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Provider Handbook Updates - General Provider and Participant InformationUse SHIFT+ENTER to open the menu (new window).

Updates have been made to the General Provider and Participant Information 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.

Electronic Claim Rejection Issue Use SHIFT+ENTER to open the menu (new window).

Molina experienced an issue with the claim load process on Monday, April 20 through approximately 12:00 noon on Tuesday, April 21. This caused electronic claim submissions from some providers to be rejected in error.  We have corrected the system and are currently working to re-submit the affected claim files. Please contact your Regional Provider Relations Consultant or the Molina Call Center at 1 (866) 686-4272 if you have questions.

Extended Maintenance Window April 25-26Use SHIFT+ENTER to open the menu (new window).

The Molina Medicaid website will be down from 10 a.m. on Saturday, April 25 through 2 p.m. on Sunday, April 26, for an extended maintenance window. During this time, Eligibility lookups will be available through our Medicaid Automated Customer Service (MACS) line at 1 (866) 686‐4272. Thank you for your patience during our maintenance period.

Updated Provider Enrollment RequirementsUse SHIFT+ENTER to open the menu (new window).

Beginning in April, Medicaid is implementing updated provider enrollment requirements to align with the Affordable Care Act (ACA).  The changes can be found in the March and April MedicAide newsletters.  The paper maintenance forms have also been updated and new versions can be found in the Forms section of idmedicaid.com.

2015 Idaho Health Care ConferenceUse SHIFT+ENTER to open the menu (new window).

Registration for the 2015 Idaho Health Care Conference is now open!  The dates of the conference are listed below.  Click here to view the agenda and click here to register for the conference.  Registration is free for all Idaho healthcare providers.  We hope to see you there!

  • Clarkston – May 5
  • Coeur d’Alene – May 6
  • Idaho Falls – May 12
  • Pocatello – May 13
  • Twin Falls – May 14
  • Boise – May 21
Idaho Medical Association (IMA) to Deliver ICD-10 Training at Idaho Health Care ConferenceUse SHIFT+ENTER to open the menu (new window).

Plan to attend the IMA-offered sessions on ICD-10 at our Annual Idaho Health Care Conference being held statewide from 5/5/2015 to 5/21/2015.  Click here to view the agenda and click here to register for the conference in your area.

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.
Medicaid ICD-10 Compliant!Use SHIFT+ENTER to open the menu (new window).
We have completed successful validation of ICD-10 updates to our Molina claims processing system (MMIS) for ICD-10 compliance with an effective date of 10/1/2015. ICD-9 coded claims are required for dates of service through 9/30/2015. Starting 10/1/2015, all claims with a date of service of 10/1/2015 and later are required to be billed with ICD-10 codes.
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.
Thank you!
 
 
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