Idaho MMIS Provider Handbook


State Policies & Initiatives: 
Medicaid & Employment

~~“All providers wishing to participate in the Idaho Medicaid Program must complete a provider application through the Molina Medicaid website.  The Provider Enrollment link in the left menu bar will take you to the online application to apply to become an Idaho Medicaid provider. A complete application includes a Medicaid Provider Enrollment Agreement and a W9, which must be signed by the provider and submitted with the enrollment application along with other attachments to Molina through the website”. 

  • Medicaid Agencies
  • Home and Community Based Services (HCBS)
Date Enacted: