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4/14/2017
April MedicAide Newsletter Now OnlineUse SHIFT+ENTER to open the menu (new window).

The April edition of the MedicAide Newsletter is now available online. Please click here for the latest news and information affecting Idaho Medicaid providers. If you must receive the MedicAide by mail, please dial 1 (866) 686-4272 and select option 3.

4/14/2017
Provider Handbook UpdatesUse SHIFT+ENTER to open the menu (new window).
Updates have been made to the Provider Handbook. You may find the link on the left navigation panel of this website. Changes are noted at the beginning of each document. The updated documents are:
  • Allopathic and Osteopathic Physicians
  • General Billing Instructions
  • Hospital
4/14/2017
Once in a Lifetime Procedures and ModifiersUse SHIFT+ENTER to open the menu (new window).

Idaho Medicaid will reimburse certain procedures only once during a patient’s lifetime. Once in a Lifetime Procedures are not limited to a single CPT code, but may be represented by Code Families, which are a group of CPT codes that describe the same or similar type of service. For example, there are four separate appendectomy CPT codes that can be used based upon the particular circumstance, to report the removal of the appendix. Under this policy, Medicaid provides reimbursement for only one procedure from a designated Code Family during a patient’s lifetime.

 

When any health care professional reports a code from the Once in a Lifetime Procedures, that code or any code from the same Code Family will be reimbursed only once during a patient’s lifetime.

 

Additional information on this policy will be published in the May edition of the MedicAide newsletter.

4/14/2017
New Policy Document AvailableUse SHIFT+ENTER to open the menu (new window).
The Ordering, Referring and Prescribing (ORP) policy document is now available at Providers - Medicaid under Policies on the right hand side of the page.
4/14/2017
Healthy Connections RostersUse SHIFT+ENTER to open the menu (new window).
The April Healthy Connections Rosters have been posted to your secure Trading Partner Account.
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 Claims Processing Schedule

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