Idaho MedicaidUpdated April 9, 2021 Medicaid
Idaho Medicaid is the state and federal partnership that provides health coverage for selected categories of people in Idaho with low incomes. Its purpose is to improve the health of people who might otherwise go without medical care for themselves and their children.
|Program Name||Idaho Medicaid|
|Appeal a Denial||Appeals and Fair Hearings|
|Find a Local Office||https://healthandwelfare.idaho.gov/offices|
To be eligible for Idaho Medicaid, you must be a resident of the state of Idaho, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.
You must also be one of the following:*
- Be responsible for a child 18 years of age or younger
- Have a disability or a family member in your household with a disability
- Be 65 years of age or older
* ACA Medicaid expansion covers eligible low-income adults.
Annual Household Income Limits (before taxes)
|Household Size*||Maximum Income Level (Per Year)|
*For households with more than eight people, add $6,038 per additional person.
Available Services Include:
|Annual physicals||Medical equipment and supplies|
|Counseling and mental health services||Medical transportation services|
|Dental services||Nurse midwife|
|Doctor visits||Pregnancy and family planning services|
|Durable medical equipment||Prescriptions|
|Early periodic screening (children only)||Primary care case management|
|Emergency medical transportation||Prosthetics/orthotics|
|Home health care (doctor prescribed)||Smoking cessation|
|Hospice care||Substance abuse treatment|
|Inpatient and outpatient hospital care||Weight loss|
A small percentage of Medicaid participants are required to pay a $3.65 copay.