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/services-programs/behavioral-health/get-help-0
… your financial situation and whether you are eligible for Medicaid. Find treatment today If you are currently enrolled in Medicaid To receive substance use disorder services, contact … at 855-202-0973 . If you are not currently enrolled in Medicaid To receive health coverage through one of the …
Webpage
/providers/home-and-community-based-services-adult-developmental-disabilities/provider-information
… DD Provider Updates Provider Updates Information Releases MedicAide Newsletters Provider links Certified family homes … for providers • Gainwell Technologies • Provider handbook • Medicaid exclusion list • Provider authorization forms • MedicAide newsletters • Information releases • Fee schedules …
Webpage
/contact-us
… menu below. Frequently called numbers Food stamps, Medicaid, ICCP, and TAFI Stay on the line when calling, and … eligibility decision View appeal information Food Stamps, Medicaid, ICCP, and TAFI Questions 877-456-1233 or email … 208-334-5514 Licensing and Certification 208-364-1959 Medicaid main line 888-528-5861 Medicaid provider questions …
Webpage
/services-programs/about-my-choice-matters
… About My Choice Matters Medicaid’s promise to listen to what adults with … developmental disabilities, you have rights and choices. Medicaid wants you to be the boss of Go to My Rights and Choices Medicaid Supports Idaho Medicaid pays for the supports you …
Webpage
/services-programs/disabilities
… State Independent Living Council Workers with Disabilities Medicaid for Workers with Disabilities The Medicaid for Workers with Disabilities (MWD) program is … insurance for people who work and who have a disability. Medicaid for Workers with Disabilities Adults with …
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/services-programs/medicaid-health/idaho-home-choice
… Eliminate barriers and mechanisms in state law, state Medicaid plans, or state budgets that prevent or restrict the flexible use of Medicaid funds to enable Medicaid-eligible members to receive long term care in the …
Webpage
/providers/developmental-disabilities-and-residential-habilitation-agencies/developmental
… Step 4: Once certified, if you are wanting to become a Medicaid provider, complete the Medicaid provider enrollment application. You can complete this by visiting the Medicaid website or if you are applying to provide …
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 … services and living arrangements available under the Idaho Medicaid program for individuals with physical, … living (e.g. home or apartment). Go to Idaho Home Choice Medicaid for Workers with Disabilities The Medicaid for …
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/providers/managed-care-providers/managed-care-providers
… Managed Care Providers Find information for serving Medicaid participants under a managed care contract. Our … Idaho Smiles dental plan (MCNA), and the Medicare Medicaid Coordinated Plan and Idaho Medicaid Plus plans (Blue Cross of Idaho and Molina …
Webpage
/services-programs/medicaid-health/medicare-savings-program
… Savings Program Medicare Savings Programs (MSPs) are Medicaid-administered programs for people on Medicare who … Savings Programs You can view the income limits for the Medicaid Saving Program and other Medicaid programs on the income guidelines page . Medicare …
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/services-programs/medicaid-health/womens-health-fit-fall-quit-smoking/womens-health-check
… through breast and cervical cancer program funded through Medicaid. Screening and treatment Early detection saves … to receive treatment through Breast and Cervical Cancer Medicaid Program. When found eligible for the Breast and Cervical Cancer Program, participants may receive Medicaid benefits including: Surgery Radiation Chemotherapy …
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/services-programs/medicaid-health/apply-adult-developmental-disabilities-programs
… The Medicaid Program has special provisions for people with … disability services, first you need to complete a Medicaid application and be determined financially eligible for Medicaid. Then you will need to complete an application and …
Webpage
/about-dhw/leadership-bios-and-photos
