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 ‭(Hidden)‬ Welcome to Health PAS OnLine



 Welcome to Health PAS-OnLine Announcements

New Preadmission Process for ICF/ID ProvidersUse SHIFT+ENTER to open the menu (new window).

Effective April 14, ICF/ID providers should follow the new process for requesting preadmission for members by entering an LTC case on the portal that does not contain admission/discharge dates. For complete instructions on this new preadmission process, refer to the TPA LTC Admission-Discharge User Guide.

Staying the Course for ICD-10Use SHIFT+ENTER to open the menu (new window).
There will be no impact to the ICD-10 test schedule despite the recent announcement that the ICD-10 compliance date will be delayed by 1 year. Molina and Medicaid will continue with the scheduled transition to ICD-10 by 10/1/2014. However, we will not begin accepting ICD-10 claims until the industry compliance date of 10/1/2015 or later as determined.
Provider Handbook UpdatesUse SHIFT+ENTER to open the menu (new window).

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:

  • CMS 1500 Instructions
  • UB04 Instructions
  • LTC
  • Suppliers
Healthy Connections / Health Home Member RostersUse SHIFT+ENTER to open the menu (new window).

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

2014 Idaho Health Care ConferenceUse SHIFT+ENTER to open the menu (new window).

Registration for the 2014 Idaho Health Care Conference (IHCC) is now open.  The dates of the conference are:

  • May 6 – Lewiston
  • May 7 – Coeur d’Alene
  • May 13 – Boise
  • May 20 – Idaho Falls
  • May 21 – Pocatello
  • May 22 – Burley

You can view the agenda for the conference online.  Click here to register; registration is free for all Idaho health care providers.

Fee Schedule Updated – April 2014Use SHIFT+ENTER to open the menu (new window).
The numerical fee schedule has been updated and is available online. Click Medicaid Fee Schedules in the menu on the left to view the most current ones. The numeric fee schedule is applicable to most providers. Additional custom fee schedules are updated as needed.
NEW Adult DD Medical Care FormUse SHIFT+ENTER to open the menu (new window).

The Medicaid Bureau of Developmental Disability Services (BDDS) has updated its processes related to obtaining medical care information.  Starting April 1, 2014, the Idaho Center for Disabilities Evaluation will begin including an Adult DD Medical Care Form with each eligibility scheduling letter sent to the participant. The participant will be asked to provide this form to their physician to complete.  For more information on this updated process, please refer to the April 2014 MedicAide or call Jean Christensen at 1 (208) 334-0944 .

April MedicAide Newsletter Now OnlineUse SHIFT+ENTER to open the menu (new window).

The April 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.

Change to Remittance AdviceUse SHIFT+ENTER to open the menu (new window).
A new section has been added to your RA. The Adjustment section will appear at the end of the claim detail portion of the RA and will list claims that have been adjusted based on third party and overpayment recoveries. Claims will be listed with a claim status of Adjustment: PAID or Adjustment: REVERSED. Please note: These adjustments do not impact your payment and are for informational purposes only.
Prior Authorization Numbers on ClaimsUse SHIFT+ENTER to open the menu (new window).

Providers were recently notified that prior authorization (PA) numbers on claims would be required beginning April 1, 2014.  This date has changed, and PA numbers will be required on claims as of May 1, 2014. Claims submitted on or after May 1, 2014, for services that require a prior authorization, will be denied if the PA number is not included on the appropriate claim line. If your claim does not process as expected, please contact your local Provider Relations Consultant (PRC) so the claim processing record can be reviewed.

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