Optum follows national guidelines and policies to ensure the integrity of our network.
GUIDELINES & POLICIES
Best Practice Guidelines
Click here to view the Optum Best Practice Guidelines which are located at our partner website, Provider Express.
Level of Care Guidelines
Idaho Medicaid Supplemental Clinical Criteria (Optum Idaho Level of Care Guidelines) - Effective 1/01/2021
Network Provider Audit Tools
Network Provider Manual
Provider Manual
Provider Manual Change Index
Optum Idaho will publish the updated Provider Manual on February 1, 2021. Please review the following notable provider alerts related to changes to the IBHP, effective January 1, 2021:
December 1, 2020 - Change in Minimum Provider Age for Respite Services
December 1, 2020 - Opioid Treatment Programs
December 1, 2020 - Peer Services Opportunities and Updates
If you have any questions, please contact your Provider Relations Advocate.
Provider Clinical Questions: (855) 202-0983 | Primary Care Provider Psychiatric Consult press option 1