Effective January 1st, 2022, all DME reviews will be completed by Telligen

Starting January 1st, 2021, all DME prior authorization requests must be submitted to Telligen via the online Qualitrac portal (preferred method) or via secure fax to (866) 539-0365. Portal access is easy and Efficient! Using the portal you can submit prior authorization requests, view the status of a request, and receive outcomes all online. Mark Your Calendar for two important upcoming provider training sessions.

Portal Registration Training

Tuesday, December 7 at 10:00 a.m. (MST) Zoom Recording

OR

Tuesday, December 14 at 4:00 p.m. (MST) Zoom Recording

Submitting a portal request

Tuesday, December, 21  at 10:00 a.m. (MST) Zoom Recording

OR

Tuesday, December 28  at 4:00 p.m. (MST) Zoom Link

During this session providers will have the opportunity to about learn the following:

– Login process to the Qualitrac provider portal
– Complete an electronic request
– Upload documents
– Learn about the electronic notification of review results
– How to access your submitted requests

The sessions will be recorded and available to view on http://idmedicaid.telligen.com

Questions and Answers during the sessions will be posted.

 It is recommended to attend one session of each of the provider trainings. If you are unable to do so, you may follow this process to register for the Qualitrac portal:

– If you do not currently have access to the provider portal through Telligen, please visit http://idmedicaid.telligen.com and select the “Sign Up!” button under “First Time Portal Registration.” If you have any questions or need help signing up, you may contact Telligen at qtregistration@telligen.com.

– Starting January 1, 2021, please submit all DME requests to Telligen via their online provider portal by selecting “Qualitrac Login” at http://idmedicaid.telligen.com or by going directly to the provider login at http://myqualitrac.com. While we strongly recommend all providers to create an account in the portal, if for some reason you are unable to access the portal, you may fax all required documentation to Telligen at (866) 539-0365.

– For questions regarding how to submit a review through Telligen using the Qualitrac Provider Portal or any other Telligen related questions, please contact Telligen via email at IDMedicaidSupport@telligen.com or by phone at 866-538-9510.

– If you are not sure whether or not a code requires prior authorization or who reviews the code, please view the most updated Idaho Medicaid Numerical Fee Schedule found on the “For Providers” website.