Idaho Medicaid Other Services Fee Schedule 2026

Idaho Medicaid publishes 394 other services procedure rates effective 2026, paying a median 85.1% of the national Medicare amount for the same services. This page shows published rates for common other services procedures with plain-language descriptions and, where a comparator exists, each rate as a percentage of national Medicare.

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The table on this page is a common-procedure sample. The full Idaho other services schedule has 394 codes.

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Published codes

394

Other Services procedures on the 2026 schedule

Median % of Medicare

85.1%

vs national Medicare, GPCI-neutral

PA required

89

+1 conditional or varies

Common other services procedures and what Idaho Medicaid pays

A curated sample of recognizable procedures from the 394-code schedule. Rates are the state's published fee-for-service amounts; the percentage compares each rate with the national Medicare amount for the same code.

CodeProcedureIdaho rate% of Medicare

Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * show the schedule's representative published variant.

More Idaho Medicaid fee schedules

Other Services rates in neighboring states

Frequently asked questions

What does Idaho Medicaid pay for other covered services?

Idaho Medicaid publishes 394 other services procedure rates effective 2026, paying a median 85.1% of the national Medicare amount for the same services. The schedule covers clinic encounters, screenings, and state-specific service codes. The table on this page shows published rates for common procedures; the complete all-codes schedule is available as a CSV download with a ProviderSignal Rates subscription.

How do Idaho's other services rates compare with Medicare?

Across other services codes with a national Medicare comparator, Idaho Medicaid pays a median 85.1% of the Medicare amount (GPCI-neutral national comparison). Individual codes vary widely, so check the per-code percentage in the table.

Do other services services need prior authorization in Idaho?

Idaho publishes prior-authorization flags on its schedule: 89 other services codes are marked as always requiring PA. Codes without a flag carry no published PA indicator.

Where do these rates come from?

Directly from Idaho's published Medicaid fee-for-service schedule (effective 2026), collected and normalized by ProviderSignal across all 50 states + DC. Rates are re-collected on a rolling schedule and this page updates automatically. Procedure descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.

Get an email the next time Idaho changes these rates.