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 evaluation must be performed by a licensed/certified medical...

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. Existing Qualitrac users, by default, will be authenticated by email....

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 changes to base rates, percentage add-on, weights, and policy...

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 programs, all provided at no cost to Idaho Medicaid members.   Key...

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 Technically Denied Cases