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Welcome to Idaho Medicaid

MMIS Hot Topics:

 Hot Topics

New Claim Denial Edits
Information about new claim denial edits effective January 23, 2015
ICD-10 Compliance Information Available for Idaho Medicaid
See Provider Resources & Information for Successful ICD-10 Transition
5010 - 837I Vendor Specs
Effective 8/15/14 EDI Edits Updated
Enrollment for Non-Billing Ordering and/or Referring Physicians and Practitioners
Required enrollment for non-billing ordering and/or referring physicians and practitioners has implemented.
EDI 824 Transaction Updating to 5010 Format
Information on the EDI 824 5010 update
Expanded MMCP
Expanded MMCP Goes Live July 1, 2014
Prior Authorization Numbers on Claims Required May 1st
Locating your PA number and submitting a claim
Billing Mental Health Encounters to Optum, Idaho
Information for FQHCs, RHCs, and IHCs
Share of Cost for Long Term Care Medicaid Members
Important Information for providers that withhold share of cost for Medicaid members.
Children's Service Coordinators
An important communication from the Department
Co-Pay
A guide to co-pay services and exemptions
Nursing Home and Waiver Claim Review Requests
Instructions and Form for Nursing Home and Waiver Claim Review Requests
CFH Billing Tips
Link to Billing Tips for Certified Family Homes
Annual Benefit Cap FAQ
Frequently asked questions and answers about Annual Benefit Cap

 Claims Processing Schedule

Financial Payment Processing Cycles 
by sticknec
 8/3/2015 4:20 PM
 
Claims Processing Cycle 
by sticknec
 11/9/2011 1:35 PM
 
 
 

 
 

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