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
QIO Review Changes

Telligen is now reviewing some codes that used to be reviewed by IDHW staff. To learn about the changes, please go to the Telligen website:

Healthy Connections Rosters

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

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:​​​

  • Allopathic and Osteopathic Physicians
  • CMS 1500 Instructions
  • Eye and Vision Services
  • General Billing Instructions
  • Glossary
  • Hospital
  • Overview
  • Remittance Advice Analysis
  • Suppliers
  • UB04 Instructions​
March MedicAide Newsletter Corrections

​The March MedicAide newsletter incorrectly states the effective date for coverage of pull-ups is February 1, 2018. The actual effective date is January 1, 2018.

The newsletter also incorrectly states that rolling month limitations are based on 30 day months. Rolling months are calendar-based and accept the varying number of days included in each month. Example: If supplies are dispensed on February 6, they are available to be dispensed again on March 6.

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.​​​​

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.

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

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
​Participant Information Website
​Language Services

 Molina Contacts

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