Regional Medicaid Services-Boise, DHW4

Organization Name: Health & Welfare, Division of Medicaid
Address: 1720 Westgate Dr
Suite A
Boise, ID 83704
Phone: 208-334-0940
Fax: 208-334-0953
Eligibility: Medicaid financial eligibility plus individual program requirements. Contact office for specific details.
Services Provided: The RMS determines eligibility and authorizes services for certain Medicaid Services, including Personal Care Services (PCS), HCBS Waiver for the Aged and Disabled (a variety of services are available including attendant care, homemaker, chore, adult day care, home delivered meals, personal emergency response system, specialized equipment/supplies); Katie Beckett or Home Care for Certain Disabled Children; Nursing Facility care; ICF/MR Care; Residential and Assisted Living Services and Certified Family Homes; Case Management; Private Duty Nursing. These services are available to Medicaid recipients who are determined to need these services. The RMS approves providers of these services and conducts quality assurance and improvement surveys. The Healthy Connections program is also part of the RMS.

**Personal Care Services (PCS): If the medical condition requires 16 hours or less per week, the service is a regular Medicaid benefit under Personal Care Services. If the medical condition requires more than 16 hours, then the individual may be eligible for one of the Home and Community Based Waivers. Under the waiver program, the cost of care at home cannot exceed the cost for a nursing home or intermediate care facility. The Regional Medicaid Unit must authorize all services in advance.

**Home Care for Certain Disabled Children, also known as the "Katie Beckett" program, is a Medicaid program for children under 18 years of age who are not eligible for Medicaid through any other Medicaid programs. To meet criteria for this program,children must have a severe disability that significantly impairs their functioning and meets Social Security Disability criteria. The child must require the kind of care given in a medical institution, such as a hospital, nursing home or intermediate care facility for the mentally retarded. Children must have income of less than $1911. (2008 limit) and assets of $2000. or less. Parent's income and assets are not counted towards these limits.

** Adult Developmental Disability (DD) Care Management oversees services for persons 18 years of age and older and persons on the ISSH waiver (15-18) . Services that are covered under DD Care Management are Developmental Disabilities Agency services DD/ISSH waiver services and service coordination. These services are being overseen by the DD Care Managers in each region. These positions are located in the Regional Medicaid Services unit.

Regional Medicaid Services is administered by the Division of Medicaid Services.

*My Voice My Choice is the name of Idaho's self-directed option for Medicaid services.
Original Source: Idaho Careline 211
Last Updated: 10/30/2018