Medicare Medicaid Members

There are changes coming to Idaho Medicaid duals' programs this year. The department is sending additional program updates via mail and email. Updates are also shared on this page. 

May 2025
Program Updates Frequently Asked Questions - Updated. Common questions about duals' program and recent changes. 

March 17, 2025
Duals Program Options and Worksheet - Information and resources to support duals in choosing a program and plan. 

February 20, 2025
Duals Informational Flyer - Updates for June 2025 - Plan options for duals and information about enrollment choices.

February 11, 2025
Program Updates Frequently Asked Questions - Common questions about duals' programs and upcoming changes.

February 5, 2025
Medicaid Information Release MA25-03 - UnitedHealthcare will offer Idaho Medicaid Plus in June.

December 17, 2024
Medicaid Information Release MA24-29 - Blue Cross of Idaho duals' contracts are ending.

The MMCP is a voluntary program that integrates both Medicare and Medicaid coverage into one single plan, at no cost to to you, which means you'll have:

• One set of comprehensive benefits.
• One accountable entity to coordinate delivery of services.
• One care management team to coordinate care.
• Receive additional supplemental benefits over and above original Medicare and Medicaid.
• Member Medicare premiums are paid by Medicaid.
• Access to the health plans network of providers.

Idaho Medicaid operates a mandatory managed care program, Idaho Medicaid Plus (IMPlus). This program covers all Medicaid enhanced plan benefits and will give you the option to choose your Medicare health plan if you live in one of the mandatory counties listed below and aren’t enrolled in the MMCP. 

Idaho Medicaid Plus = Medicaid Benefits Only! With no changes to your Medicare coverage.

Beginning January 1, 2025, IMPlus is mandatory in the following counties (if you aren't enrolled in the MMCP): Ada, Adams, Bannock, Benewah, Bingham, Blaine, Boise, Bonner, Bonneville, Boundary, Canyon, Cassia, Clark, Clearwater, Elmore, Freemont, Gem, Gooding, Idaho, Jefferson, Jerome, Kootenai, Latah, Lincoln, Madison, Minidoka, Nez Perce, Owyhee, Payette, Power, Shoshone, Twin Falls, Valley, and Washington. 

Molina Healthcare of Idaho offers the Medicare Medicaid Coordinated Plan in many of Idaho's counties. Give them a call if you’d like to enroll or receive additional information. UnitedHealthcare Community Plan of Idaho will begin offering MMCP benefits January 1, 2026. 

Molina Healthcare of Idaho: 866-403-8293

The MMCP combines all services covered under Medicare parts A, B, and D (prescription drug coverage) and all services in the Medicaid enhanced plan. Developmental disability services, non-emergency medical transportation, and dental benefits are available through Idaho Medicaid, separate from the MMCP.

The MMCP offers additional services over and above original Medicare/Medicaid. You can contact the health plans for the full listing of all supplemental benefits available through the Medicare Medicaid Coordinated Plan. 

If you are a dual, you may select Molina Healthcare of Idaho or UnitedHealthcare Community Health Plan of Idaho for your IMPlus plan. You have 90 days before the program effective date to select a health plan and an additional 90 days after the effective date of your program to change your health plan. After the initial enrollment period there will be an Annual Open Enrollment (October 15 through December 7) in which you can change plans if you want.

1. Call us toll free at 833-814-8568 or email us at IdahoDuals@dhw.idaho.gov.
2. When you receive your IMPlus Selection Notice in the mail, just complete the enclosed IMPlus Enrollment form and mail it in the envelope provided.