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. 

EFFECTIVE SEPTEMBER 1, 2025- HOME HEALTH

All Home Health prior authorization requests MUST be submitted through Telligen's Qualitrac provider portal. Contact us with any questions on how register and/or submit cases.

Good news, there is updated criteria for Power Seat Elevation on Power Wheelchairs

Power Seat Elevation may be covered if the Participant has undergone a specialty evaluation that confirms the individual’s ability to safely operate the seat elevation equipment in the home. This...

Important: Multifactor Authentication (MFA) Coming to Qualitrac on July 28, 2025

On July 28, 2025, multi-factor authentication (MFA) will be required for all users with access to the Idaho client who login to Qualitrac.  A user must have at least one verification method for MFA....

Solventum APR DRG

Acute Care Hospitals will be subject to updates to the Solventum All Patient Refined DRG (Solventum APR DRG) Software reimbursement methodology effective July 1, 2025.  This update will result in...

Upcoming Events

There are no upcoming events at this time.