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Idaho Medicaid Health PAS OnLine > Provider Handbook > Provider Handbook  
Provider Handbook - Provider Handbook
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Provider Handbook

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 General Information

OverviewUse SHIFT+ENTER to open the menu (new window).
DirectoryUse SHIFT+ENTER to open the menu (new window).
General Billing InstructionsUse SHIFT+ENTER to open the menu (new window).
General Provider and Participant InformationUse SHIFT+ENTER to open the menu (new window).
ICD-9 and ICD-10 Diagnosis Billing RequirementsUse SHIFT+ENTER to open the menu (new window).New
Remittance Advice AnalysisUse SHIFT+ENTER to open the menu (new window).

 Reference

GlossaryUse SHIFT+ENTER to open the menu (new window).
HCPCS - NDC CrosswalkUse SHIFT+ENTER to open the menu (new window).
NDC Format for Billing PADUse SHIFT+ENTER to open the menu (new window).
Provider Enrollment RequirementsUse SHIFT+ENTER to open the menu (new window).
Provider Types and SpecialtiesUse SHIFT+ENTER to open the menu (new window).
TPR Carrier CodesUse SHIFT+ENTER to open the menu (new window).
Vision Chronic or Acute Condition Diagnosis CodesUse SHIFT+ENTER to open the menu (new window).

 Links

CMS POA Exemption Lists
DHW Dental Services
Idaho Behavioral Health Plan
Idaho Medicaid Pharmacy Claims Submission Manual
Idaho Smiles
List of Surgeries Requiring Prior Authorization from Medicaid's Medical Care Unit
Physician Administered Drugs (PAD) Requiring Prior Authorization
Qualis Health Website
Qualis Select Pre-Authorization List of Diagnoses and Procedures
Site of Service Reduction Codes

 Claim Form Instructions

CMS 1500 InstructionsUse SHIFT+ENTER to open the menu (new window).
UB04 InstructionsUse SHIFT+ENTER to open the menu (new window).

 Provider Guidelines

Adult Residential CareUse SHIFT+ENTER to open the menu (new window).
Agency InstitutionalUse SHIFT+ENTER to open the menu (new window).
Agency ProfessionalUse SHIFT+ENTER to open the menu (new window).
Allopathic and Osteopathic PhysiciansUse SHIFT+ENTER to open the menu (new window).
Ambulatory Health Care FacilityUse SHIFT+ENTER to open the menu (new window).
Behavioral Health and Social ServicesUse SHIFT+ENTER to open the menu (new window).
ChiropractorUse SHIFT+ENTER to open the menu (new window).
Dietary and Nutritional ServicesUse SHIFT+ENTER to open the menu (new window).
Eye and Vision ServicesUse SHIFT+ENTER to open the menu (new window).
HospitalUse SHIFT+ENTER to open the menu (new window).
LaboratoryUse SHIFT+ENTER to open the menu (new window).
Licensed MidwifeUse SHIFT+ENTER to open the menu (new window).
LTCUse SHIFT+ENTER to open the menu (new window).
Non-Emergent Non-Medical TransportationUse SHIFT+ENTER to open the menu (new window).
Nursing and Custodial Care FacilitiesUse SHIFT+ENTER to open the menu (new window).
Nursing ServicesUse SHIFT+ENTER to open the menu (new window).
Physician Assistants, Advanced Practice NursingUse SHIFT+ENTER to open the menu (new window).
Podiatric Medicine and Surgery ServicesUse SHIFT+ENTER to open the menu (new window).
Respiratory, Developmental, Rehab, Restorative ServicesUse SHIFT+ENTER to open the menu (new window).
Speech, Language, and HearingUse SHIFT+ENTER to open the menu (new window).
SuppliersUse SHIFT+ENTER to open the menu (new window).
Technologist, Technicians, Other Tech ServicesUse SHIFT+ENTER to open the menu (new window).
Transportation ServicesUse SHIFT+ENTER to open the menu (new window).
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