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Idaho Department of Health & Welfare
Did You Know?
Idaho Department of Health & Welfare
Provider Handbook
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Idaho Department of Health & Welfare
MedicAide Newsletters
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Idaho Department of Health & Welfare
MedicAide Newsletters
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Idaho Department of Health & Welfare
Fee Schedules
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Idaho Department of Health & Welfare
Fee Schedules
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Idaho Department of Health & Welfare
Information Releases
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Idaho Department of Health & Welfare
Announcements
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Idaho Department of Health & Welfare
User Guides
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Idaho Department of Health & Welfare
Training
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Idaho Department of Health & Welfare
Idaho Medicaid Training Center
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Idaho Department of Health & Welfare
Training Opportunities
• Monthly WebEx Trainings
o Available to all providers
o Calendar is located at www.idmedicaid.com
• Regional Workshops
o Yearly
o Information will be posted to www.idmedicaid.com
• Individual Training or Questions
o Contact your local Provider Relations Consultant
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Idaho Department of Health & Welfare
Maintenance
Idaho Department of Health & Welfare
Provider Maintenance
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Note: Contact updates are made through Maintenance –Demographic.
Maintenance is required when any information changes:
• Physical, mailing, and e-mail address• Add, term, update service locations• Rendering or service provider changes• Name changes • Change in ownership• Current provider credentials (licenses,
credentialing, and etc.)
Idaho Department of Health & Welfare
Enrollment and Maintenance
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Idaho Department of Health & Welfare
Enrollment and Maintenance Forms
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Idaho Department of Health & Welfare
Provider Maintenance
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Note: For additional information, refer to the Provider Maintenance User Guide.
Idaho Department of Health & Welfare
Maintenance Forms
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Idaho Department of Health & Welfare
Tips
• Use current forms
• Complete all sections of the form—use “N/A” when
appropriate
• Utilize the Provider Enrollment Requirements document
in the Provider Handbook for type and specialty
information, as well as additional requirements
• W9 name and tax ID must match IRS records
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Idaho Department of Health & Welfare
Tips | License Updates
• Updated Credentials: License
• As long as there are no changes to information, license updates are not required if you are licensed with the following:
• Idaho State Board of Nursing
• Idaho State Board of Medicine
• Idaho State Board of Pharmacy
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Idaho Department of Health & Welfare
Provider Maintenance Resources
The Idaho DXC Technology Medicaid website (www.idmedicaid.com) has the following resources:
• Provider Enrollment - Verifying Enrollment Application Status
• Provider Handbook
• User Guides
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Contact DXC Technology at 1 (866) 686-4272 or e-mail idproviderenrollment@molinahealthcare.comfor assistance with enrollment or maintenance
Idaho Department of Health & Welfare
Provider Relations Consultants
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Region 1 and the state of WashingtonRegion.1@DXC.Com
Region 2 and the state of MontanaRegion.2@DXC.Com
Region 3 and the state of OregonRegion.3@DXC.Com
Region 4 and all other states Region.4@DXC.Com
Region 5 and the state of NevadaRegion.5@DXC.Com
Region 6 and the state of UtahRegion.6@DXC.Com
Region 7 and the state of WyomingRegion.7@DXC.Com
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