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1135 and Blanket Waivers from the Centers for Medicare and Medicaid Services (CMS) (June 2020 MedicAide)
A Client Care Module - Understanding Abuse (External Link)
Aged and Disabled HCBS Service Plan Code Change (Service Code T1001) (Information Release MA 12-16)
Aged and Disabled Waiver Services Fee Schedule
Ambulatory Surgical Centers (August 2018 MedicAide)
Amended Fixed Enrollment (Information Release MA 19-12)
Appeals Chapter
Attention All Providers-ICD-10 CM Ntnl Coverage Determinations (NCD) Idaho Medicaid Medical Surgical Services (June 2018 MedicAide)
Attention Laboratories - Tests for Non-Medical Physicals (May 2018 MedicAide)
Attention Providers of Diabetes Education and Training - Telehealth (May 2020 MedicAide)
August 2020 MedicAide - Transparency in Agency Guidance
Backdating of Healthy Connections Referrals (March 2011 MedicAide)
Balance Billing Medicaid Participants (March 2016 MedicAide)
Balance Billing Medicaid Participants (March 2018 MedicAide)
Billing Medicaid Participants Frequently Asked Questions (FAQs) (June 2014 MedicAide)
Bureau of Long Term - Medicaid-Enrolled Medical Supply Vendors
Bureau of Long Term Care COVID-19 Action Plan Update 3-30-20
Bureau of Long Term Care COVID-19 Action Plan Update 3-3-20
Bureau of Long Term Care COVID-19 Action Plan Update 4-14-20
Bureau of Long Term Care COVID-19 Action Plan Update 4-21-20
Bureau of Long Term Care COVID-19 Action Plan Update 4-7-20
Bureau of Long Term Care COVID-19 Resources List
Bureau of Long Term Care Services Delivered via Telehealth Provider Help Aid
Can a Provider Bill for Missed Appointments (June 2010 MedicAide)
Centers for Medicaid and Medicare Services (CMS) Cost Report Filing Extensions for Idaho Medicaid Providers (Information Release MA 20-25)
Certified Family Home (CFH) - Aged and Disabled (A&D) Waiver-Personal Care Services (PCS) Fee Schedule
Clarification of Timely Claims Filing Requirements (Information Release MA 04-59)
Clarifications on Drug Testing Laboratory and Pathology Coverage (April 2020 MedicAide)
Commercial Bus Pass Reimbursement for Adult Developmental Disability Waiver Participants (Information Release MA 12-19)
Coverage for Drug Testing Laboratory and Pathology (March 2020 MedicAide)
Coverage of Non-invasive Prenatal Testing (May 2020 MedicAide)
Covered Indications for Urine Drug Tests (August 2018 MedicAide)
COVID-19 - Laboratory and Pathology Services (Information Release MA 20-30)
COVID-19 Essential Providers (Information Release MA 20-18)
COVID-19 Essential Providers (Medicaid Information Release MA 20-18)
COVID-19 Select Home and Community-Based Services (HCBS) Rate Adjustments (Information Release MA 20-24)
COVID-19 Telehealth HIPAA Guidance (Information Release MA 20-13)
COVID-19 Telehealth HIPAA Guidance (Information Release MA 20-13) (2)
COVID-19 Telehealth HIPAA Guidance (Medicaid Information Release MA 20-13)
Developmental Disability (DD) Adult Services-Medicare-Medicaid Coordinated-Idaho Medicaid Plus Plans (March 2019 MedicAide)
Documentation Requirements (July 2019 MedicAide)
Drug Testing CPT-HCPCS and NCCI Limtiations for CPTs 80000-89999 at Medicaid.gov (June 2018 MedicAide)
Drug Testing Specimen Validity Test Billed-Medicare Correct Coding-Diagnostic-Clinical Guidelines (June 2018 MedicAide)
Durable Medical Equipment Prosthetics Orthotics Supplies (DMEPOS) Prior Authorization Policy Criteria
Electronic Visit Verification (EVV) Service Analysis Report
Explanation of BIlling in 15 minute increments (Information Release MA 08-11)
Explanation Regarding HIPAA Covered Entities (Information Release MA 03-21)
Healthy Connections Addendum B TierI
Healthy Connections Addendum B TierII
Healthy Connections Addendum B TierIII
Healthy Connections Addendum B TierIV
Healthy Connections Annual Enrollment Period (December 2019 MedicAide)
Healthy Connections Case Management Payment (August 2011 MedicAide)
Healthy Connections Coordinated Care Agreement
Healthy Connections Person-Centered Planning (PCP) Webinar-Optum-Coordinating Behavioral Health Svcs (August 2013 MedicAide)
Healthy Connections Referral Policy Reminder (September 2012 MedicAide)
Healthy Connections Referrals (November 2010 MedicAide )
Healthy Connections Temporary Suspension of Referral Requirements (Information Release MA 20-10)
Healthy Connections Urgent Care Service Referral Policy effective January 1 2020 (Information Release MA 19-17)
Home Health Caps (Information Release MA 12-11)
Home Health Medicaid Caps (Information Release MA 20-28)
House Bill 260 Budget Reductions-Intermediate Care Facilities Intellectually Disabled(ICFID)(Information Release MA 11-16)
