Idaho Health Insurance
Idaho Medicaid:
Medicaid has different programs available that provide health coverage for:
- Children under age 19
- Parents or other related adults with children under age 19
- Pregnant women
- Women diagnosed with breast or cervical cancer or pre-cancer
- People aged 65 or older
- People who are blind or disabled (using Social Security criteria)
Apply for Medicaid:
You can apply for Medicaid with just your name, address, and signature on our Application for Assistance. This gets you started, but we still need you to provide the rest of the information on the application before we can determine if you’re eligible.
If your family’s income is too high to qualify for Medicaid, we will determine if your children quailify for Idaho’s State Children’s Health Insurance Program (SCHIP). SCHIP is a health coverage program for children under age 19 whose family income is too high to qualify for Medicaid. There may be a small monthly cost for SCHIP coverage ($10.00 or $15.00, depending on income) for each child who receives SCHIP.
Eligibility Requirements:
In order to receive Medicaid, certain eligibility requirements must be met in areas such as, citizenship/immigration status, income, resources, work requirements, and other areas based on your household’s circumstances.
Medicaid and Schip Coverage:
Medicaid and SCHIP will pay for a number of services, such as prescriptions and dental care. While it is possible to have Medicaid and private health insurance, children who have private health insurance cannot qualify for SCHIP.
Benefit Plans:
The Idaho Medicaid State Plan is made up of the Standard State Plan which includes mandatory minimum benefits and three Benchmark benefit plans that are aligned with health needs and include an emphasis on prevention and wellness. Click on the plan titles below to see the benefits for each or click on the comparison sheet to quickly view the differences between the plans.
Idaho Health Plan Coverage booklet
We are in the process of updating this booklet. Please check back in September 2011 for the updated program information.
This booklet has information about each of Medicaid’s benefit plans, the importance of using your Healthy Connections doctor, when to use the emergency room, and keeping your child’s well-child checks and immunizations up-to-date.
It also has links to connect you with more specific program information, important phone numbers, and office locations.
- Standard– Provides the mandatory minimum benefits.
- Basic - For low-income children and adults with eligible dependent children.
- Enhanced -For participants with disabilities or special health needs.
- Medicare/Medicaid Coordinated - For participants who are eligible and enrolled for both Medicare and Medicaid.
| Medicaid Eligibility Requirements | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Medicaid Income Limits | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
To use the chart:
*Add the amount in the “Each additional member” row to the amount in row 8 for each addtional person in your family. |
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Department Contacts Central Office-Boise |
Name |
Telephone |
| Central Office mailing address: Idaho Deparment of Health and Welfare PO Box 83720 Boise, ID 83720-0036 |
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| Director | Richard Armstrong |
(208) 334-5500 |
| Deputy Director, Health Services | Dick Schultz |
(208) 334-5500 |
| Deputy Director, Support Services | David Taylor |
(208) 334-5500 |
| Deputy Director, Family & Welfare Services | Drew Hall |
(208) 334-5500 |
| Family and Community Services Administrator | Rob Luce |
(208) 334-0641 |
| Behavioral Health Administrator | Kathleen Allyn |
(208) 334-6997 |
| Public Health Administrator | Jane Smith |
(208) 334-6996 |
| Support Services Administrator | David Taylor |
(208) 334-5578 |
| Operational Services | Paul Spannknebel |
(208) 334-5912 |
| Information Technology Services Administrator | Michael Farley |
(208) 334-6598 |
| Medicaid Administrator | Leslie Clement |
(208) 334-5747 |
| Welfare Administrator | Russ Barron |
(208) 334-5696 |
| Public Information Manager | Tom Shanahan |
(208) 334-0668 |
If you have concerns, please contact us using one of the following email addresses:
Birth/Marriage/Divorce/Death Certificates: IVR@dhw.idaho.gov
Child Protection; Foster Care/Licensing; Day Care Licensing: BrownD3@dhw.idaho.gov
Child Support: SRInqComplaint@dhw.idaho.gov
EMS Licensing/Testing: IdahoEMS@dhw.idaho.gov
Food Stamps, Medicaid Eligibility, ICCP, TAFI, Benefit Questions: SRInqComplaint@dhw.idaho.gov
Health Issues: DPHInquiries@dhw.idaho.gov
Public Record Requests: publicrecordsrequest@dhw.idaho.gov
All Other Questions: APSPortal@dhw.idaho.gov
If you would like to contact the Director’s Office regarding a personal concern or issue please email: MillerM@dhw.idaho.gov
