1. Program Definition
Services in Idaho are designed to assist eligible individuals in gaining access to needed medical, social, educational, and other services. These services include comprehensive assessment, service planning, referral, and monitoring to ensure the individual receives appropriate and necessary services
2. Regulations
Services in Idaho are governed by IDAPA 16.03.10 - MEDICAID ENHANCED PLAN BENEFITS
3. Licensing or Certification
Specific licensing or certification requirements for Case Management Services providers are not explicitly mentioned in the available results. However, case managers must meet certain qualifications and requirements as outlined in the regulations.
4. Responsible State Agency
The Idaho Department of Health and Welfare (IDHW) is responsible for overseeing Case Management Services.
5. Application Process
The application process involves enrolling as a Medicaid provider. This process is conducted online through the Idaho Medicaid website (www.idmedicaid.com)[2].
6. Required Documentation
To enroll as a Case Management Services provider, you must submit:
- Completed online New Medicaid Provider Enrollment Application
- Background check clearance
- Proof of qualifications as required by the regulations
- Any additional documentation required by IDHW
7. Timeline for Approval
The specific timeline for approval is not explicitly mentioned. However, the initial review of Medicaid provider applications typically occurs within 3-5 business days from the date of submission
8. Pre-Application Process
There is no specific pre-application process mentioned for Case Management Services providers.
9. Pre-Application Training
While specific pre-application training is not mentioned, case managers must have the necessary qualifications and knowledge to perform their duties effectively.
10. Additional Notes
- Case management services are limited to the amount of time a case manager works in a day and cannot include non-billable time
- Case managers must maintain appropriate documentation of services provided
- Case management can be delivered as a community-based service or in the outpatient clinic setting
- Case managers are responsible for developing and implementing supportive service plans for their clients.
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