Page Reviewed / Updated - April 08, 2021
The Medicare Medicaid Coordinated Plan (MMCP), as the name suggests, coordinates both Medicare and Medicaid Services for dual eligible Idaho residents. A “dual eligible” individual is a recipient of both Medicare (Parts A, B, & D) and Medicaid coverage. While this program is available to adults 21 years of age and older, this program is most relevant to seniors.
MMCP is intended to coordinate one’s Medicaid and Medicare benefits into one system, streamlining the process of receiving services, as well as managing the costs of services. A number of benefits, such as medical, behavioral health, dental, and prescription drugs, are available via MMCP, as well as long-term care services, such as adult day care, chore / homemaker services, respite care, etc., via Idaho’s Home and Community Based Services Aged and Disabled Waiver.
Unfortunately, MMCP is not currently available statewide. The counties in which it is available are listed under eligibility guidelines. Depending on the county in which one resides, one’s health plan is either through Blue Cross of Idaho (the MMCP program is called Blue Cross Idaho Medicaid Plus and True Blue Special Needs Plan) or Molina Healthcare of Idaho (the MMCP program is referred to as Molina Medicare Options Plus).
In order to be eligible for MMCP, the following requirements must be met:
There are no restrictions as to the living arrangement of program participants. For instance, they may live in their own home, the home of a relative, an adult foster care home, an assisted living facility, or a nursing home.
Through the Medicare Medicaid Coordinated Plan, care coordination is provided, in addition to all services available under Medicare Part A, Part B, and Part D, as well as a variety of Medicaid services. Below is a list of services one might receive via MMCP.
In addition to these services, supplemental services are also available based on one’s health plan. These services might include vision exams, nurse advice lines, non-medical transportation, nutrition counseling, over-the-counter medications, gym membership, transitional meal services, and podiatry care.
Applicants not currently on Medicaid must first apply for Medicaid. One can do so via their local Department of Health & Welfare Office. For additional information on the Idaho Medicare Medicaid Coordinated Plan, click here.
To apply for MMCP, dually eligible applicants need to call the health plan that’s available in their region.
Blue Cross of Idaho 1-888-495-2583 (Services the following areas: Ada, Adams, Bannock, Benewah, Bingham, Boise, Bonner, Bonneville, Boundary, Cassia, Canyon, Clark, Elmore, Fremont, Gem, Gooding, Jefferson, Jerome, Kootenai, Latah, Madison, Minidoka, Nez Perce, Owyhee, Payette, Power, Shoshone,
and Twin Falls, Valley, and Washington).
Molina Healthcare of Idaho 1-866-403-8293 (Services the following areas: Ada, Bannock, Bingham, Boise, Bonner, Bonneville, Boundary, Canyon, Cassia, Elmore, Fremont, Gem, Jefferson, Kootenai, Madison, Minidoka, Nez Perce, Owyhee, Payette, Power, and Twin Falls).