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 Welcome to Health PAS-OnLine Announcements

Healthy Connections/Health Home Member RostersUse SHIFT+ENTER to open the menu (new window).

The October Healthy Connections and Idaho Medicaid Health Home Member Rosters have been posted to your secure Trading Partner Account.

Columbus Day Holiday and the Financial CycleUse SHIFT+ENTER to open the menu (new window).

Due to the Columbus Day holiday, the financial cycle for the week of 10/12/2015 will be delayed by one day. Payments, Remittance Advices (RAs), and the HIPAA 835 Claim Advice Files will be one day later than normal.

Provider Handbook Updates - SuppliersUse SHIFT+ENTER to open the menu (new window).

Updates have been made to the Suppliers section in 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.

Catheter PTP EditsUse SHIFT+ENTER to open the menu (new window).
All Physician and Midlevel Practitioners: New National Correct Coding Initiative (NCCI) Edits will be implemented October 1, 2015.  Included in the edits are a number of procedure-to-procedure (PTP) edits for catheter insertion.  When a provider bills for a catheter insertion, they may not also bill for the catheter used.  The supply is bundled into the service provided.
October MedicAide Newsletter Now OnlineUse SHIFT+ENTER to open the menu (new window).
The October 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.
ICD-10 Compliance Now in EffectUse SHIFT+ENTER to open the menu (new window).

ICD-10 diagnosis codes are now required on ALL claims with a date of service of 10/1/2015 and later.  ICD-9 diagnosis codes continue to be required on ALL claims for dates of service of 9/30/2015 or earlier. 

Modifiers and Prior Authorization (PA)Use SHIFT+ENTER to open the menu (new window).
Modifiers are used to increase accuracy in compensation, coding consistency, editing, and to capture payment data.  At times, reviewers for Idaho Medicaid may attach a modifier to a procedure code when a PA is approved. 

When providers receive notification of an approved PA, it is essential to check the authorization to determine if a modifier is attached to any of the approved procedure codes.  If there is a modifier attached to the approved PA, that modifier must be used when billing for the service.  The absence of an approved modifier will result in a claim denial. 
Public Comments Due by October 12, 2015Use SHIFT+ENTER to open the menu (new window).

The updated Idaho State Transition Plan for Home and Community Based Service Settings is now posted for public comment at Comments will be taken through midnight, October 12, 2015.

FQHC/RHC Crossover and Third Party BillingUse SHIFT+ENTER to open the menu (new window).
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.
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.
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