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Idaho Medicaid Expansion

Medicaid Idaho Expansion Banner
Enrollment begins November 1, 2019, for coverage that starts January 1, 2020

The rules have changed, and more Idahoans can now get free or low-cost quality health insurance that covers preventive care, medical visits, prescriptions, behavioral health, hospitalization, and more.

 

Frequently Asked Questions

 

Am I eligible for Medicaid Expansion?

To be eligible for Idaho Medicaid Expansion, you must meet the following requirements:

  • A resident of the state of Idaho
  • U.S. Citizen or legal immigrant
  • Between the ages of 19 to 64
  • Not receiving Medicare
  • Household income up to around $17,000 a year for a single adult or $35,000 for a family of four.

 

When can I apply?

Enrollment for Idaho Medicaid expansion begins November 1, 2019.

 

When will coverage start?

Coverage begins January 1, 2020.

 

How can I apply?

There are several ways you can apply.

  • Online | Starting November 1, 2019, you can apply online via idalink.Idaho.gov. You must have access to your email account to apply online.
  • Phone/Office/Mail | Starting November 1st you can contact DHW to apply for Medicaid Expansion.
  • Fast Track | If you have recently applied for benefits like food, Medicaid for your children, or other Medicaid programs, you may have already been flagged as “presumptively eligible” and will be contacted by Idaho Department of Health and Welfare (DHW) for a simplified enrollment process.

 

Where can I get help applying for coverage?

CHAS Health Patient Services Coordinators at select CHAS Health sites are certified Idaho Enrollment Counselors, which means they can assist you in enrolling in this new option and reviewing your other insurance options if you don’t qualify. CHAS Patient Services Coordinators take scheduled appointments and walk-in clients.

  • Call 208.848.8300 for scheduling at our Lewiston, Clarkston, or Moscow-area clinics.
  • Call 509.444.8200 for scheduling at our Spokane-area clinics.

 

What services are covered?

The new Medicaid coverage will provide free or low-cost access to a full range of preventive and emergency healthcare, including check-ups, screenings, and prescription drugs. Medicaid coverage will also cover dental visits and behavioral health care.

 

Why do I have to choose a clinic? Why can’t I go wherever I want?

Idaho Medicaid requires anyone receiving Medicaid health coverage to choose a Healthy Connections Primary Care Provider (PCP) clinic to help coordinate your care.  This provider becomes your medical home. This clinic will understand your health needs and help you get the right care. You must choose your Primary Care Provider within 90 days after you enroll in Medicaid. If you don’t choose a clinic, you will be assigned to one that is near your home. During this 90-day grace period, you may change your PCP for any reason. After the grace period, changing providers is possible but only for certain reasons. It’s best to select the Primary Care Provider you want to see throughout the entire year.

 

Can I keep my doctor?

You can continue seeing your doctor as long as they accept Idaho Medicaid. Due to the Department of Health & Welfare’s process, you must choose your Primary Care Provider (PCP) after signing up for Medicaid.

CHAS Health accepts all Medicaid patients and your CHAS Health care team can keep giving you great care including medical, dental, behavioral health, and pharmacy services.

 

I have an insurance policy through Your Health Idaho. Can I keep it?

The rules changed, so depending on your income you may no longer receive a tax credit through Your Health Idaho.  An enrollment counselor at CHAS Health can help you navigate the process to see what coverage you qualify for. Medicaid is free or low-cost and the coverage may be better than what you had through your insurance policy.

 

More Information:

Medicaidexpansion.idaho.gov

Maximum Monthly Income Limits

 



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