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Welcome to Idaho Medicaid

 Announcements

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12/11/2017
REMINDER: Maintenance Window for Trading Partner Account Upgrade Use SHIFT+ENTER to open the menu (new window).

REMINDER: The Idaho Molina Medicaid website will be down beginning at 1:00 PM (MT) on December 15, 2017 for the Trading Partner Account (TPA) upgrade.  The website will be available again beginning Monday, December 18.  During this time, Eligibility lookups will be available through our Medicaid Automated Customer Service (MACS) line at 1 (866) 686‐4272.

 

After the upgrade is complete, the Idaho Molina Medicaid website and the TPA portal will have a new look and feel, as well as some new and exciting features.  Please ensure you are prepared for the changes by attending training sessions and reading recent announcements and newsletter articles.  Click here to view the Training Calendar.

 

Thank you for your patience as we complete this upgrade.

12/5/2017
Eligibility Changes Effective January 1, 2018Use SHIFT+ENTER to open the menu (new window).

Beginning January 1, 2018, the following changes will be visible when checking member eligibility through your Trading Partner Account.

  • Youth Empowerment Services (YES) condition.
  • Idaho Smiles and Idaho Behavioral Health Plan segments will no longer be visible effective after date of service 1/31/2017.
  • Members will show multiple PCP Assignments in addition to their Healthy Connections PCP. A PCP listing will display for each Managed Care Organization (i.e., Transportation, Dental, Behavioral Health, and MMCP) for which a member has coverage.

Molina is offering WebEx training sessions to review the changes in detail; refer to the Training Calendar for dates and times.

12/5/2017
Healthy Connections RostersUse SHIFT+ENTER to open the menu (new window).
The December Healthy Connections Rosters have been posted to your secure Trading Partner Account.
12/5/2017
Provider Handbook UpdatesUse SHIFT+ENTER to open the menu (new window).
Updates have been made to the Provider Handbook. You may find the link on the left navigation panel of this website. Changes are noted at the beginning of each document. The updated documents are:
  • General Provider and Participant Information
  • Physician Assistants, Advanced Practice Nursing
  • Suppliers
12/4/2017
Trading Partner Account (TPA) Upgrade Trainings Offered in December and JanuaryUse SHIFT+ENTER to open the menu (new window).

The TPA portal is being updated in December, and all providers will be required to have a TPA account.  The portal is getting a new look and two new features will be introduced:  Secure Messaging and Provider/Billing Agent association.  To learn more about why you will need to have a TPA account, how to navigate the new site, and how to use these new features, sign up for the TPA upgrade training on any of the dates and times below.  You can register for these training sessions by logging into the Idaho Medicaid Training Center.  You may also view the training document by clicking here.  

 

 

December

January

10:00 - 11:00
AM MT

12/13/2017

1/16/2018

12/19/2017

1/17/2018

12/20/2017

1/18/2018

12/21/2017

 

 

 

 

2:00 - 3:00
PM MT

12/14/2017

1/10/2018

12/19/2017

1/11/2018

12/21/2017

1/16/2018

 

1/18/2018

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