Online Help Help

  • 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 beginning of each document. The updated documents are:​​​

  • Directory
  • General Provider and Participant Information
  • Non-Emergent Non-Medical Transportation
  • Transportation Services
Extended Maintenance Window February 24-25

​The Idaho Molina Medicaid website will be down from 10 a.m. on Saturday, February 24 to 4 p.m. on Sunday, February 25, 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.

Coordination of Benefits Processing

IDHW has requested system changes to support Coordination of Benefits (COB) processing. Providers may notice some changes to their claims processing and remittance advice reports. View more information here to understand the COB changes effective 2/23/2018.

President's Day Holiday and the Financial Cycle

​Due to the President’s Day holiday, the financial cycle for the week of 2/19/2018 will be delayed by one day. Payments, Remittance Advices (RAs), and the HIPAA 835 Claim Advice Files will be one day later than normal.

New Transportation Contractor

​Medical Transportation Management (MTM) Inc. is IDHW’s new Non-Emergent Medical Transportation (NEMT) broker. Beginning 2/20/2018 participants and providers may contact MTM at 1 (877) 503-1261 to schedule their transportation services for dates 3/6/2018 and beyond. Effective 3/6/2018, MTM will assume full responsibility of administering NEMT services for Idaho Medicaid.

Please visit the MTM’s Idaho NEMT web page for more information http://www.mtm-inc.net/idaho/.

February MedicAide Newsletter Now Online

​The February 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.​​​​

Revised General Billing Instructions

The General Billing Instructions document in the Provider Handbook has been restructured and updated to better align with policy and assist providers in billing Idaho Medicaid. Please review the document to ensure you have the most up-to-date information.​

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 Molina 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. 

 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 2018 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. 

 Molina 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

 Molina Contacts

Molina Provider Relations Consultants Contact Information
Idaho Medicaid Contact Information (Provider Services, Provider Enrollment, and Molina 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.