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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
Healthy Connections Expansion Members

​It has been identified that participants covered under Medicaid Expansion and enrolled in Healthy Connections (HC) effective 1/1/20 were not included in the January HC Case Management payment or HC rosters.

A supplemental HC Case Management payment will be processed in the 1/25/20 payment cycle. Also, a supplemental HC roster will be added to the HC HealthPAS report section for HC Organizations impacted. We apologize for this inconvenience and this issue has been resolved going forward.

Healthy Connections Rosters

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

January MedicAide Newsletter Now Online

​The January 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.

1099 Forms

IRS form 1099‐MISC, Miscellaneous Income, for tax year 2019, will be mailed to providers by January 31, 2020. For more information, see our 1099 Frequently Asked Questions.

Reimbursement Policy for Incarcerated Individuals

​The Reimbursement Policy for Inpatient Hospital services for incarcerated individuals will become effective 1/1/2020. Information Release MA19-15 has been posted to the HealthPAS Provider Portal. The General Provider and Participant and Hospital Services sections of the Idaho Medicaid Provider Handbook will be updated specific to this policy change.

Medicaid Expansion

If you are a provider or participant seeking information on Idaho Medicaid Expansion, please visit the Medicaid Expansion site. Helpful information related to the application process, waiver information, FAQs and much more is available NOW!

Medicaid Participant Eligibility

Idaho Medicaid participant eligibility is determined annually. Many re-determinations occur in December. Failure to respond to the re-determination with the necessary information could result in the loss of Medicaid benefits.

Medicaid Participants: Please respond to any requests from the Idaho Department of Health and Welfare for information to determine Medicaid eligibility. If you have questions regarding your Idaho Medicaid eligibility, please contact the Idaho Department of Health and Welfare at 1-877-456-1233.

Medicaid Providers: Please continue to check Medicaid eligibility prior to rendering services, as outlined in the Idaho Medicaid Provider Handbook, General Provider and Participant Information, section 1.3.8 titled Verifying Participant Eligibility. If you have questions regarding eligibility verification, please contact your DXC Provider Relations Consultant or DXC Technology at 1(866)686-4272.

Reminder to Providers

Reminder to Providers that are contracted with a 3rd party entity for billing or claims support

Providers are expected to grant or authorize adequate levels of access to their respective Billing agent or Clearinghouse. Specifically, when they are assisting with claim submission and reconciliation.

For your convenience please see the following list for access and resources:

• Create an association between the Provider’s Trading Partner Account (TPA) and the 3rd parties TPA. This will provide the entity with access to the claim and payment information 24/7. In addition, It grants the user ability to correct or submit a claim electronically. (Instructions can be found in the Trading Partner Account Registration and Maintenance Guide> Manage Billing Agent Association.)
• Route the 835 file directly to the Clearinghouse or Billing Agent (Instructions can be found in the Trading Partner Account Registration and Maintenance Guide> 835 Routing.)
• Remind the Clearinghouse or Billing Agent of payment cycle changes, which can be found in the Announcements.  
• Provide your 4-digit Security Code to the Clearinghouse, Billing Agent and internal users needing to access the interactive voice recognition system. This is available 24/7 and eliminates hold times to reach a Call Center Professional.
• For our shared efficiency, please ask your Clearinghouse or Billing Agent Representatives to be prepared to provide verifying information when they call.

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 2020 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
​Participant Information Website
​Language Services

 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

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