Idaho Application Service Provider Agreement
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How to fill out Application Service Provider Agreement?
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FAQ
Not all doctors accept Idaho Medicaid. Do not throw it away. If you lose benefit and then get benefits again, you will use the same card. If you lose your card, call the DHW at 877-456-1233 or call the DXC participant line at 866-686-4752.
The Department of Health and Welfare has partnered with Molina Healthcare of Idaho and Blue Cross of Idaho to administer the Medicare Medicaid Coordinated Plan. There are two different health plans that offer Medicare Medicaid Coordinated Plan (MMCP) based on the MMCP service area.
All providers wishing to participate in the Idaho Medicaid Program must first register for a Trading Partner Account (TPA) at .idmedicaid.com. Select ?Register? in the upper right hand corner to complete the TPA registration. Once complete, follow the link for the Provider Enrollment Application after logging in.
Who is eligible for Idaho Medicaid? Household Size*Maximum Income Level (Per Year)1$19,3922$26,2283$33,0644$39,9004 more rows
Medicaid is funded by combining state and federal dollars. The percentage of the total Medicaid cost the federal government pays is called the FMAP (Federal Medical Assistance Percentage).
Contact Details Organization Type:State Medical Assistance OfficeOrganization Name:Idaho Department of Health and WelfareOrganization Description:Medicaid programCovered States and Territories:IdahoAddress:3232 Elder Street Boise ID 8370547111 more row
All providers wishing to participate in the Idaho Medicaid Program must first register for a Trading Partner Account (TPA) at .idmedicaid.com. Select ?Register? in the upper right hand corner to complete the TPA registration. Once complete, follow the link for the Provider Enrollment Application after logging in.