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School Based Services Fee ScheduleUse SHIFT+ENTER to open the menu (new window).

The School Based Services fee schedule was recently published with incorrect rates for codes 96150, 96152, and 96153.  The rates have not changed and claims were processed and paid correctly.  A corrected fee schedule has been published and can be found at www.idmedicaid.com.  We are sorry for any inconvenience this has caused.

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:
  • Allopathic and Osteopathic Physicians
  • General Billing Instructions
  • Provider Types and Specialties
Healthy Connections RostersUse SHIFT+ENTER to open the menu (new window).
The September Healthy Connections Rosters have been posted to your secure Trading Partner Account.
September MedicAide Newsletter Now OnlineUse SHIFT+ENTER to open the menu (new window).

The September 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.

Attention Providers Submitting Secondary Claims through Your Trading Partner AccountUse SHIFT+ENTER to open the menu (new window).

If a participant has primary insurance and their primary insurance claim has denied or paid at zero, providers must enter the Coordination of Benefits information in the COB Information section of the claim in addition to uploading the primary insurer's Explanation of Benefits (EOB). The EOB must include the EOB summary page. If the primary paid amount is zero, providers must enter zero and enter the paid date as the date of the EOB. If reporting both a co-pay amount and a coinsurance amount, these need to be added together and entered under coinsurance. These steps must be followed in order for us to process your claim correctly.

Dial 1 When You Call!Use SHIFT+ENTER to open the menu (new window).
It is very important that you dial a 1 when calling us. Please call 1 (866) 686-4272.
Thank you!
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