Telligen Medicaid Services for the State of Idaho

Welcome to the Telligen website supporting Utilization Management for the State of Idaho. This site is built to provide easy access to the Qualitrac provider portal for submitting clinical cases, as well as current news and resources that pertain to the Telligen contract with the state. Please use the Contact page if you have any questions or encounter issues with the website.

Referrals Made Easy: Case Management Assistance

To request assistance from a Telligen Nurse Case Manager, click here.

Qualitrac Login

Web application used by healthcare providers to submit clinical care requests for review

Provider Portal Registration

New users need to register to gain access to Qualitrac. The provider's portion of the registration takes less than 10 mins. 

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Website for Posting YES Class Complaints

If you are a YES Class member and would like the opportunity to file a complaint anonymously with the YES program team, click here.
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Changes to Prior Auth and Medical Record Submission

Effective August 1, 2023, all Idaho Medicaid Providers must use the Qualitrac Portal to submit prior authorization requests and to upload medical records for post payment medical necessity and DRG...
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Important DME Submission Update

Provider Memo: RE: DME prior authorization requests To expedite the manual pricing process, Idaho Medicaid and the Medical Care Unit are requesting a change in how the DME requests are built and...
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All DME Prior Authorization Reviews Now Completed by Telligen

On January 1st, 2022, Telligen began reviewing DME prior authorization requests. All DME prior authorization requests must be submitted to Telligen via the online Qualitrac portal (preferred method)...
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