Your child's healthcare is important. Find a primary care provider who accepts Idaho Medicaid and will provide the best treatment for your child.
The first time you are eligible for Idaho Medicaid, you will receive an ID card in the mail. If you are eligible and have not received your card within 14 days of receiving your letter, please call the IDHW benefit member line.
Remember to:
- Keep your card with you when you visit your doctor, dentist, or pharmacy. You might have to show a 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 are going by a different name than what appears on your ID card. Report name changes.
- Your ID card is permanent. Do not throw it away. If you lose benefits and then get benefits again, you will use the same card.
- If you lose your card, call the IDHW member line or the Gainwell member line.
Beginning in 2024, DHW will no longer mail out completed 1095-B forms to households unless requested. 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.
DHW is still required to relay proof of your health coverage to the IRS. If you would like a completed copy of this form for your records, please call DHW at 877-456-1233.
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 will 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).