Skip Ribbon Commands
Skip to main content

Idaho Medicaid Health PAS OnLine

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
    
Idaho Board of Nursing Licenses Expired August 31st, 2019

If you are a provider that is licensed by the Idaho Board of Nursing and you updated your license with the Board of Nursing on or before August 31st, please do not send a copy of your updated license to DXC Technology. The Idaho Board of Nursing licenses will be updated electronically on behalf of providers.

DXC has extended license expiration dates to allow claim processing, and we are working to reprocess claims that were denied due to the Idaho Board of Nursing license expiration dates.

Please contact DXC Technology Provider Enrollment department, at 1(866)686-4272 option 1, with questions.

Healthy Connections Rosters

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

September MedicAide Newsletter Now Online

The September 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.

Provider Enrollment Enhancement Project

DXC Technology, in partnership with IDHW have agreed to delay the implementation date for the Provider Enrollment Application enhancement project. In order to successfully implement the enhancements, additional time is necessary. We appreciate the participation and engagement from the Provider Community regarding this change, and we look forward to releasing the upgraded Provider Enrollment Portal in the future.


Information regarding future training and workshop opportunities will be published as the information is made available on www.IDMedicaid.Com.  

Coordination of Benefits (COB) Enhancements

Coordination of Benefits (COB) processing for Idaho Medicaid claims will be enhanced, starting at the end of August. Today when a recovery is made by HMS the amount recovered is reflected as a primary insurance payment, and is only visible on your Remittance Advice. Once implemented, providers will be able to view these claims on the DXC Technology Provider Portal and on the Remittance Advice. A new eligibility segment will be shown reflecting either ThirdPartyRecovery or Casualty depending on the type of recovery that was made when viewing the claim detail on the portal.

For more information regarding this change, please see the article titled Coordination of Benefits (COB) Enhancements in the August edition of the MedicAide Newsletter.

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 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-mail​idparticipantservices@molinahealthcare.com
​Participant Information Websitehttp://www.healthandwelfare.idaho.gov/Home/tabid/55/Default.aspx
​Language Services​http://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 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@MolinaHealthcare.com.