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:

  • TPR Carrier Codes
Changes to Healthy Connections Roster Report

The Monthly Healthy Connections (HC) Roster report can be found in the File Exchange dropdown under the Reports link. This is a monthly report which lists the following:

· Members newly attributed to the service location
· All Idaho Medicaid members currently attributed to the service locations
· Members who are no longer enrolled as members for that service location
· Members who are no longer eligible for Idaho Medicaid

This report has been modified to serve as the HC Case Management Payment report. Specific member demographic information has been removed and can now be found on the HC dynamic Online PCP Roster exportable listing. To view the changes, select the Reports link and Healthy Connections Roster from the File Exchange dropdown in your Trading Partner Account (TPA).

Healthy Connection Roster

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

March MedicAide Newsletter Now Online

​The March 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.​​​​​​

Changes to Online PCP Roster

​New fields have been added to the exportable online PCP Roster. The PCP Roster is a system-generated list of participants that are currently enrolled or assigned to a Healthy Connections (HC) service location. To further support HC providers in coordinating their patient care, the following fields have been added to the exportable Excel or PDF list of members (PDF list can be viewed by clicking the "Print List" option):

  • Phone Number
  • Address
  • City
  • State
  • Zip
  • Head of Household
  • Enrollment Indicator (Mandatory or Voluntary enrollment)

To view the changes, select the View PCP Roster tile under the Form Entry tab in your Trading Partner Account (TPA), and select the Export to Excel or Print List option.

WE WANT YOUR INPUT!

​Where do you go to find information about Medicaid? What information do you find most useful? Please take the short survey and provide your feedback. We will use your feedback to ensure we are communicating with you in the best way possible. The survey will be available through March. We look forward to hearing from you!

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

 Molina 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.