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Information Releases

Idaho Medicaid issues Information Releases (IR) to providers to update them on policy, billing, and/or processing changes. They are listed numerically with the newest at the top.

Looking for an IR prior to 2001? Send a fax or written request to:
Information Release Coordinator
Division of Medicaid
P.O. Box 83720
Boise, ID 83720-0036
Fax: 208-364-1811


Informational Letters are not the same as Information Releases. They are sent only to the intended providers and might not be available on this site.

2008 Releases

2007 Releases

 Title
IR 2007-07 - Preferred Agents for Drug Classes
IR 2007-09 - Notice of 2007 Medicaid Rates for Swing-Bed Days and Administratively Necessary Days (A
IR 2007-11 - Placement of residents into Certified Family Homes
IR 2007-12 - Use of NPI on 837 Electronic Professional, Dental, and Institutional Claims - REPLACED
IR 2007-13 - Important Claims Processing Information for Pharmacy Providers Related to
IR 2007-17 - Idaho Smiles - A New Program For Idaho's Basic Plan Participants
IR 2007-20 - Preferred Agents for Drug Classes Reviewed at Pharmacy and Theraputics Committee Meetin
IR MA07-01 - Changes in Federal Legislation Affecting Idaho Medicaid Providers
IR MA07-03 - Co-Payment for Non-Emergency use of an Emergency Room
IR MA07-04 - Co-Payment for Non-Emergency use of Ambulance Transportation Services
IR MA07-05 - Idaho Medicaid Disproportionate Share Hospital (DSH) Survey
IR MA07-08 - Medicaid Nursing Facility Eligibility
IR MA07-10 Information Request Related to PCS Wage
IR MA07-15 - New PCS Payment Rates Effective July 1, 2007
IR MA07-16 - Update to Information Release 2007-12: Use of NPI on 837 Electronic Professional, Denta
IR MA07-18 - Removal of Requirement for Healthy Connections Referral for Outpatient Dental Services
IR MA07-19 - Removal of Requirement for Healthy Connections Referral for Select Services
IR MA07-21 Tamper Resistant Prescription Pads
IR MA07-22 Trasportation Reimbursement Rate Increase
IR MA07-23 - Hospice Rates
IR MA07-24 - Federal Anti Kickback Statute

2006 Releases

Preferred Agents for Drug Classes Reviewed at July 21, 2006 and August 18, 2006 Pharmacy and Therapeutics Committee Meetings

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NEW DDA PROCEDURE CODE EFFECTIVE OCTOBER 1, 2006

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INCREASES IN REIMBURSEMENT RATES FOR CERTAIN NURSING

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HOME HEALTH MEDICAID CAPS

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2005 Releases
CHANGES IN PRIOR AUTHORIZATION REQUIREMENTS FOR SPINAL NEUROSTIMULATORS

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Reimbursement Rate Increase-Transportation Providers

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NEW CONTACTS FOR REQUESTING NON-EMERGENT Transportation Prior Authorization

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ADDITIONAL TERMS to the MEDICAID PROVIDER AGREEMENT

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Older Releases
REQUIREMENT OF NATIONAL DRUG CODE (NDC) FOR OUTPATIENT CLAIMS

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Effective August 1, 2003 the Idaho Medicaid program will reinstate the electronic edit process that ensures that all other known insurances have been billed for clients with other pharmacy insurance coverage.

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Immunization Guidelines Public Health DEPARTMENT Local/State CODES

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Effective for dates of service on or after August 1, 2002, any client living in an ICF/MR in need of a wheelchair may obtain one from a qualified Medicaid supplier and have the purchase billed to Medicaid.

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2006 Attachments

2003 Attachments