| 9662 | 1 | | 11/4/2022 | 8/31/2026 | 140-Office of the State Controller | Miren Unsworth | miren.unsworth@dhw,idaho.gov | NA | Memorandum of Understanding is entered into by Idaho Department of Health and Welfare and the Idaho State Controller�s Office and creates clear rules and processes that govern who, when, how and why individuals and entities can access data for public use, as well as ensure compliance with regulatory and oversight structures, and to address any confidentiality and privacy concerns. | This MOU is part of a Data Request Packet that consists of a detailed Data Request Form that outlines the specific purpose, title, data partners, and data stewards. | Data Sharing Agreements | Other | State | | 12/29/2023 11:05 AM | 12/29/2023 11:05 AM | | | | | | | | | | | | |
| 9663 | 2 | | 10/28/2021 | 8/31/2026 | 140-Office of the State Controller | Bree Derrik | bderrik@idoc.idaho.gov | NA | Memorandum of Understanding is entered into by Idaho Department of Correction and the Idaho State Controller�s Office and creates clear rules and processes that govern who, when, how and why individuals and entities can access data for public use, as well as ensure compliance with regulatory and oversight structures, and to address any confidentiality and privacy concerns. | This MOU is part of a Data Request Packet that consists of a detailed Data Request Form that outlines the specific purpose, title, data partners, and data stewards. | Data Sharing Agreements | Other | State | | 12/29/2023 11:05 AM | 12/29/2023 11:05 AM | | | | | | | | | | | | |
| 9664 | 3 | | 11/4/2021 | 8/31/2026 | 140-Office of the State Controller | Monty Prow | monty.prow@idjc.idaho.gov | NA | Memorandum of Understanding is entered into by Idaho Department of Juvenile Corrections and the Idaho State Controller�s Office and creates clear rules and processes that govern who, when, how and why individuals and entities can access data for public use, as well as ensure compliance with regulatory and oversight structures, and to address any confidentiality and privacy concerns. | This MOU is part of a Data Request Packet that consists of a detailed Data Request Form that outlines the specific purpose, title, data partners, and data stewards. | Data Sharing Agreements | Other | State | | 12/29/2023 11:05 AM | 12/29/2023 11:05 AM | | | | | | | | | | | | |
| 9665 | 4 | | 5/10/2023 | 8/31/2026 | 140-Office of the State Controller | Jane Donnellan | jane.donnellan@vr.idaho.gov | NA | Memorandum of Understanding is entered into by Idaho Division of Vocational Rehabilitation and the Idaho State Controller�s Office and creates clear rules and processes that govern who, when, how and why individuals and entities can access data for public use, as well as ensure compliance with regulatory and oversight structures, and to address any confidentiality and privacy concerns. | This MOU is part of a Data Request Packet that consists of a detailed Data Request Form that outlines the specific purpose, title, data partners, and data stewards. | Data Sharing Agreements | Other | State | | 12/29/2023 11:05 AM | 12/29/2023 11:05 AM | | | | | | | | | | | | |
| 9666 | 5 | | 11/3/2022 | 8/31/2026 | 140-Office of the State Controller | Hans Kastensmith | hck@idahohde.org | NA | Memorandum of Understanding is entered into by Idaho Health Data Exchange and the Idaho State Controller�s Office and creates clear rules and processes that govern who, when, how and why individuals and entities can access data for public use, as well as ensure compliance with regulatory and oversight structures, and to address any confidentiality and privacy concerns. | This MOU is part of a Data Request Packet that consists of a detailed Data Request Form that outlines the specific purpose, title, data partners, and data stewards. | Data Sharing Agreements | Other | State | | 12/29/2023 11:05 AM | 12/29/2023 11:05 AM | | | | | | | | | | | | |
| 13519 | 1 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | 3 Mountain Village | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13520 | 2 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | 366th Medical Group, Mountain Home AFB | Idaho State Lab will provide identification, susceptibility, confirmation and serotype testing for bacterial, viral and/or fungal organisms using standard CLIA procedural guidelines. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13521 | 3 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Aberdeen Health West Clinic | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13522 | 4 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Access Idaho | SLA for Electronic Transaction and Access for Payport Electronic Payments to Criminal History Unit. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13523 | 5 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Access Idaho | SLA for Electronic Transaction and Access for Payport Electronic Payments to Division of Public Health. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13524 | 6 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | ACES Community Services | To clarify the roles and responsibilities of the parties in processing Applications for Assistance in an expedited manner.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13525 | 7 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Ada County | Outline procedures to assist counties, hospitals & the state catastrophic health care cost program with a method of determining Medicaid eligibility through the development of a single combined application. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13526 | 8 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Ada Pediatrics | Medicaid will provide equipment to Ada Pediatrics for Blood Lead Level Testing.� ESA Lead Care Machine Serial # WLC11788. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13527 | 9 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Adams County | Outline procedures to assist counties, hospitals & the state catastrophic health care cost program with a method of determining Medicaid eligibility through the development of a single combined application. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13528 | 10 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Adams County Health Center, Inc. | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13529 | 11 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Adams Lane Rentals | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13530 | 12 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Advance Plus FCU | Financial Institution Data Match Election Agreement | | Affiliation Agreement | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13531 | 13 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | AHC In Home Care | To clarify the roles and responsibilities of the parties in processing Applications for Assistance in an expedited manner.