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Welcome to Idaho Medicaid


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:
  • Agency Institutional
  • Ambulatory Health Care Facility
  • Hospital
  • UB04 Instructions
Once in a Lifetime Procedures and ModifiersUse SHIFT+ENTER to open the menu (new window).

Idaho Medicaid will reimburse certain procedures only once during a patient’s lifetime. Once in a Lifetime Procedures are not limited to a single CPT code, but may be represented by Code Families, which are a group of CPT codes that describe the same or similar type of service. For example, there are four separate appendectomy CPT codes that can be used based upon the particular circumstance, to report the removal of the appendix. Under this policy, Medicaid provides reimbursement for only one procedure from a designated Code Family during a patient’s lifetime.


When any health care professional reports a code from the Once in a Lifetime Procedures, that code or any code from the same Code Family will be reimbursed only once during a patient’s lifetime.


Additional information on this policy will be published in the May edition of the MedicAide newsletter.

2017 Provider WorkshopsUse SHIFT+ENTER to open the menu (new window).
Join us for a sneak peek into the new look of the Idaho Medicaid Trading Partner Account. We will explore the new application and share tips to prepare for smooth sailing into these changes. We will also provide information on other anticipated changes in the coming year.


Region 2

Date:  Wednesday, May 3, 2017

Time: 10 AM – 12 PM

Location:  1118 F Street, Lewiston, ID – 3rd floor conference room


Region 5

Date: Wednesday, May 10, 2017

Time: 10 AM – 12 PM

Location: 601 Pole Line Rd., Twin Falls, ID – Conference Rooms A & C


Workshop Registration:

Access the Idaho Medicaid Training Center through, log on as an existing user or register as new user, search the calendar for the event, and register for the course you wish to attend. You will be provided an option to “add to calendar.” New users will be required to enter an Access code; please contact provider services at 1 (866) 6864272, option 3. If you need assistance registering for this class, please contact

New Policy Document AvailableUse SHIFT+ENTER to open the menu (new window).

The Ordering, Referring and Prescribing (ORP) policy document is now available at Providers - Medicaid under Policies on the right hand side of the page.

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.

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