Everything You Want To Know

Medicaid / Idaho

Medicaid for Home Care in Idaho

Medicaid Certified Home Care Agency in Idaho

Agencies that offer homecare services must follow the eligibility criteria for claiming Medicaid in Idaho and should be an HHA (Home Health Agency). There could be different regulations for claiming Medicaid reimbursements in different states, so it is important to know what the specific requirements are for Idaho. One can check details that are available with the state’s Department of Human Services or Bureau of Licensing and Certification.

Governing Body: Idaho Department of Health and Welfare


Medicaid in Idaho is also called Idaho Health Plan Coverage program. It is funded by the state and federal governments to provide health coverage to low-income individuals making less than 133% of the federal poverty level (FPL). The state of Idaho offers Medicaid programs for seniors, pregnant women, parents, children, disabled people, and caregivers.

Medicaid Programs:

  • Medicaid Standard Plan (for healthy low-income children and parents)
  • HCBS Aged & Disabled Waiver
  • Personal Care Services Program (PCSP)
  • Enhanced Plan (for participants with disabilities or special needs)
  • Medicare-Medicaid Coordinated Plan

Income Requirements:

  • For children, income from $2,504 to $6,370 per month for a family of eight
  • For pregnant women, income from $1,800 to $4,580 per month
  • For parents, income from $289 to $741 per month
  • For elderly and disabled people, income up to $1,145 per month

Application Process:

The application process for accessing Medicaid for Idaho residents is easy, and anyone can apply for the available Medicaid programs by visiting Department of Health and Welfare.

Medicaid with CareSmartz360

Home care businesses require advanced solutions to integrate Medicaid into their services, and Caresmartz has been doing that across the states for home care agencies, private-duty care providers, and home care franchisors for several years. CareSmartz360 is a complete software solution to manage a home care business, and it supports all Medicaid payers, allowing businesses to focus on other operations and processes.

  • Effective and comprehensive management of the revenue cycle.
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  • Built-In feature to submit claims electronically.
  • Quickly create, review, approve and submit claims in paper invoice or 837P, 837I format.
  • Helps in generating error-free claims to save time and efforts.
  • Identify and manage accounts and claims that are overdue.
  • Robust reporting to evaluate financial performance.
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