Idaho Health Plan Booklet 2020 - English
Idaho Health Plan Booklet 2020 - Spanish
Idaho Medicaid Handbook - Directory
Idaho Medicaid Response to the Novel Coronavirus (COVID-19) (April 2020 MedicAide)
Implementation of Mediciaid National Correct Coding Initiative (Information Release MA 11-05)
Information Request - Wage Determination (Information Release MA 11-03)
Information Request Related to Wage Determination (Information Release MA 12-04)
Information Request Related to Wage Determination (Information Release MA 13-05)
Information Request Related to Wage Determination (Information Release MA 15-02)
Information Request Related to Wage Determination (Information Release MA 16-19)
Information Request Related to Wage Determination (Information Release MA 20-02)
Interpretive Services and the New Licensure Requirement for Sign Language Interpreters (August 2018 MedicAide)
Laboratory Tests - Controlled Substances - Drug Testing and Non-Covered Testing for Legal Purposes (November 2017 MedicAide)
Medicaid Hospice Rates Update (Information Release MA 19-14)
Medicaid Program Integrity Unit Audit Guidelines (July 2018 MedicAide)
Medicaid Provider Information Regarding Durable Medical Equipment (DME) (Information Release MA 20-08)
Medicaid Provider Information Regarding Telehealth (Information Release MA 20-07)
Medicaid Provider Information Regarding Telehealth (Information Release MA 20-07) (2)
Medicaid Provider Information Regarding Telehealth (Medicaid Information Release MA 20-07)
Medicaid Provider Information Resources Reimbursement Diagnosis Treatment COVID-19 (Information Release MA 20-06)
Medicaid Provider Information Resources Reimbursement DiagnosisTreatment COVID-19 (Information Release MA 20-06)
Miller Trust Policy - Estate Recovery
MTM Member Complaint, Grievance, and Appeal Procedures (External Link)
National Medical, Billing, and Coding Guidance Resources (March 2018 MedicAide)
New ResHab Payment Rates Effective Jul 1, 2018 (Information Release MA 18-10)
Non-Medical Transportation - Aged and Disaabled (A&D) Waiver Fee Schedule
Notice of Electronic Health Records Incentive Payments (Information Release MA 12-10)
Novel Coronavirus-19 (COVID-19) Criminal History and Background Checks Requirements Waiver
Obligations Under Federal Anti-Kickback Statute (Information Release MA 07-24)
Obligations Under Federal False Claims Act Entities Making_Receiving Medicaid Payments of $5M or More Annually (Information Release MA 07-01)
Oxygen for Cluster Headaches (February 2020 MedicAide)
Oxygen Services (February 2020 MedicAide)
PASRR Level I, Abbreviated Level II and Level II Flexibilities (Information Release MA 20-19)
Payment Reduction for Hospital Acquired Conditions (HACs) (Information Release MA 12-08)
Personal Assistance Agency (PAA) Services Fee Schedule
Physician and Non-Physician Practitioner Contractors (September 2018 MedicAide)
Private Duty Nursing - Home Health Certification and Plan of Care
Private Duty Nursing Flow Chart
Quarterly Private Duty Nursing Status Update
Registered Nurse (RN) Supervision of Licensed Practical Nurse (LPN)
Reimbursement Referral Changes - Idaho Medicaid Healthy Connections - Health Home Programs (Information Release MA 16-02)
Removal Requirement Healthy Connections Referral - Outpatient Dental Services (Information Release MA 07-18)
Removal Requirements Healthy Connections Referral - Select Services (Information Release MA 07-19)
Residential Assisted Living (RALF)- Aged and Disabled (A&D) Waiver-Personal Care Services (PCS) Fee Schedule
Restructuring Healthy Connections Primary Care Case Management Fee (Information Release MA 11-01)
Revenue Codes 0510, 0456, 0760, and 0761 (Information Release MA 12-21)
Service and Provider Choice Form
Service Delivery Flexibilities and Best Practices in Response to COVID-19 (Information Release MA 20-15)
Short Term Wheelchair Rental (Information Release MA 00-28)
Significant Change Form - Children Personal Care Services (PCS)
Significant Change Form - Children Private Duty Nursing (PDN)
Significant Change Form Instructions for Child Private Duty Nursing (PDN)
Significant Change Form Instructions for Children's Personal Care Services (PCS)
Telehealth Policy and the Idaho Rebounds Plan (May 2020 MedicAide)
Temporary Suspension of Medicaid co-payments for all Services (Information Release MA 20-12A)
Temporary Suspension of Referral Requirements (Information Release MA 20-10)
Types of Non-Covered Genetic Laboratory Tests (October 2018 MedicAide)
Using Telehealth for Child Wellness Exams and Immunizations During COVID-19 (May 2020 MedicAide)