Medicaid

How to Get Credentialed with Idaho Medicaid in Idaho

Network: Open
30-60 Days

Quick Overview

Timeline

30 - 60 days

CAQH

Not Required

Re-credentialing

Every 5 year(s)

Delegated

No

Idaho-Specific Requirements

Idaho Medicaid enrollment steps: (1) Obtain NPI via NPPES. (2) Register through the Idaho DHW (Department of Health and Welfare) Medicaid provider enrollment portal. (3) Submit application with ID state license, proof of malpractice insurance, and required documentation. (4) Background check including state and federal criminal history is required for all providers. Idaho operates managed care through contracted MCOs for the majority of Medicaid beneficiaries. Behavioral health providers accepted include LPC, LCSW, and LMFT with active Idaho licensure. Revalidation is required every 5 years.

Medicaid Information — Idaho

Agency: Idaho Department of Health and Welfare

Program: Idaho Medicaid

Portal: https://healthandwelfare.idaho.gov/providers/medicaid-provider

Phone: 1-866-686-4748

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Idaho.

2

Prepare Your Application

Complete Idaho Medicaid's provider enrollment application with all required information and supporting documentation.

3

Submit Your Application

Submit your completed enrollment package to Idaho Medicaid.

4

Track & Follow Up

Credentialing typically takes 30-60 days. Monitor your application status and respond promptly to requests for additional information.

Required Documents Checklist

Background Check

Federal/state background check required for Medicaid enrollment

CV/Resume

Work history required

Malpractice Insurance

Conditional

Required in most states; some state programs waive for government employees

Medical License

NPI Certificate

Enrollment Forms

Idaho Medicaid Provider Enrollment

Required
Online Open →

Contact Information

Provider Enrollment

National

1-866-686-4748

General Provider Inquiries

National

1-866-686-4748

Quick Links

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