… their mini-labradoodle. Juliet Charron Deputy Director Medicaid & Behavioral Health Juliet Charron served as the Idaho Medicaid administrator since November 2021 and was promoted to deputy director in June 2024. As Medicaid administrator she oversaw administration for the …
Webpage
/services-programs/medicaid-health/katie-beckett
… Katie Beckett 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/medicaid-health/my-choice-matters
… My Choice Matters My Choice Matters is Idaho Medicaid’s promise to listen to what adults with … lawsuit resulted in a settlement in which the Department's Medicaid program agreed to make changes to how supports and … is available on the My Choice Matters website, including: Medicaid Supports for requesting changes to your budget or …
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/services-programs/children-families/child-and-family-services-and-foster-care/about-kinship-and
… income criteria is based on the child’s income. 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 of 19 years who meet …
Service & Program Gateway
/services-programs/children-families/older-adults
… Assistance Heating and Utility Assistance Supplemental Food Medicaid and Assisted Living Facilities DHW provides … and people with disabilities. Assisted Care and Facilities Medicaid for Adults Medicaid for Elder or Disabled Adults Medicaid Estate …
Webpage
/providers/certified-family-homes/certification-and-recertification
… page, find out how to get certified to care for an adult Medicaid or private pay resident who lives with you. Access … your Certified Family Home Certificate. Enrollment as a Medicaid provider Contact Medicaid about the enrollment process. …
Webpage
/providers/children-and-youth-special-health-care-needs/providers-resources-cyshcn
… Toddler Program About the Katie Beckett Program About Medicaid for Children Accessia Health Asthma Allergy … Plans Idaho Rx Card – Statewide Program Idaho Pharmacy Medicaid Program Simplefill Rx Assistance Youth Empowerment … coordinated, accessible, and focused on quality Manage My Medicaid with Healthy Connections Manage Medicaid for my …
Webpage
/services-programs/medicaid-health/self-directed-services
… This option gives you more choice and control over the Medicaid funds used to buy your services and supports. You … the people you want to help you. You keep track of your Medicaid budget account. My Voice, My Choice My Choice, My … and supports. You want more control over how you spend your Medicaid budget account. You want to hire and manage your …
Webpage
/about-dhw/rules-policies-procedures-and-waivers
… library Behavioral Health Family and Community Services Medicaid Policies library Agency Transparency Executive … Licensing & Certification policies Human Resources policies Medicaid policies Medicaid Tribal policies Director's Bulletins State plans …
Webpage
/providers/home-and-community-based-long-term-care/long-term-care-provider-enrollment-and-general
… Provider Resources If you are interested in becoming a Medicaid provider please visit the prospective provider … Transition Plan here . Provider Enrollment Forms Visit idmedicaid.com for enrollment forms to get started. Enrollment forms on idmedicaid.com A&D Waiver Case Management A&D Waiver Case …
Webpage
/services-programs/children-and-youth
… Idaho Federation of Families for Children's Mental Health Medicaid for children Medicaid provides health coverage for children who meet … certain eligibility criteria. There are several different Medicaid programs available to address specific …
Webpage
/services-programs/behavioral-health/crisis-services-and-quick-reaction-team-qrt
… or residential placement when they meet medical necessity. Medicaid- Early and Periodic Screening, Diagnostic, and … (EPSDT): Helps answer questions/provide context regarding Medicaid, psychiatric residential treatment facility (PRTF), … They can also provide information on options that Medicaid could potentially fund. Idaho Behavioral Health …
Webpage
/providers/developmental-disabilities-and-residential-habilitation-agencies/residential-habilitation
… you are submitting. Step 4: Once certified, complete the Medicaid provider enrollment application to become a Medicaid provider. You can complete this by visiting the Medicaid website . Additional information regarding …
Webpage
/services-programs/about-childrens-special-health-program
