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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Register Now for Prior Authorization for Physician Administered Drugs (PAD) Training

Prior Authorization for Physician Administered Drugs (PAD) is transitioning from the Idaho Medicaid Pharmacy Program to Telligen. Beginning May 4, 2026, all prior authorization requests for PAD must...
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CHIS Expedited Requests

Attached is a memorandum providing clarification regarding appropriate use of an expedited review for CHIS services. The memo outlines applicable federal standards and clarifies when expedited...
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Signature Requirements for CHIS Prior Authorization Requests

Effective May 1st, 2026, for CHIS providers requesting prior authorization for Idaho Medicaid Participants, verbal consent documented in lieu of a parent or legal guardian signature will no longer...
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Chatbot Tip Sheet

Helpful tips and tricks for using the new Chatbot feature. Idaho Chatbot Tip Sheet
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