Manage my Medicaid with Healthy Connections

Healthy Connections is the Idaho Medicaid program that helps participants connect with a Primary Care Provider (PCP)/clinic who will coordinate their healthcare needs.

• Your PCP will coordinate your care, including giving referrals to other providers to allow medically necessary services to occur.
• Healthy connections follows a fixed enrollment process
  • You will stay enrolled with your PCP unless you qualify for a reason to change.
  • You can change your PCP for any reason during Open Enrollment every July and August.

  If you need additional information you can contact Healthy Connections at 888-528-5861 or by email at hccr7@dhw.idaho.gov.

  Enrollment in Healthy Connections will be with a clinic, not a specific provider. The clinic will work with you to determine your specific primary care provider or primary care team.

  When searching for a Healthy Connections Primary Care Provider, the results will show a Healthy Connections Tier 1, 2 or 3 next to the clinic. The provider requirements for those tiers are listed below:

  Healthy Connections Tier I:

  • Provide primary care including monitoring and coordinating patient care
  • Provide timely referrals to medically necessary services
  • Provide 24 hour, 7 days a week availability of information, referral, and treatment for emergency medical conditions

  Healthy Connections Care Management Tier II:

  • Provide all requirements listed in Healthy Connections Tier I
  • Provide additional access to care, which may include:
    • Being open 46 hours or more each week
    • Having a patient portal
    • Offering telehealth

    Healthy Connections Medical Home Tier III:

    • Provide all requirements listed in Healthy Connections Care Management Tier 2
    • Be nationally recognized as a Patient-Centered Medical Home