yes No 0-18 Yes No Apply for TAFI Medicaid Yes No 0-18* No Yes Apply for Medicaid Dental Yes No 0-18 No Yes About Dental Snap/food … training and tips, and support groups. Learn more about Medicaid for elderly or adults with disabilities Are you …
Webpage
/services-programs/behavioral-health/overdose-response
… be intended for your own use. Do you or your loved one have Medicaid? Naloxone is covered. Friends, family, or the … request a prescription at their local pharmacy. Bring the Medicaid number and patient name with you. For Idaho …
Webpage
/services-programs/health-behavioral-health-and-substance-use-disorder
… in your area by selecting the medical/healthcare button. Medicaid dental plan Idaho, it's time to smile! MCNA Dental is proud to be the Medicaid dental plan for Idaho. Find an MCNA dentist near … through MTM (Medical Transportation Management, Inc.) for Medicaid eligible participants. You may reach MTM to request …
Boards, Councils, & Committees
/about-dhw/boards-councils-committees/pharmacy-therapeutics-committee
… Pharmacy & Therapeutics Committee The Idaho Medicaid Pharmacy and Therapeutics Committee (P&T Committee) … serving since 2023) Non-Voting Members Vacant (Division of Medicaid, medical director) Kaden Schultz, PharmD (Division of Medicaid, pharmacy director) Nicole Chopski, PharmD (Board …
Webpage
/providers/center-excellence/idaho-wins-wraparound-competency-center
… (Video) For Families If your child is already enrolled in Medicaid, contact Magellan Health at 1-877-202-0973 to … it has been determined that your child does not qualify for Medicaid under the standard income limits, there are … disturbance (SED). Children with a SED are eligible for Medicaid at a higher income level. Follow the steps below to …
Webpage
/services-programs/behavioral-health/access-services
… paths depend on whether the child or youth is enrolled in Medicaid or has been identified as having a serious … disturbance (SED). Children with a SED are eligible for Medicaid at a higher income level. Read the information … Paths to services If your child is currently enrolled in Medicaid All children and youth with Medicaid can access …
Webpage
/services-programs/medicaid-health/early-periodic-screening-diagnostic-and-treatment-epsdt
… necessary services that exceed the limits of the Idaho Medicaid plan. The EPSDT benefit is provided to ensure … can get EPSDT services? If you are eligible for Children's Medicaid or CHIP, you can qualify for services under EPSDT. … income limits for this program. Children enrolled in Medicaid are eligible for medically necessary screenings, …
Webpage
/providers/home-and-community-based-services-adult-developmental-disabilities/developmental
… crisis management Developmental disabilities waiver nursing MedicAide newsletters for DD providers All/Multiple Provider … of Services Provided - Signature Required 10.2018 Medicaid Program Integrity Unit - Provider Self Report of … Update: Requests for Corrective Action Plans 06.2017 Medicaid Program Integrity Unit - Developmental Disability …
Webpage
/about-dhw/leadership-bios-and-photos
… and Welfare since September 2025. She served as the Idaho Medicaid administrator starting in November 2021 and was promoted to deputy director in June 2024. As Medicaid administrator she oversaw administration for the Idaho Medicaid program serving approximately 350,000 Idahoans. …
Webpage
/services-programs/behavioral-health/get-help
… your financial situation and whether you are eligible for Medicaid. Receive services If you are enrolled in Medicaid All adults with Medicaid can access mental health services through Magellan …
Webpage
/providers/combined-application-health-coverage-assistance/combined-application-health-coverage
… The application process requires individuals to apply for Medicaid services before receiving a decision for County … to submit a Combined Application for assistance. Ensure a Medicaid eligibility determination has been completed by … and has a valid signature for consideration for either Medicaid eligibility or county assistance. Incomplete …