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 Welcome to Health PAS-OnLine Announcements

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

Due to the Independence Day holiday, the financial cycle for the week of 7/4/2016 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 UpdatesUse SHIFT+ENTER to open the menu (new window).
Updates have been made to the Respiratory, Developmental, Rehab, Restorative 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.
Home and Community Based Service Settings Public CommentsUse SHIFT+ENTER to open the menu (new window).

Public Comments Due by July 4, 2016

The updated Idaho State Transition Plan – Version 4, for Home and Community Based Service Settings is now posted for public comment at Comments will be taken through midnight, July 4, 2016.

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

The June 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.

Attention LTC ProvidersUse SHIFT+ENTER to open the menu (new window).

We are seeing multiple errors when providers are initiating online LTC case submissions for instances when a member is not found. If you do not have the member’s known ID number, this field should be left blank on the case submission. Once eligibility has been received into the Molina system, it is critical that providers complete the process by opening the original case in LTC Status and updating the blank Member ID field by entering the valid member ID.  When the member is not found upon initial submission, failing to update the member ID once it is known, causes complications and delays in completing the admission and discharge processes as well as Share of Cost. Do not create a new LTC case to discharge members previously not found.  To ensure timely processing of your case submissions, please refer to section Member Not Found in the Trading Partner Account (TPA) LTC Admission‐Discharge Guide.

Attention Providers Submitting Secondary Claims through Your Trading Partner AccountUse SHIFT+ENTER to open the menu (new window).

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.

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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