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Idaho Medicaid Law

Medicaid is a program designed to provide health care to adults and children in low-income families who would otherwise struggle to pay for their medical costs. The program is funded by both the state and federal government, but Idaho's Department of Health and Welfare is responsible for overseeing it throughout the state. Idaho Medicaid law dictates who can get coverage and what type of coverage they may receive.

  1. Eligible Groups

    • In Idaho, Medicaid is designed for the most vulnerable groups of the population. Children under the age of 19 can receive medical care through the program, as can their parents if they are uninsured. Women who are pregnant can receive benefits, as can women who have been diagnosed with breast or cervical cancer or pre-cancer. Individuals age 65 or older may receive benefits. Finally, those who are legally blind as per Social Security criteria may receive benefits.

    Further Requirements

    • In addition to falling into one of the designated groups, those receiving Medicaid must meet additional eligibility requirements. They must be residents of the state and U.S. citizens or legal noncitizens. They also must meet income guidelines. These vary based on family size and the type of Medicaid the individual wishes to receive. For instance, children's Medicaid coverage for a family of four is available for anyone who makes $2,444 per month as of 2011. This is 133 percent of the federal poverty level.

    Applying for Medicaid

    • If you think you might qualify for Medicaid and wish to apply, you need to download the state's Application for Assistance to start the application process. Fill in this application and turn it in, with any income proofs requested on the form, to your local Health and Welfare office. If you need help applying, you can call the Idaho CareLine at 800-926-2588. This application covers all forms of aid, including food and cash assistance, in addition to Medicaid.

    Plan Options

    • Idaho's Medicaid offers three basic plans. The Medicaid Basic Plan covers health care, prevention and wellness needs for children and adults with dependent children who do not have any exceptional health needs. The Medicaid Enhanced Plan offers additional care for participants who have special health considerations or disabilities. The Medicare-Medicaid Coordinated Plan works for those who are eligible for both Medicare and Medicaid, which typically applies to elderly applicants. Individuals who are on the Medicaid Basic Plan will need to get an assessment from the Health and Welfare Office if their health changes and they think they need the Enhanced Plan.

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