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.
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.
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.
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
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.
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.
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.
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.
It is very important that you dial a 1 when calling us. Please call 1 (866) 686-4272.