A new Medicaid contract change in Idaho raises concerns about potential service disruptions for the state’s dual-eligible population. The contract, awarded to United Healthcare and Molina Healthcare, will take effect in January 2026. However, the current contract with Blue Cross of Idaho expires in June 2025, leaving a six-month gap where some enrollees may experience coverage uncertainty. The Idaho Department of Health and Welfare is exploring solutions to prevent disruption, but details remain unclear, causing concern among advocates and healthcare providers.
This transition is particularly significant for Idaho’s 26,000 dual-eligible beneficiaries, who rely on Medicaid for services that Medicare does not cover, including behavioral health, in-home care, and care coordination. While some enrollees may transition to Molina Healthcare, concerns persist about provider availability and Molina’s past challenges in Idaho, including issues with Medicaid claims processing. The lack of clear communication from the state has further complicated the situation, leaving many beneficiaries and stakeholders uncertain about their healthcare options.
