Medicaid Provider Enrollment Overview

Idaho offers 3 Medicaid waiver programs for home care agencies. The state Medicaid program is administered by Idaho Department of Health and Welfare - Division of Medicaid. Currently, Idaho is actively enrolling new home care providers.

The average enrollment timeline is 60-90 days from initial application to receiving your first client. With medium demand for home care services, Idaho represents a solid opportunity for agencies looking to serve Medicaid clients.

Idaho Medicaid Waiver Programs

Home care agencies in Idaho can enroll in the following waiver programs. Each program serves different populations and has specific service requirements.

1

Aged and Disabled Waiver

1915(c) Waiver

Services for elderly and adults with physical disabilities

2

Developmental Disabilities Waiver

1915(c) Waiver

Services for individuals with developmental disabilities

3

Children's DD Waiver

1915(c) Waiver

Services for children with developmental disabilities

Idaho Provider Requirements

To become a Medicaid provider in Idaho, your home care agency must meet the following requirements:

  • Idaho business registration
  • Personal Care Services Agency certification
  • Criminal background checks
  • Professional liability insurance
  • Quality management system
  • Training compliance

Step-by-Step Enrollment Process

Follow these steps to enroll as a Medicaid waiver provider in Idaho:

1

Obtain Idaho personal care agency certification

2

Apply for NPI

3

Complete Idaho Medicaid provider enrollment

4

Register with Molina Healthcare (fiscal agent)

5

Complete EVV registration

6

Execute provider agreement