Promoting and protecting the health and safety of all Idahoans
Español    Idaho.gov    About Us    Contact Us  

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


No Articles Found.
2005 Releases

No Articles Found.
Older Releases
In order to be compliant with the Health Insurance Portability and Accountability Act (HIPAA) and Medicaid's effort to align reimbursement rates with Medicare, the billing procedure for anesthesia will change.

[Read the rest of this article...]


As published in the June 2002 issue of Medic/Aide, Medicaid Information Release MA-02-16 stated that clinic services are reimbursable only when provided in the actual clinic setting. This definition is clearly established in the Code of Federal Regulations at 42 CFR 440.90, which specifically defines Clinic Services as those services furnished to outpatients “at the clinic”.

[Read the rest of this article...]


Any review received on or after September 30, 2002, by Qualis Health (formerly PRO-West), Idaho Medicaid's Quality Improvement Organization, will be reviewed utilizing InterQual® clinical appropriateness criteria. This criteria will be used to review for prior authorization of procedures and diagnoses on Idaho Medicaid’s Select Pre-Authorization List and for the length of stay reviews.

[Read the rest of this article...]


In conjunction with the beginning of the 2002/2003 Respiratory Syncytial Virus (RSV) infection season, effective dates of service on or after September 1, 2002, Idaho Medicaid will no longer require prior authorization for Synagis to be reimbursed.

[Read the rest of this article...]


Page 12 of 76First   Previous   7  8  9  10  11  [12]  13  14  15  16  Next   Last   

2006 Attachments

2003 Attachments