Medicaid plans › Idaho
Idaho Medicaid Managed-Care Plans for Providers
Enrollments are billed 50% at the start and 50% at submission; everything else 100% at the start.
Idaho Medicaid is run by the Idaho Department of Health and Welfare. 21,256 people were enrolled in its 2 managed-care plans in 2024. To see their patients, a provider enrolls with Idaho Medicaid through the Idaho Medicaid provider portal (Gainwell), then applies to each plan separately.
| Plan | Members (2024) | Share | Parent |
|---|---|---|---|
| Blue Cross of Idaho | 12,314 | 57.9% | In-state |
| Molina of Idaho | 8,942 | 42.1% | Molina Healthcare |
How Joining Works in Idaho
First the state: Idaho Medicaid enrollment through the Idaho Medicaid provider portal (Gainwell), which gives you the Medicaid ID every plan asks for. Then the plans: each takes its own participation request and credentials you from your CAQH ProView (DataSpring) profile. 1 parent company runs plans here, and plans owned by the same company still contract state by state.
How to Join Each Idaho Plan
Molina of Idaho (Molina Healthcare): Molina credentials each state separately. The contract request goes through the state's Molina provider site and requires an active state Medicaid enrollment; credentialing uses your CAQH ProView (DataSpring) profile.
Blue Cross of Idaho: This plan is run in-state rather than by a national carrier, so participation requests go to the plan's own provider relations or contracting team, listed on its provider website.
Also in Idaho: Medicare, Idaho Medicaid and commercial credentialing.
Questions
Which Idaho Medicaid plan is the largest?
Blue Cross of Idaho, with 12,314 members in 2024, 57.9% of the 21,256 people enrolled in Idaho's Medicaid managed-care plans.
Do I have to join every Idaho Medicaid plan?
No. Each plan is a separate contract. Practices usually start with the two or three largest plans in their county, then add others as patients ask for them. All of them require Idaho Medicaid enrollment first.
Membership from KFF, Medicaid MCO Enrollment by Plan and Parent Firm, 2024. Plans change when the state rebids its contracts; we confirm the current list on every file.