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Healthy Connections Rosters

The November Healthy Connections Rosters have been posted to your secure Trading Partner Account.​​​​​​​

11/12/2018 8:50 AM11/12/2018 8:50 AM12/1/2018
Intermittent Phone Service

​The DXC Technology Medicaid call center is currently experiencing intermittent outages in our phone service.  We are working on the issue and will provide periodic updates on www.idmedicaid.com.  Providers may continue to look up eligibility and claims information through their Trading Partner Accounts on the provider portal.  We apologize for any inconvenience.

11/9/2018 3:08 PM11/9/2018 3:08 PM11/10/2018
Retroactive Share of Cost

​The Department is changing the way it collects overpayments/adjusts underpayments due to retroactive Share of Cost (SOC) changes. SOC that has changed for previously paid claims will need to be adjusted by reprocessing the impacted provider claims. Any provider serving a member that has had an SOC change will be notified via a letter. The letter will identify the dates associated with the change, the newly calculated amount and instructions on what will or needs to be done. Because these changes can result in a decrease or an increase in the member’s SOC, it will be the providers’ responsibility to reconcile with the member for any SOC collected. If you have any questions about this notification, please contact your Provider Relations Consultant.

11/5/2018 11:30 AM11/5/2018 11:30 AM12/31/2018
Provider Handbook Updates

​Updates have been made to Provider Handbooks to reflect the purchase of Molina Medicaid Solutions by DXC Technology. To review the changes, select the link under the Reference Material menu on this webpage. Changes are noted at the beginning of each document.

11/5/2018 11:30 AM11/5/2018 11:30 AM11/19/2018
November MedicAide Newsletter Now Online

​The November edition of the MedicAide Newsletter is now available online. Please click here for the latest news and information affecting Idaho Medicaid providers. If you must receive the MedicAide by mail, please dial 1 (866) 686-4272 and select option 3.​​​​​​

11/2/2018 1:30 PM11/2/2018 1:31 PM12/5/2018
Idaho Medicaid Plus
Idaho Medicaid Plus (IMPlus) is in full swing in Twin Falls County! IMPlus is a mandatory program for dual eligible Medicare/Medicaid participants that coordinates most of their Medicaid benefits through Blue Cross of Idaho or Molina Healthcare of Idaho. Providers should check eligibility in the HealthPAS provider portal to verify which health plan dual eligible participants have selected.
11/1/2018 8:36 AM11/1/2018 8:36 AM11/30/2018
Ordering, Referring, Prescribing (ORP) Providers Report Available

Your provider Trading Partner Account (TPA) now offers a report listing all Idaho Medicaid Ordering, Referring, and Prescribing (ORP) only Providers. To generate a list of ORP providers:

·  log into your secure Trading Partner Account

·   select the Provider Directory drop down

·   then select ORP Report

 

You can search, print the list, or export to excel. Please read the informational notice provided with the report as it contains specific details about the report, use and clarification.

10/24/2018 2:39 PM10/24/2018 2:41 PM1/22/2019
Provider Handbook Updates

Updates have been made to the Provider Handbook. You may find the link under the Reference Material menu on this website. Changes are noted at the beginning of each document. The updated documents are:

  • Agency Professional
  • Ambulatory Health Care Facility
  • CMS 1500 Instructions
  • Directory
  • General Billing Instructions
  • General Provider and Participant Information
  • Glossary
  • LTC
  • Nursing and Custodial Care Facilities
  • Nursing Services
  • Suppliers
10/24/2018 11:47 AM10/24/2018 2:43 PM11/7/2018
National Lead Poisoning Prevention Week

​National Lead Poisoning Prevention Week is October 21-27, 2018. Federal regulations require that all Medicaid eligible children be tested for lead poisoning at the ages of 12 and 24 months. Children between 36 and 72 months, who have not previously been tested, should also be tested. Thank you for continuing to educate your patient families and providing this much needed testing. Please visit Medicaid's web page at www.medicaidunit.dhw.idaho.gov for more valuable information about how to prevent and treat lead poisoning, and to find out more about Idaho Medicaid's Lead Screening Program.

10/22/2018 8:01 AM10/22/2018 8:01 AM10/27/2018
Extended Maintenance Window October 19

​The Idaho Molina Medicaid website will be down from 7:00 P.M. to 9:00 P.M. MT on Friday, October 19 for an extended maintenance window. During this time, eligibility lookups will be available through our Medicaid Automated Customer Service (MACS) line at 1 (866) 686‐4272. Thank you for your patience during our maintenance period.

10/18/2018 11:51 AM10/18/2018 11:51 AM10/20/2018
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