Idaho Medicaid Health PAS OnLine > Announcements
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
- Physician Assistants, Advanced Practice Nursing
Providers: Are you wondering if you truly need a Trading Partner Account (TPA)? The answer is yes, you will need a TPA account when the upgrade takes place in December!
After the upgrade, a provider TPA account is required to access ALL provider enrollment and maintenance materials—including paper maintenance forms. Billing agencies will no longer be able to access these materials. Failure to perform maintenance to keep your record up to date can cause delays in claims processing and payments.
If you don’t have a TPA account, register for one TODAY at www.idmedicaid.com. If you have any questions or need assistance registering for a TPA account, please contact your regional Provider Relations Consultant (PRC) or the Molina provider services line at 1 (866) 686-4272.
Due to the Thanksgiving holiday, electronic claims must be received by 8:00 p.m. Tuesday, November 21, in order to be included in the next regular weekly payment cycle. For the financial cycle the week of 11/20/2017, HIPAA 835 Claim Advice Files will be four days later than normal.
The November Healthy Connections Rosters have been posted to your secure Trading Partner Account.
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.
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.
It is very important that you dial a 1 when calling us. Please call 1 (866) 686-4272.