Idaho Medicaid Health PAS OnLine > Announcements
CMS terminated Laboratory Codes G0477, G0478, and G0479 on 12/31/2016. The new replacement codes as of 01/01/2017 are 80305, 80306, and 80307. Provider claims will need to be rebilled using the appropriate new codes. This supersedes the 2015 changes to the laboratory codes announcement and March 2015 Medicaid Newsletter for these codes only. Thank you for your continued participation in Medicaid.
Updates have been made to the Transportation Services section of the Provider Handbook. You may find the link on the left navigation panel of this website. Changes are noted at the beginning of the document.
The March 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.
The effective date for 90674 flu vaccine has been updated to cover claims from date of service 09/01/2016 on. Providers may now submit any claims they have held during this time period for claims processing. Thank you for your continued participation in the Idaho Medicaid program.
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.
In order to be paid up to the Encounter Rate for claims with a third party payment, specific instructions must be followed. Click here for the instructions.
It is very important that you dial a 1 when calling us. Please call 1 (866) 686-4272.