Qualis Health provides case management and utilization management services to the Idaho Department of Health and Welfare, Division of Medicaid. We are staffed by qualified healthcare professionals who provide services tailored to the needs of enrolled Idaho residents.
The Idaho Medicaid program provides healthcare for eligible elderly and disabled individuals and eligible low-income pregnant women, children and parents. In support of the Medicaid program, we currently serve more than 240,000 Medicaid clients in Idaho. We are privileged to be instrumental in this vital work.
Revised Provider Manual Available
The Idaho Medicaid Provider Manual has been revised and is effective August 1, 2015. It includes updated Select Diagnoses/Procedures Review Guidelines. You can also find these documents on the Provider Resources page.
Two Qualis Health Provider Portal Training Webinars in June
We are holding two Qualis Health Provider Portal training webinars in June. Webinars are one hour long, and you don't need to sign up in advance. Visit the Provider Education page for dates, times and instructions.
Qualis Health Provider Portal Transition Completed
In November we transitioned from iEXCHANGE to the Qualis Health Provider Portal.
As of November 1, 2014:
You'll find more information, including how-to videos and the Qualis Health Provider Portal User Guide, on the Provider Resources page.
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