… or PKU Child’s parent/guardian is required to apply for Medicaid before applying for CSHP services What services are … in the PKU Program is not restricted if the child has Medicaid or a commercial insurance PHE Monitoring Consults … required supporting documentation (income tax return and Medicaid denial letter) can be faxed to 208-334-4946 or …
Webpage
/health-wellness/diseases-conditions/hiv
… insurance benefits including but not limited to Medicaid, Medicare, State health insurance exchange and/or … income is at or below 138% FPL , you may be eligible for Medicaid and should apply through Apply for Medicaid | Idaho Department of Health and Welfare Family …
Webpage
/providers/skilled-nursing/cmsfederal-resources
… CMS/Federal Resources The Center for Medicare and Medicaid Services (CMS) maintains oversight for compliance … above, here are additional steps which must be completed: Medicaid Provider Enrollment: reach out to Gainwell … at 1-866-686-4272 which is the Provider line or go to Medicaid website and look under the Provider tab for …
Webpage
/services-programs/medicaid-health/nursing-home-coverage
… spouse are entering a nursing home, you may qualify for Medicaid benefits, including paying a portion of your nursing home costs. To determine whether Medicaid can help right away, or after you have paid some … spouse are entering a nursing home, you may qualify for Medicaid benefits, including paying a portion Go to Nursing …
Webpage
/services-programs/children-families/adult-immunization
… also have coverage for: Herpes zoster (shingles) MMR Tdap Medicaid Idaho’s Medicaid agency will cover at least some adult immunizations … not offer all vaccines that are needed. Check with Idaho's Medicaid agency for more information. Military If you serve …
Webpage
/providers/managed-care-providers/non-emergency-medical-transportation
… MTM's website . If you have questions or feedback for the Medicaid NEMT Team responsible for overseeing the contract … may complete our online feedback form , email the team at MedicaidTransport@dhw.idaho.gov , or call 1-800-296-0509. … Manual Transportation Provider Handbook A manual for Medicaid Transportation Providers …
Webpage
/health-care-provider-self-report
… Health Care Provider Self Report Idaho Medicaid Program Integrity (MPI) is committed to protecting … and the elimination of fraud, waste, and abuse in the Idaho Medicaid Program. Health care providers are encouraged to … through self-reporting of claim errors or overpayments. Medicaid providers can refund overpayments by: adjusting or …
Webpage
/about-dhw/our-mission
… Supplemental Nutrition Assistance Program (Food Stamps) and Medicaid Providing direct-care services for certain … Child, Youth, and Family Services Health and Human Services Medicaid and Behavioral Health Operations DHW has eleven … Laura Stute Management Services Staci Phelan Medicaid Juliet Charron Public Health Elke Shaw-Tulloch …
Webpage
/providers/residential-assisted-living/licensing
… be made, and then your license will be issued. 6: This Medicaid Provider Information can guide you on how to enroll as a Medicaid provider, or how to notify Medicaid of a change in ownership. Residential Assisted …
Webpage
/services-programs/community-now
… providers, and other caregivers. The group talks about the Medicaid Adult Developmental Disability (DD) program and … about the Community NOW! workgroup please contact: Idaho Medicaid at 1-844-793-1286 The DD Council at 1-208-334-2178 … letter - News about your developmental disability service Medicaid's letter to Community NOW! Video highlights - …
Webpage
/services-programs/residential-assisted-living-facilities-ralf
… discharge from a RALF. Discharge Appeal Online Form Report Medicaid Fraud Report the submission of false or fraudulent … claims for payment of health care services. Report Medicaid Fraud Residential Assisted Living Facilities and … Rights and Protections Resources Anti-Kickback Statute Medicaid Information Release Consumer Consortium on Assisted …
Webpage
/services-programs/assisted-care-and-facilities/certified-family-homes
… will care for the resident. Residents may be eligible for Medicaid assistance to pay their CFH provider for their care. To apply for Medicaid benefits, call the department’s Benefits Customer Service Center at 877-456-1233. If ineligible for Medicaid, the resident may pay his or her CFH provider for …
Webpage
/about-dhw/resources-for-lawmakers
