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.
Easy, Fast and Online: The New Way to Check Review Status
Telligen has implemented a new tool to provide immediate updates for status reviews. Click on the “Check Review Status” button below to get started.
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. Registration takes less than 10mins.
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...
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...
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)...
Upcoming Post Payment Audit
On July 1, 2021, IDHW moved to the APR-DRG reimbursement model and discontinued the prospective review of certain inpatient stays conducted by UM vendor, Telligen. Due to that change, IDHW will be...