Teton Valley Resource Directory

Please reach out to us at 208-354-0870 for additional assistance.

As an ever-changing and fluid resource, we ask you to help us keep this information current. If you see outdated or inaccurate information, please contact the Community Resource Center of Teton Valley at info@crctv.org with any suggested changes or additions.

Teton Valley, Idaho

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Idaho Medicaid Program

Idaho Department of Health and Welfare
Phone: 1-877-456-1233 Website: http://healthandwelfare.idaho.gov/Medical/Medicaid/tabid/123/Default.aspx

Program/Services:

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.

Maximum Monthly Income Limits
– Medicaid –
Household size Gross Income for
Child Coverage
Gross Income for
Adult Coverage
Under 19 Disabled children Pregnant* Adult w/ children
2 $2,391 Contact usIncome and resource guidelines for disability are best explained by staff. $1,719 $251
3 $3,011 $2,165 $317
4 $3,631 $2,610 $382
5 $4,250 $3,056 $448
6 $4,870 $3,501 $513
7 $5,490 $3,947 $579
8 $6,110 $4,392 $645
Each additional member + $620 + $446 + $65
* The unborn child counts as part of the household size.

 

Maximum Monthly Income Limits
– Medicaid –
Gross Income for Aged or Disabled Adult Coverage
Household size Disabled or over 65 Disabled or over 65 needing long term care Disabled and working
1 $743 $2,130 $4,788
2
(adult couple)
$1,066 $4,260 $6,463

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.

Jackson, Wyoming

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Eastern Idaho

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National

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