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 NameIdaho Medicaid
Expanded MedicaidYes
Websitehealthandwelfare.idaho.gov
Email[email protected]
Phone877-456-1233
Apply Onlinehttps://idalink.idaho.gov/
Appeal a DenialAppeals and Fair Hearings
Find a Local Officehttps://healthandwelfare.idaho.gov/offices

Eligibility Requirements

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:*

  • Pregnant
  • Be responsible for a child 18 years of age or younger
  • Blind
  • 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)
1$17,131
2$23,169
3$29,207
4$35,245
5$41,284
6$47,322
7$53,360
8$59,398

*For households with more than eight people, add $6,038 per additional person.

Available Services Include:

Annual physicalsMedical equipment and supplies
Counseling and mental health servicesMedical transportation services
Dental servicesNurse midwife
Doctor visitsPregnancy and family planning services
Durable medical equipmentPrescriptions
Early periodic screening (children only)Primary care case management
Emergency medical transportationProsthetics/orthotics
Home health care (doctor prescribed)Smoking cessation
Hospice careSubstance abuse treatment
ImmunizationsVision services
Inpatient and outpatient hospital careWeight loss
Lab testsX-rays

Copayments

A small percentage of Medicaid participants are required to pay a $3.65 copay.