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.

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...

New Way to Check Review Status

Telligen now has a new automated phone system for checking your review status. Click to read more…

DRG Implementation

Acute Care Hospitals will be subject to changes in their reimbursement methodology effective July 1, 2021. Acute Care Hospitals will be reimbursed using 3MTM All Patient Refined DRG (APR DRG)...