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Idaho Medicaid Health PAS OnLine

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  • Idaho Medicaid Program
    Health Coverage
    for Idaho families
  • Idaho Medicaid Program
    Health Coverage
    for Idaho families
  • Idaho Medicaid Program
    Health Coverage
    for Idaho families
    

 Prospective Providers and Enrollment
Welcome to the Gainwell Technologies 
provider portal for Idaho Medicaid Providers


We are thankful for your interest in participating with the Idaho Medicaid program. To enroll with Idaho Medicaid, providers are required to complete registration for a Trading Partner Account and then complete the electronic Provider Enrollment Application. The Trading Partner Account can be utilized, once fully enrolled, to verify participant eligibility, view and submit claims, get important announcements, access the provider handbook and more!


To access resources to support you in the enrollment process, follow this link If you need additional assistance, please contact us Monday through Friday from 7:00 AM to 7:00 PM MST.

 Welcome

Idaho Medicaid Provider Portal offers information and resources for providers, trading partners, and the public, including secure account access for enrollment, disenrollment, reactivation, revalidation when due, eligibility checks, authorization lookups, claim processing, reconciliation, and reports. The site is unavailable weekly from Saturday at 4 PM MST to Sunday at 10 AM MST for maintenance. Eligibility inquiries remain available by phone during this time.

 ‭(Hidden)‬ Provider Enrollment Information

Enrollment Instructions for Independent Intervention Specialist and Professional Providers
Enrollment Instructions for Independent Respite and CBS Providers
Maintenance User Guide – Facility Agency Organization
Maintenance User Guide – Group
Maintenance User Guide – Individual
New Provider Enrollment User Guide – Converting from an ORP to an Individual Provider
New Provider Enrollment User Guide – Facility Agency Organization
New Provider Enrollment User Guide – Group
New Provider Enrollment User Guide – Individual
New Provider Enrollment User Guide – Ordering Referring Prescribing Provider (ORP)
PEA Top Issues
PEA Top Tips and Tricks
Prospective Provider Toolkit – Personal Assistance Agency
Provider Enrollment User Guide – Disenrollment
Provider Enrollment User Guide – Reactivation
Information Release MA26-10 Provider-Administered Drugs
4/10/2026 8:18 AM
Information Release MA26-09 Reimbursement of ACT and Adult Peer Support
4/3/2026 8:31 AM
Idaho Health Care Conference 2026 — Register Today!
4/2/2026 3:40 PM
Update – Inaccessible Tabs on Portal
3/30/2026 3:09 PM
Provider Handbook Updates
3/30/2026 1:10 PM
Reports of Inaccessible Tabs on Portal
3/30/2026 11:39 AM
Extended Maintenance Window March 27th
3/27/2026 11:28 AM
Information Regarding Rate Reduction Reprocessed Claims
3/16/2026 2:50 PM
Provider Handbook Updates
3/16/2026 9:59 AM
Information Release MA26-08 Intense Supported Living Billing Practices
3/16/2026 9:13 AM
Provider Handbook Updates
3/11/2026 9:21 AM
Provider Portal Response Time
3/10/2026 9:50 AM
Update on MA26-02 Provider Claims Reprocessing Progress
3/5/2026 9:08 AM
Provider Handbook Updates
3/2/2026 10:29 AM
System Intermittently Unavailable
2/26/2026 3:49 PM
Information Release MA26-06 Supported Employment Services Cost Survey Results
2/26/2026 1:39 PM
Extended Maintenance Window February 23rd
2/25/2026 10:14 AM
Provider Enrollment Application Maintenance Window
2/17/2026 10:08 AM
President's Day and the Financial Cycle
2/12/2026 6:12 AM
Extended Maintenance Window February 10th
2/10/2026 5:17 PM
System Intermittently Unavailable
2/10/2026 9:23 AM
Provider Notice – Revalidation Email Correction
2/9/2026 1:53 PM
Introduction to Information Release (IR) Notifications & Optional TPA Alerts
2/5/2026 4:34 PM
Therapy Services Update (IR # MA26-05)
1/29/2026 3:26 PM
Provider Handbook Updates
1/23/2026 10:56 AM
Provider Handbook Updates
1/21/2026 1:20 PM
January MedicAide Newsletter Now Online
1/21/2026 9:07 AM
Martin Luther King Jr./Idaho Human Rights Day Holiday and the Financial Cycle
1/20/2026 10:18 AM
2025 1099 Information for Providers
1/14/2026 1:19 PM
Phone System Intermittently Unavailable
1/14/2026 7:42 AM
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 ‭(Hidden)‬ COVID-19
Official Resource for Novel Coronavirus(COVID-19) :
https://coronavirus.idaho.gov/resources-for-healthcare-providers
Information Releases :
/Lists/Information%20Releases/AllItems.aspx

