| Memorial Day Holiday and the Financial Cycle | Due to the Memorial Day Holiday, Claim Payments, Remittance Advice (RA), and HIPAA 835 Claim Advice Files for the financial week of 5/25/2023 will be delayed by one (1) day. | 5/22/2023 2:12 PM | 5/22/2023 2:12 PM | 5/28/2023 |
| Healthy Connections Rosters | The May Healthy Connections Rosters have been posted to your secure Trading Partner Account. | 5/17/2023 10:41 AM | 5/17/2023 10:41 AM | 5/24/2023 |
| Attention: Certified Family Home Providers – Rate Changes for Aged & Disabled Waiver Participants | Certified Family Home (CFH) providers who provide care to participants on the Aged & Disabled waiver must reprocess any claims that were submitted for dates of service on or after April 1, 2023 to receive the new S5140 daily rate. CFH providers may adjust and correct claims that were billed to Gainwell Technologies (GWT), Blue Cross of Idaho or Molina Healthcare of Idaho. - For claims processed by GWT, Certified Family Home providers must adjust their claims for dates of service 04/01/2023 and any dates after to add the new prior authorization number in order for the rate increase to be applied to the claims already submitted.
- For claims processed by Blue Cross of Idaho and Molina Healthcare of Idaho, you will receive communication directly from the managed care vendor on how to proceed.
- New prior authorizations with updated daily rates will be issued by June 1, 2023. When available, they can be viewed online through the View
Authorization tile.
- When adjusting your claim, be sure to modify the billed charges and the prior authorization number. Tips on adjusting your claim can be found here.
- For support with the necessary adjustments, you may contact your Provider Relations Consultant – their contact information can be found here.
| 5/16/2023 11:25 AM | 5/22/2023 2:14 PM | 5/31/2023 |
| Extended Maintenance Window May 10th | The Gainwell Technologies Idaho Medicaid Provider Portal will be down from 7:00 to 8:00 PM MT on Tuesday, April 25, 2023, 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. | 5/10/2023 1:44 PM | 5/10/2023 1:44 PM | 5/10/2023 |
| May Healthy Connections Rosters – Announcement Posted in Error | An announcement was released on Monday, May 8th regarding the posting of the Healthy Connections Rosters to the Trading Partner Account. This announcement was released in error. Healthy Connection Rosters will be made available next week and a future announcement will be published at that time. We apologize for any confusion this may have caused. | 5/9/2023 1:16 PM | 5/9/2023 1:16 PM | 5/9/2023 |
| May MedicAide Newsletter Now Online | The May edition of the MedicAide Newsletter is now available online. Please click here for the latest news and information affecting Idaho Medicaid providers. | 5/1/2023 4:36 PM | 5/1/2023 4:36 PM | 5/15/2023 |
| Idaho Medicaid Fee Schedule | Gainwell Technologies is actively working to resolve a known issue with the link to the Idaho Medicaid Fee Schedules on our site. Please access the Fee Schedule directly here: Fee Schedules (idaho.gov) | 4/28/2023 5:20 PM | 5/8/2023 9:02 AM | 5/12/2023 |
| Intermittent Issues on Idaho Department of Health and Welfare Website | Due to technical issues, users of the Idaho Department of Health and Welfare website are experiencing intermittent outages on various pages and links may or may not be functioning at this time. DHW is actively working towards a remedy. We apologize for any inconvenience and thank you for your patience. | 4/27/2023 10:32 AM | 4/28/2023 5:20 PM | 5/3/2023 |
| Extended Maintenance Window April 25th | The Gainwell Technologies Idaho Medicaid Provider Portal will be down from 7:00 to 8:00 PM MT on Tuesday, April 25, 2023, 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. | 4/25/2023 3:21 PM | 4/25/2023 3:21 PM | 4/25/2023 |
| Idaho Health Care Conference 2023 – Register Today! | Gainwell Technologies is eager to invite providers and their staff personnel to the 30th annual statewide Idaho Health Care Conference (IHCC) in May. This year’s conference will be held in-person only at the locations noted below. We will be presenting a comprehensive overview of how and when to submit Provider Maintenance to reflect changes to an existing Provider record using the Gainwell Provider Enrollment Application system. The Idaho Medicaid Provider Enrollment Application system helps simplify processes for maintenance requests, features dynamic screens, electronic signature options, and less paper transactions. We will share tips on navigating the maintenance process. Join us to learn more! Join us at the 2023 Idaho Health Care Conference from 8:00 AM to 4:00 PM on the following dates: - May 11, 2023: North Idaho—Red Lion Templin's Hotel on the River, Post Falls
- May 16, 2023: Eastern Idaho—Shoshone Bannock Casino Hotel, Fort Hall
- May 18, 2023: Treasure Valley—Nampa Civic Center, Nampa
Here is the invitation and information on how to register. We hope you’ll attend the conference at a location near you! | 4/13/2023 3:26 PM | 4/13/2023 3:26 PM | 5/18/2023 |