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Qualitrac

Provider Portal

Website for Posting YES Class Complaints

If you are a YES Class member and would like the opportunity to file a complaint anonymously with the YES program team, click here.

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 validation reviews. Starting August 1, 2023, all providers are required...

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 approved. Effective Immediately: All manually priced miscellaneous (MISC)...