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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
    
Provider Handbook Updates

Updates have been made to the Provider Handbook. You may find the link under the Reference Material menu on this website. Changes are noted at the end of each document. The updated documents are:

  • Eye and Vision Services  
  • Podiatric Medicine and Surgery Services
  • TPR Carrier Codes

Healthy Connections Rosters

​The August Healthy Connections Rosters have been posted to your secure Trading Partner Account.​​​​​​​​

Medically Unlikely Editing (MUE) Not Enforcing Limitation

​As part of the National Correct Coding Initiative (NCCI) some service codes were assigned a number of units allowable, or medically likely. Any number of units in excess of that limit are to be denied as medically unlikely. It was recently discovered that these MUE limits were not being applied correctly for a few specific codes. The specialties affected by this correction include but are not limited to the following: Developmental Disability Agency, DD Child Independent Therapeutic Consultation and Occupational Therapist – Pediatrics. The service codes affected include but are not limited to: 90853, 96150, 96152, 96153, 97530, 97537.

Coordination of Benefits (COB) Enhancements

Coordination of Benefits (COB) processing for Idaho Medicaid claims will be enhanced, starting at the end of August. Today when a recovery is made by HMS the amount recovered is reflected as a primary insurance payment, and is only visible on your Remittance Advice. Once implemented, providers will be able to view these claims on the DXC Technology Provider Portal and on the Remittance Advice. A new eligibility segment will be shown reflecting either ThirdPartyRecovery or Casualty depending on the type of recovery that was made when viewing the claim detail on the portal.

For more information regarding this change, please see the article titled Coordination of Benefits (COB) Enhancements in the August edition of the MedicAide Newsletter.

DXC Technology Provider Portal Secuirty Update

Effective 8/31/2019, DXC Technology will no longer support the Transport Layer Security (TLS) 1.0 and 1.1 encryption protocol. Any user of the secure HealthPAS provider portal will be required to use a compliant web browser that supports TLS 1.2.

We are dedicated to the privacy and security of our provider and participant information, and encourage you to prepare for this change immediately. Please see the article titled DXC Technology Provider Portal Security Update – Effective 08/31/2019 in the August edition MedicAide Newsletter for additional information regarding this change.

August MedicAide Newsletter Now Online

The August 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 Providers Submitting Secondary Claims through Your Trading Partner Account

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.

Dial 1 When You Call!
It is very important that you dial a 1 when calling us. Please call 1 (866) 686-4272.  Thank you!
Welcome to the Idaho DXC Technology Online Portal for Medicaid Providers!


This website provides information to Idaho Medicaid providers, trading partners, and the public. Helpful documents and links can be found in the menu bar above. 

 Scheduled System Downtime

​The Idaho Medicaid website is down each week from 4 PM on Saturday to 10 AM on Sunday for regular maintenance.  During this time, eligibility inquiries are available through our telephone system at 1 (866) 686-4272.  Any changes to this standard maintenance window will be communicated via an announcement on this website. 

 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 2019 Financial Payment Processing Cycles.

 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. 

 DXC Technology Partners

Click here for a list of contact information for our valued partners. 

 Idaho Medicaid Member Resources

​Participant Services Phone​1 (866) 686-4752 (Toll-free), 1 (208) 373-1432 (Local)
​Participant Services E-mailidparticipantservices@molinahealthcare.com
​Participant Information Websitehttp://www.healthandwelfare.idaho.gov/Home/tabid/55/Default.aspx
​Language Serviceshttp://healthandwelfare.idaho.gov/AboutUs/LanguageAssistance/tabid/3766/Default.aspx

 DXC Technology Contacts

DXC Technology Provider Relations Consultants Contact Information
Idaho Medicaid Contact Information (Provider Services, Provider Enrollment, and DXC Technology partners)

 

 Resources & Links

 

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@MolinaHealthcare.com.