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.

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. Registration takes less than 10mins.

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...

Telligen Taking Over DME Reviews January 1, 2022

Effective January 1st, 2022, all DME reviews will be completed by Telligen Starting January 1st, 2021, all DME prior authorization requests must be submitted to Telligen via the online Qualitrac...

Case Management Self-Referral for Enrollees

Providers: Please take note of this announcement and direct members to it at your discretion. **ATTENTION MEDICAID MEMBERS** If you or Medicaid members in your family have one of the following...

Important Announcement on Prior Auth & Acute Rehab Level of Care

Effective immediately: Prior authorization for the Acute Rehabilitation level of care is no longer required for APR-DRG facilities. As part of this update, prior authorization, concurrent, and...