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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
    
Thanksgiving Day Holiday and the Financial CycleNew

​Happy Thanksgiving! The financial cycle will be modified due to the holiday. Claim submissions must be received by Tuesday, November 26, 2019 to be included in the financial cycle for the week. Payments will be issued by Tuesday, December 3, 2019. Remittance Advice and 835 Responses will be made available following the normal schedule.

Coordination of Benefits (COB)

In September of 2019 DXC Technology in partnership with Idaho Medicaid implemented COB Phase 3 into the Medicaid Management Information System. The Trading Partner Account (TPA ) User Guide, section titled Coordination of Benefits (COB) Information has been updated to reflect current functionality.

This implementation added functionality for coinsurance and copayment reporting when submitting secondary claims. It is critical for accurate coordination and processing that these details are reported accurately.

When adjusting a secondary claim through the Portal, the COB details should be validated before submitting the claim, to ensure the detail that was initially submitted is correct.

Seven (7) Coordination of Benefit trainings will be held at various times during the month of December. Please see the Training Calendar for the dates and times, and visit the Idaho Medicaid Training Center to register for a course. If you need any assistance with registering, email IDTraining@MolinaHealthCare.Com.  

Healthy Connections Rosters

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

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.

November MedicAide Newsletter Now Online

​The November 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.

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

 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.