 Revalidation

Idaho Medicaid is in the middle of a major, multi‑year effort to ensure every provider’s enrollment record is accurate, up to date, and compliant with federal rules. Gainwell invites you to review this Memo and FAQs or Contact Us for support.

 Reminder or Tip from Gainwell

​Did you know that you can refer to the Remittance Advice Analysis and Top Claim Denial Reasons reference materials as resources that may better explain how to interpret the remit details and the reason a claim was denied? We encourage all providers to familiarize themselves with the Remittance Advice and any claim denial; providers only have two years from the start date of service to make corrections or adjustments to their claims. 

 ‭(Hidden)‬ Trading Partner Account Login

Click here to sign in to your secure Trading Partner Account.  By logging into the secure portal, you can view eligibility, view and submit claims, manage patient rosters, perform enrollment and maintenance, view authorizations, download reports, and more. 

 ‭(Hidden)‬ Gainwell Technologies Partners
Click here for a list of contact information for our valued partners. 
Attention! Behavioral Health Providers

​If you are a provider who is enrolling or enrolled as a Mental Health Clinic, Rehabilitative Mental Health Service provider, Mental Health Case Management provider or any other provider that renders behavioral health services, you may also be required to enroll and maintain your provider record with Optum Idaho. For more information, contact Optum. Regional Network Managers can assist you and are listed on the Regional Representation Flyer found at www.OptumIdaho.com > Contact Us tab. 

 Idaho Medicaid Member Resources
​Participant Services Phone ​1 (866) 686-4752 (Toll-free), 1 (208) 373-1432 (Local)
​Participant Services E-mail ​idparticipantservices@gainwelltechnologies.com
​Participant Information Website https://healthandwelfare.idaho.gov/services-programs/medicaid-health
​Language Services ​http://healthandwelfare.idaho.gov/AboutUs/LanguageAssistance/tabid/3766/Default.aspx
​Idaho Health Plan Coverage Booklet - English ​ https://publicdocuments.dhw.idaho.gov/WebLink/DocView.aspx?id=2080&dbid=0&repo=PUBLIC-DOCUMENTS
​Idaho Health Plan Coverage Booklet - Spanish ​ https://publicdocuments.dhw.idaho.gov/WebLink/DocView.aspx?id=2081&dbid=0&repo=PUBLIC-DOCUMENTS

 Gainwell Technologies Contacts
​Gainwell Provider Relations Consultants Contact Information
​Idaho Medicaid Contact Information (Provider Services, Provider Enrollment, and Gainwell partners)

 

 Resources & Links
Provider Handbook
​MedicAide Newsletters
​Medicaid Fee Schedules
​User Guides
​Information Releases

 

 Claims Processing


Paper claims must be received by 5:00 P.M. Monday in order to be included in the next regular weekly payment processing cycle.

Electronic claims must be received by 8:00 p.m. Thursday to be included in the next regular weekly payment processing cycle.

Click here to view the 2026 Financial Payment Processing Cycles.
 

Provider Training
Opportunities

Click here to view the Training Calendar and browse upcoming training opportunities.  Please log into the Idaho Medicaid Training Center to register for training sessions. 

For training support, contact IDTraining@gainwelltechnologies.com.

 

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