Idaho Department of Health and Welfare, Division of Medicaid

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.

Who We Serve

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 190,000 Medicaid clients in Idaho. We are privileged to be instrumental in this vital work.

Services We Provide for Idaho Medicaid

• Case management
• Utilization management
• Pre-admission review
• Concurrent review
• Retrospective review
• Appeals
• Focused case review
• Provider education sessions

Announcements

• We will present the Qualis Health Award of Excellence in Healthcare Quality at the Idaho 2012 Annual Patient Safety and Quality Improvement Conference. Learn more about the Award of Excellence, download an award application or learn more about the conference. Award applications are due January 31, 2012.
• Provider Manual and Pre-authorization List (January 2012)
• The 2012 Annual Patient Safety and Quality Improvement Conference will be held April 5-6. We are looking for speakers with innovative and informative messages based on the theme "Safety in Transitions" to share with the healthcare industry. Presentation proposals must be postmarked by Friday, January 20, 2012. Learn more.
• Provider Bulletin: Surgical Reviews (June 21, 2011)
   

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