Last Updated: January, 2026
Applying for Medicaid in Idaho is simple. You can apply online, by phone, by mail, or in person. Most people finish the online application in about 20 minutes.
Quick Summary:
- Apply online at idalink.idaho.gov (fastest option)
- Call 877-456-1233 for phone applications
- Income limit: $1,755/month for single adults (138% FPL)
- Processing takes up to 45 days
- Coverage can start up to 3 months before you apply
- Idaho is switching to Managed Care in 2026
Am I Eligible for Idaho Medicaid?
Eligibility depends on your income and household size. Idaho uses Federal Poverty Level (FPL) guidelines to determine who qualifies.
2026 Income Limits (Approximate)
| Coverage Group | Monthly Income Limit | % of FPL |
|---|---|---|
| Adults (Expansion) | $1,755 (Individual) | 138% |
| Pregnant Women | Varies by household | 138% |
| Children (CHIP) | Higher limits apply | Up to 185% |
Note: These limits are based on 2025 FPL data. Idaho updates these in February or March 2026.
For detailed income thresholds by household size, see our full Idaho Medicaid income limits 2026 guide.
Other Requirements
You must meet these non-financial rules:
- Residency: Live in Idaho
- Citizenship: Be a U.S. citizen or eligible immigrant
- Tax Status: Eligibility uses Modified Adjusted Gross Income (MAGI)
How to Apply: 4 Easy Methods
Option 1: Online (Recommended)
Visit idalink.idaho.gov to apply.
This is the fastest way. You can:
- Create an account
- Upload documents directly
- Track your application status
- Complete the form in about 20 minutes
Option 2: By Phone
Call the DHW Customer Service Center at 877-456-1233.
Hours: Monday–Friday, 8:00 a.m.–5:00 p.m. MT
Tip: Avoid Mondays and days after holidays for shorter wait times.
Option 3: By Mail or Fax
Download the Health Coverage Assistance Application from the DHW website.
Mail to:
Self Reliance Programs
PO Box 83720
Boise, ID 83720-0026
Fax to: 1-866-434-8278
Option 4: By Email
Email your completed, signed application to MyBenefits@dhw.idaho.gov.
Documents You’ll Need
Gather these before you start:
Identity & Status:
- Driver’s license, birth certificate, or passport
- Permanent resident card (if applicable)
Income Proof:
- Pay stubs from the last 30 days
- Tax returns (if self-employed)
- Award letters (Social Security, Unemployment)
Household Information:
- Social Security Numbers for all applicants
- Dates of birth for everyone applying
Other Insurance:
- Policy numbers for current health coverage (including Medicare)
Having these ready speeds up your application.
What Happens After You Apply?
1. Processing Time
DHW has up to 45 days to review your application. Disability-related applications may take up to 90 days.
If they need more information, respond immediately. Delays can cause denials.
2. Retroactive Coverage
Your coverage can start up to 3 months before your application date. This helps if you had medical bills during that time.
You must request this on your application.
3. Enrollment & Managed Care
Once approved, you’ll receive a Medicaid ID card.
2026 Update: Idaho is transitioning to Managed Care under House Bill 345. You may need to choose a Managed Care Organization (MCO) plan instead of traditional fee-for-service coverage.
4. Annual Renewal
Your coverage is not permanent. DHW reviews your eligibility every year.
Watch your mail for a renewal notice. Missing it could end your benefits.
Important 2026 Program Changes
Idaho Medicaid is changing in 2026:
- Managed Care Model: House Bill 345 moves most beneficiaries to MCO plans
- Work Reporting: New legislation may require work reporting for some adults
- Application Process: Remains the same through DHW and idalink
These changes affect how you receive care, not how you apply.
Contact Information
Application Status & Questions:
Phone: 877-456-1233
Email: MyBenefits@dhw.idaho.gov
Mailing Address:
Self Reliance Programs
PO Box 83720
Boise, ID 83720-0026
Official Website:
Idaho Department of Health and Welfare
Frequently Asked Questions
How long does it take to get approved for Medicaid in Idaho?
Most applications are processed within 45 days. Disability-related cases may take up to 90 days. Apply online at idalink.idaho.gov for the fastest processing.
Can I apply for Idaho Medicaid if I’m pregnant?
Yes. Pregnant women qualify at up to 138% of FPL. Coverage varies by household size. You can apply online, by phone, or in person.
What is the income limit for Medicaid in Idaho in 2026?
Single adults qualify with income up to $1,755/month (138% FPL). Limits are higher for families and pregnant women. Idaho updates these limits in early 2026.
Can Medicaid cover my past medical bills in Idaho?
Yes. If approved, coverage can backdate up to 3 months before your application date. You must request retroactive coverage when applying.
What is Idaho Managed Care for Medicaid?
House Bill 345 is transitioning Idaho Medicaid to Managed Care Organizations (MCOs). You’ll choose a plan for coordinated care instead of traditional fee-for-service.
Do I need to renew my Idaho Medicaid every year?
Yes. DHW conducts annual eligibility reviews. You’ll receive a renewal notice in the mail. Respond on time to keep your benefits active.
Source: Idaho Department of Health and Welfare | Medicaid.gov
