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Idaho Medicaid Health PAS OnLine

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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
    
Attention Personal Care Service and Home Health Agencies: EVV Support Contacts and EVV Claim Denials

As a reminder, certain Personal Assistance Agency services are subject to claim denials beginning on SEPTEMBER 1, 2021, when a matching EVV record cannot be located. Providers should contact their Provider Relations Consultant or IDEVV@dxc.com with questions or concerns related to EVV.

All EVV data must be reported and provided through your chosen and designated EVV vendor for your Home Health Agency. Testing with your chosen and designated EVV vendor should be coming to completion to avoid claim denials beginning on OCTOBER 1, 2021 for Home Health Agencies. For more information on EVV, please visit: https://healthandwelfare.idaho.gov/providers/idaho-medicaid-providers/electronic-visit-verification-evv

Only Home Health and Personal Assistance Agency providers are subject to EVV requirements. Additional information, including a list of the specific services that are subject to EVV mandates, can be found here.

Attention Nursing Facilities and Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID)

All Preadmission and Long Term Care case submissions will only be accepted with valid documentation when submitted through your secure Trading Partner Account. Faxed requests cannot be accepted and processed. Incorrect case submissions may result in payment delays. To ensure proper payment for services that have been provided, validate participant eligibility and complete the Preadmission or Long Term Care case submission according to the established processes.

To assist providers with navigating the process of submitting a Preadmission case or Long Term Care case we recommend referring to the following resources:

ICF/IID Preadmission Process

Trading Partner Account LTC User Guide

Long Term Care Training Presentation

After reviewing the resources, if you have any questions regarding the process please contact your Provider Relations Consultant

ATTENTION: OUT-OF-STATE PRACTITIONERS

Do you have a temporary Idaho license? Are you an MD, DO, PA or RT? You should be aware the Idaho Board of Medicine (BOM) is no longer issuing temporary licenses to retired or inactive providers, per p. 2 of their newsletter. It provides that when Governor Little lifts the Emergency Declaration, all MD's, DO's, PAs and RTs providing services in person or via telemedicine must be fully licensed. 

Timely transition of care for Medicaid patients is extremely important. If you hold a temporary license that is expiring, contact the BOM for information on the licensure process. If you have additional questions on this topic, you can also reach out to the Idaho Medicaid Policy Team at MCPT@dhw.idaho.gov

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. 

 Provider Enrollment Information

Children's DD Independent Respite and–or CBS Provider Enrollment Instructions
CHIS Independent Intervention Specialist and Intervention Professional Provider Enrollment Instructions
Maintenance User Guide – Facility Agency Organization
Maintenance User Guide – Group
Maintenance User Guide – Individual
New Provider Enrollment User Guide – Converting from an ORP to an Individual Provider
New Provider Enrollment User Guide – Facility Agency Organization
New Provider Enrollment User Guide – Group
New Provider Enrollment User Guide – Individual
New Provider Enrollment User Guide – Ordering Referring Prescribing Provider (ORP)
PEA Top Issues
PEA Top Tips and Tricks
Prospective Provider Toolkit – Personal Assistance Agency
Provider Enrollment User Guide – Disenrollment
Provider Enrollment User Guide – Reactivation

 COVID-19
Official Resource for Novel Coronavirus(COVID-19) :
https://coronavirus.idaho.gov/resources-for-healthcare-providers
Information Releases :
/Lists/Information%20Releases/AllItems.aspx

 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 2021 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. 
There are no items to show in this view of the "Provider Enrollment Announcements" list.

 Idaho Medicaid Member Resources
​Participant Services Phone ​1 (866) 686-4752 (Toll-free), 1 (208) 373-1432 (Local)
​Participant Services E-mail ​idparticipantservices@dxc.com
​Participant Information Website https://healthandwelfare.idaho.gov/services-programs/medicaid-health
​Language Services ​http://healthandwelfare.idaho.gov/AboutUs/LanguageAssistance/tabid/3766/Default.aspx
​Idaho Health Plan Coverage Booklet - English ​ https://publicdocuments.dhw.idaho.gov/WebLink/DocView.aspx?id=2080&dbid=0&repo=PUBLIC-DOCUMENTS
​Idaho Health Plan Coverage Booklet - Spanish ​ https://publicdocuments.dhw.idaho.gov/WebLink/DocView.aspx?id=2081&dbid=0&repo=PUBLIC-DOCUMENTS

 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 Handbook
​MedicAide Newsletters
​Medicaid Fee Schedules
​User Guides
​Information Releases

 
 

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@dxc.com.