Insurance

Idaho Medicaid provides health coverage or assistance paying for health coverage for people who meet certain criteria.

Who is eligible?
In order to receive health coverage from Idaho Medicaid, you must complete the application process and meet certain eligibility requirements. You must fit one of the following categories:

• Be a child under the age of 19, or
• Be a pregnant woman, or
• Be an adult with a child under the age of 19, or
• Be age 65 or older, or
• Be blind or disabled according to Social Security Administration criteria.

If you fit one of the categories above, you must also meet the following eligibility criteria:

• You must be a citizen or legal immigrant, and
• You must be a resident of the State of Idaho, and
• Your household income must be less than the program income limits for your household size, and
• Your resources must not exceed the program resource limits.

If your family’s income is too high to qualify for Medicaid, we will determine if you or your children qualify for other programs that will help you pay for health coverage.  A monthly co-pay may be charged depending on your income.

Services Covered by Medicaid:

• Annual physicals
• Counselling and mental health services
• Dental care
• Doctor visits
• Durable Medical Equipment
• Emergency Medical Transportation
• EPSDT Services for children under the age of 21 (must be prior authorized)
• Home health care (Doctor prescribed)
• Hospice Care
• Immunizations
• Inpatient and outpatient hospital care
• Lab tests
• Medical equipment and supplies
• Medical Transportation services
• Nurse Midwife
• Pregnancy and family planning services
• Prescriptions
• Primary Care Case Management
• Prosthetics/orthotics
• Substance Abuse Treatment
• Smoking Cessation
• Vision Services
• Weight loss
• X-rays
• Additional services, such as nursing homes or personal care services, may be available to those who have special needs.