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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

​Effective March 18, 2020, the HC referral requirements were temporarily suspended to monitor and prepare for impacts resulting from the 2019 Novel Coronavirus (COVID-19). Please see Informational Release MA20-10 for more information.

DXC Technology and COVID-19

The health and safety of our Medicaid provider and participant community, and our DXC staff is a high priority for us. During this health emergency outbreak related to COVID-19, our DXC Technology phone representative response times may be longer than usual. We will remain available to support you Monday through Friday from 7:00 AM to 7:00 PM MST.

Whenever possible, please utilize secure messaging and e-mail communications with our team. An email response will be sent back to you, same or next business day. Please refer to the e-email address contacts, here.

Healthy Connections Rosters

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. 

Upcoming Receiver/Sender/Payer ID Changes

DXC Technology, effective 03/30/2020, will change the Receiver/Sender/Payer ID format for all inbound and outbound Electronic Data Interchange (EDI) files. The current format of ID_MMIS_4MOLINA will be changed to ID_MMIS_4_DXCMS. 

All EDI inbound transaction files that are received by DXC after 03/30/2020 will be accepted and processed, with either of the Receiver IDs (ID_MMIS_4MOLINA or ID_MMIS_4_DXCMS). All outbound acknowledgment and response files that are transmitted will include the new format of ID_MMIS_4_DXCMS; this includes files such as the TA1, 999, 824, BRR, 271, 277, 278, 820, 834, and 835.

Please refer to the Companion Guides, which will be published on www.IDMedicaid.com, and found under the Reference Material tab for any additional information. Please update your records accordingly.

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.

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 E-mail idparticipantservices@molinahealthcare.com
​Participant Information Website http://www.healthandwelfare.idaho.gov/Home/tabid/55/Default.aspx
​Language Services http://healthandwelfare.idaho.gov/AboutUs/LanguageAssistance/tabid/3766/Default.aspx
​Idaho Health Plan Coverage Booklet - English https://healthandwelfare.idaho.gov/Portals/0/Medical/MedicaidCHIP/Idaho%20Health%20Plan%20English.pdf
​Idaho Health Plan Coverage Booklet - Spanish https://healthandwelfare.idaho.gov/Portals/0/Medical/MedicaidCHIP/Idaho%20Health%20Plan%20Spanish.pdf

 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.