If you have Medicaid, you’re enrolled in the Healthy Connections (HC) Primary Care Program. This program helps you to achieve the best health outcomes.
Healthy Connections is mandatory for most Medicaid members. You’ll choose a primary care provider who’ll help coordinate your healthcare needs.
Refer to the Idaho Health Plan Booklet for more information on HC. If you need additional information, you can contact HC at 888-528-5861 or by emailing hccr7@dhw.idaho.gov.
Beginning in 2024, the department will no longer mail out completed 1095-B forms unless you request them. Form 1095-B is a tax form that reports the type of health coverage you have. Read more about the 1095-B form from IRS.gov.
The department is still required to relay proof of your health coverage to the IRS. If you’d like a completed copy of this form for your records, please call 877-456-1233.
The first time you’re eligible for Idaho Medicaid, you’ll receive an ID card in the mail. If you’re eligible and haven’t received your card within 14 days of receiving your letter, call 877-456-1233.
Remember to:
- Keep your card with you when you visit your doctor, dentist, or pharmacy. You might have to show picture ID in addition to your Medicaid card.
- Always ask before you get medical services if the provider will accept your ID card as payment. Ask even when your doctor refers you to a specialist. Not all doctors accept Idaho Medicaid.
- Your card may not work at providers’ offices if you're going by a different name than what appears on your identification card. Report name changes.
- Your ID card is permanent. Don't throw it away. If you lose benefit and then get benefits again, you'll use the same card.
- If you lose your card, call the department at 877-456-1233 or call the Gainwell member line at 866-686-4752.
When receiving Medicaid, you are required to re-evaluate periodically. When your household is due for recertification, the department will notify you and provide you with the necessary forms required to complete the process.
If eligibility requirements are still met at the time of your re-evaluation, you'll continue to receive Medicaid coverage.
When you apply for benefits you agree to provide truthful, accurate, and up-to-date information.
Report any of the following changes as soon as possible, within 10 days of the change occuring:
- You have a new name, address, or other contact information.
- Someone moves in or out of your household (even if they aren’t related to you).
- You marry, divorce, become pregnant, or have a child (including adoptions).
- Your income goes up or down (including child support, unemployment, job wages, etc.).
- Your resources go up or down.
- You get or lose other health insurance (including Medicare coverage).