| Resolved - Phone System Unavailable | The technical issue that was impacting our phone system and preventing Gainwell Technologies from receiving inbound telephone calls has been resolved. Thank you for your patience while we worked to resolve this matter. | 12/3/2024 8:42 AM | 12/3/2024 8:42 AM | 12/3/2024 |
| Phone System Unavailable | Due to technical issues, Gainwell Technologies is currently unable to receive inbound telephone calls. We are working towards a remedy and will provide periodic updates in the announcements on www.idmedicaid.com. In the mean-time, providers can utilize self-service options through their secure Trading Partner Account, or contact us by email. Please see the Contact Us tab on the website for a list of addresses. We apologize for any inconvenience and thank you for your patience. | 12/3/2024 8:01 AM | 12/3/2024 8:03 AM | 12/3/2024 |
| December MedicAide Newsletter Now Online | The December edition of the MedicAide Newsletter is now available online. Please click here for the latest news and information affecting Idaho Medicaid providers. | 12/2/2024 4:46 PM | 12/2/2024 4:46 PM | 12/13/2024 |
| Phone System Intermittently Unavailable | Due to technical issues, Gainwell Technologies is intermittently unable to receive inbound telephone calls. We are working towards a remedy and will provide periodic updates in the announcements on www.idmedicaid.com. In the mean-time, providers can utilize self-service options through their secure Trading Partner Account, or contact us by email. Please see the Contact Us tab on the website for a list of addresses. We apologize for any inconvenience and thank you for your patience. | 11/27/2024 8:47 AM | 11/27/2024 8:47 AM | 11/27/2024 |
| Thanksgiving Day Holiday and the Financial Cycle | Due to the Thanksgiving Day Holiday, Claims must be received by Tuesday, November 26, 2024 in order to be considered in the financial cycle for next week. Claim Payments, Remittance Advice (RA), and/or HIPAA 835 Claim Advice Files for the financial week are expected to be delivered on time the following week. | 11/21/2024 5:51 PM | 11/21/2024 5:51 PM | 11/29/2024 |
| Update - Payment Delay | As previously communicated, payment processing and the issuing of payments for the current week has been delayed by the State. Gainwell received confirmation that the necessary steps are in place for payments to release within the next one to two business days. This delay will impact the finalization of claim status, and may also impact the generation of the Remittance Advice (RA) and HIPAA 835 Claim Advice Files. DHW is mindful of the impact to providers and is actively working to resolve the issue; thank you for your continued patience. | 11/20/2024 1:13 PM | 11/20/2024 1:13 PM | 11/22/2024 |
| Update! Professional Liability Insurance Update for Pharmacists | Previously, Gainwell was instructed to require and collect Professional Liability Insurance when a Pharmacist is enrolling. Effective November 15, 2024, Pharmacist providers are no longer required to submit proof of Professional Liability Insurance for validation and enrollment. The Provider Enrollment Application (PEA) system will still require data to be entered into the Professional Liability field, however, Gainwell will not be validating this information. We expect the change to be made within the application screen in the coming weeks. Until the change is made in the system, you may enter N/A into the Insurance Name and Insurance Number fields, any Begin Date in the past and any Term Date in the future, and Per Claim Amount and Coverage Limit amounts as 1. We appreciate your participation in the Idaho Medicaid program. | 11/20/2024 1:08 PM | 11/20/2024 1:08 PM | 12/31/2024 |
| Upcoming Provider Meetings | Idaho Medicaid is hosting a DMEPOS Provider Meeting on Tuesday, December 3, 2024 at 10:30 AM MT and a Therapy/Audiology Provider Meeting on Tuesday, December 10, 2024 at 10:30 AM MT. For more information or to request the meeting invite send an email to: MCPT@dhw.idaho.gov. | 11/19/2024 5:12 PM | 11/19/2024 5:12 PM | 12/9/2024 |
| Payment Delay | Payment processing has been delayed by the State: There has been a delay in the issuing of payments for the current week. This delay will impact the finalization of claim status and the generation of the Remittance Advice (RA) and HIPAA 835 Claim Advice Files. DHW is mindful of the impact to providers and is actively working to resolve the issue; thank you for your patience. | 11/19/2024 9:17 AM | 11/19/2024 9:17 AM | 11/22/2024 |
| Healthy Connections Rosters | The November Healthy Connections Rosters have been posted to your secure Trading Partner Account. | 11/12/2024 5:18 PM | 11/12/2024 5:18 PM | 11/19/2024 |