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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

STERILIZATION CONSENT FORM REQUIREMENTS

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TRANSITION OF PARTICIPANTS FROM BASIC TO ENHANCED DEVELOPMENTAL DISABILITIES AGENCIES (DDA) SERVICES

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TRANSITION OF PARTICIPANTS FROM BASIC TO ENHANCED MEDICAID MENTAL HEALTH SERVICES

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Preferred Agents for Drug Classes Reviewed at May 19, 2006 Pharmacy and Therapeutics Committee Meeting

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2005 Releases
DENTAL: DOCUMENTATION REQUIREMENTS FOR BILLING BEHAVIOR MANAGEMENT (D9920)

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PRIOR AUTHORIZATION CRITERIA FOR SKELETAL MUSCLE RELAXANT DRUG CLASS

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Replacing information in IR 2004-45: NEW PRIOR AUTHORIZATION CRITERIA FOR LONG ACTING OPIOID DRUG CLASS

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Older Releases
On July 1, 2004, Idaho Medicaid implemented the new Children’s Health Insurance Program-Part B (CHIP-B).

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Release was not issued.

On May 5, 2003, the Idaho Medicaid program will begin accepting pharmacy claims from retail pharmacies using NCPDP software Version 5.1 (which replaces the current versions ) or the new Idaho Medicaid billing software, PES (Provider Electronic Solutions).

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Effective for dates of service on or after October 20, 2003, Idaho will be converting the following state-only codes to the appropriate HCPCS or CPT codes in the table below. Please be aware that some codes will require a modifier to be attached when billing the appropriate code.

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2006 Attachments

2003 Attachments