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Behavioral health managed-care launch caused payment problems; state says vendor is addressing issues
Summary
After Idaho launched a larger Idaho Behavioral Health Plan (IBHP) contract July 1, 2024, the new managed‑care vendor experienced provider payment and education issues. The Department of Health and Welfare said problems have been addressed and it has imposed liquidated damages.
The committee heard Feb. 26 that Idaho’s transition to a larger Idaho Behavioral Health Plan contract led to initial provider payment and operational problems but that the department has taken corrective actions.
Deputy Director Juliette Sharon said the IBHP contract that began July 1, 2024, was “significantly larger than the historical IBHP contract” and brought services into managed care that had previously been delivered on a fee-for-service basis. The larger scope required additional system…
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