Survey shows Idaho’s Medicaid processing system improving

Published: November 27, 2012 

A survey of Idaho Medicaid providers found that a quarter of respondents are still dissatisfied with a new claims processing system, although their main complaint has nothing to do with the system itself.

The survey was conducted by the Office of Performance Evaluations, a legislative agency that evaluates various government operations. It followed two previous surveys regarding Molina Medicaid Solutions, the California company that processes claims for Idaho.

Molina implemented the new system in 2010. Providers initially experienced long delays — so much so that the Idaho Department of Health and Welfare handed out $117 million in interim payments to help providers pay bills until their claims were finally paid.

A 2011 audit found that 72 percent of providers were “unsatisfied” or “very unsatisfied” with Molina’s performance. In the most recent survey, that dropped to 25 percent. Fifty-four percent indicated they were “satisfied” or “very satisfied,” with 20 percent saying they were neutral.

The survey was emailed to 4,262 providers. Responses were received from 1,317, or 31 percent.

State officials say the main concerns of Idaho providers are Medicaid reimbursement rates and restrictions on service levels.

“That’s not something Molina has any control over,” says Office of Performance Evaluations senior evaluator Bryon Welch.

Medicaid providers’ anger at Molina subsides as its service gets better.

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