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

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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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FREQUENT QUESTIONS

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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...

Case Management for Pregnant & Postpartum Women with Substance Use

New Service Alert: We now offer specialized case management for pregnant and postpartum women with substance use disorder (SUD). This service joins our comprehensive suite of case management...

OPPORTUNITY FOR REVERSAL OF CLAIM RECOUPMENT

Retrospective post payment Medical Necessity and DRG validation cases previously technically denied for not submitting medical records are now eligible to be reopened for review. Reopening...

New Idaho Behavioral Health Plan launching July 1st, 2024.

New Idaho Behavioral Health Plan launching July 1st, 2024. Telligen will no longer do reviews for inpatient psychiatric hospital stays or pediatric residential treatment facilities. Launch Plan ...

Upcoming Events

There are no upcoming events at this time.