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.
Select Diagoses/Procedures Review Guidelines Updated for 2016
The Select Diagnoses/Procedures Review Guidelines have been updated and are effective January 1, 2016. You can also find this document on the Provider Resources page.
Get Ready for ICD-10 with New Select Diagnoses/Procedures Review Guidelines
We have posted new Select Diagnoses/Procedures Review Guidelines that include CPT and ICD-10. Use these guidelines for dates of service beginning October 1, 2015. Do not use this list for dates of service before October 1.
For dates of service through September 30, 2015, continue using the current Select Diagnoses/Procedures Review Guidelines that include CPT and ICD-9 (also known as Provider Manual Appendix A).
You can find both of these documents on the Provider Resources page.
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