01/12/2026
Medicaid notified providers Thursday, January 8, 2026 of a significant change in policies that could have a substantial impact on the services of our families. They are now limiting the children we serve to 20 visits a year, with any additional visits requiring pre-authorization. Unfortunately, the process for pre-authorization has not been defined, nor the criteria. Additionally, waiting for the authorization could pose a delay in services and limited access to care. Most of the children we service have therapy needs well well beyond 20 visits. The children we service are working to develop critical life-skills and the more services are delayed, the greater impact it has on the progress of these children.
As a provider, I will continue to advocate for the children and families I serve. I will submit pre-authorization and documentation as needed once procedures are clearly defined by Medicaid. I will also continue communications with Medicaid regarding this policy change.
Families and caregivers, I ask that you reach out to your Medicaid officials and Idaho legislators as well and advocate for the services your children need and deserve.
Governor Brad Little, 208-334-2100
Idaho legislature information center, 208-332-1000 or Idleginfo@lso.idaho.gov
General Department of Health and Welfare contact, 877-456-1233
Medicaid Division - policies and admin, 208-334-5747