… A reference book about the department Learn More 2025 Idaho Medicaid Overview An overview of Medicaid in 2025 Learn More Monthly Budget Transparency … Reports Monthly program participation and expenditures in Medicaid and Self-Reliance Read the Reports Federal Funding …
Webpage
/services-programs/financial-assistance/about-aabd-cash-assistance
… living expenses. Eligible individuals may also receive AABD Medicaid . Overview The amount an individual receives is … is based on the living arrangement type and the cost. AABD Medicaid AABD Medicaid …
Webpage
/services-programs/share-your-thoughts
… changes to the adult developmental disabilities program at Medicaid? What do you think about the things on this … ways you can share your thoughts with us. You can contact Medicaid directly by calling 1(844) 793-1286 or emailing … 544-2433 or email them at info@icdd.idaho.gov Contacts Medicaid Phone 1-844-793-1286 Email KW@dhw.idaho.gov DD …
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/services-programs/children-families/child-and-family-services-and-foster-care/frequently-asked
… of Need $240.00 Children in foster care qualify for Idaho Medicaid for their health care coverage. In addition, … Yes, children in foster care are covered under the Idaho Medicaid program. You will not need to apply for Medicaid on behalf of foster children. That is handled by …
Webpage
/providers/childrens-developmental-disability-providers/childrens-developmental-disability-dd-care
… services if the provider is qualified and is enrolled as a Medicaid provider. Respite Providers, Community Based … 208-334-0970 Sarah.Allen@dhw.idaho.gov Provider Rules Medicaid Basic Plan Benefits 16.03.09 View Rule 16.03.09 Provider Rules Medicaid Enhanced Plan Benefits 16.03.10 View Rule 16.03.10 …
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/providers/medicaid-school-based-service-providers/training-resources-and-forms
… The Department of Education and the Division of Medicaid have developed training modules on the new and … familiar with the new services. Contacts School-based Medicaid staff Email SchoolBasedServices@dhw.idaho.gov … training guidance MOU between SDE/DHW Physicians Guide for Medicaid School-Based Services Research paper: Idaho's …
Webpage
/providers/residential-assisted-living/training-and-education
… 6: Potluck Basic Food Safety Session 6: Potluck - Handouts Medicaid Medicaid and Licensing & Certification RALF Training Crosswalk Medicaid and Licensing Requirements Memory Care Alzheimer's …
Webpage
/providers/skilled-nursing/skilled-nursing-provider-resources
… A CMP is a monetary penalty the Centers for Medicare & Medicaid Services (CMS) may impose against nursing homes for … not in substantial compliance with one or more Medicare and Medicaid participation requirements for long-term care … closed or downsized pursuant to an agreement with the state Medicaid Agency Projects that support resident and family …
Webpage
/services-programs/about-children-and-youth-special-health-care-needs
… Toddler Program About the Katie Beckett Program About Medicaid for Children Accessia Health Asthma Allergy … quality Community Health Center Network of Idaho Manage my Medicaid with Healthy Connections Manage Medicaid for my Child with a Disability National Resource …
Webpage
/providers/certified-family-homes/more-provider-resources
… department’s divisions (Child, Youth, and Family Services; Medicaid; and Licensing & Certification). 2025 Basic Needs … (CFH) services whose care is fully or partially paid for by Medicaid have the right under Section 39-3516(4)(a), Idaho … may charge the remainder for room and board or (if Medicaid is only a partial payer) care. If a CFH provider …
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
/providers/hiv-std-and-hepatitis-providers/ryan-white-provider-resources
… income is at or below 138% FPL , you may be eligible for Medicaid and should Apply for Medicaid | Idaho Department of Health and Welfare Family … 3 $35,631.60 4 $43,056.00 5 $50,480.40 6 $57,904.80 *Medicaid may have additional eligibility requirements such …
Webpage
/providers/behavioral-health-providers/wits
… health services for the Divisions of Behavioral Health and Medicaid. Magellan will also manage the provider network for … health services for the Divisions of Behavioral Health and Medicaid. Magellan will also manage the provider network for … health services for the Divisions of Behavioral Health and Medicaid. ● The use of Idaho WITS by Adult Behavioral …