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13532 | 14 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | AK, OR, WA, BC, Yukon Territory | To allow for the coordination of planning and information sharing to respond and recover from a disaster or public health emergency | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13533 | 15 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Alan S Nelson, DD | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13534 | 16 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Alaska State Environmental Health Laboratory | Agreement between Idaho Bureau of Laboratories and Alaska State Environmental Health Laboratory to cooperate and share laboratory services, procedures, responsibilities, and reimbursement for testing, training, and identification of drinking water contaminants as listed in the Safe Drinking Water Act. | | MOU | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13535 | 17 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | All West Communications | To address after hour and weekend/holiday emergency call coverage of the 2-1-1 Idaho CareLine call center between All West Communications and 2-1-1 Idaho CareLine.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13536 | 18 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Alzheimer's Association | An agreement to cooperate on a project to incorporate teh Cognitive Module as an Optional Module in the Idaho 2020 BRFSS survey. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13537 | 19 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | American Association of Public Health Dentistry | This MOU between the Idaho Oral Health Program (IOHP) and the American Association of Public Health Dentistry (AAPHD). The agreement will support the IOHP in providing continuing education (CE) credit during the Idaho Oral Health Summit which will be held virtually on September 24 � 25, and October 1, 2021. The AAPHD is a recognized provider within the American Dental Association Continuing Education Recognition Program (ADA CERP). The AAPHD�s mission is to provide leadership in ensuring optimal oral health for individuals and communities. The AAPHD accepts the challenge to improve total health for all citizens through the development and support of effective programs of oral health promotion and disease prevention. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13538 | 20 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | American Board of Medical Specialties | To implement a state-based volunteer credentialing web-based program for the state of Idaho | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13539 | 21 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | American Osteopathic Information Association | To provide data to allow for the advanced registration of volunteer health professionals (Volunteer Idaho) to verify credentials of osteopathic physicians | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13540 | 22 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Amy Lyn Apartments | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13541 | 23 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Anatek Labs, Inc. | Designates Anatek Labs to act as Principal State Laboratory for IBL for the Diquat drinking water parameter. | | MOU | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13542 | 24 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Anesthesia Associates of Boise | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13543 | 25 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Anesthesia Associates of Coeur d'Alene | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13544 | 26 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Arbor Crossing Apartments | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13545 | 27 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Arbors at Eastland | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13546 | 28 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Area Agency on Aging of North Idaho | To address coordination of information services delivery between Area 1 Agency on Aging, and 2-1-1 Idaho CareLine, a program of the Idaho Department of Health and Welfare.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13547 | 29 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Area Agency on Aging of North Idaho | To clarify the roles and responsibilities of the parties in processing Applications for Assistance in an expedited manner. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13548 | 30 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Ashton Medical Clinic | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13549 | 31 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Ashton Medical Clinic | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13550 | 32 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Aspen Terrace Apartments | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13551 | 33 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Associates in Family Practic | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13552 | 34 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Association of State and Territorial Health Officials (ASTHO) | Information sharing and data use agreement between ASTHO and DHW concerning the provision by the data source (DHW) and a data set to ASTHO to be used as part of the BioSense program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13553 | 35 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Athena Apartments | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13554 | 36 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | B and D Management, Inc. | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13555 | 37 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | B and H Apartments, LLC | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13556 | 38 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Baldy View Apartments | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13557 | 39 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Balmoral Apartments | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13558 | 40 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Bannock County | Outline procedures to assist counties, hospitals & the state catastrophic health care cost program with a method of determining Medicaid eligibility through the development of a single combined application. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13559 | 41 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Bannock County Indigent Services | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13560 | 42 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Basic Family Healthcare, Inc. | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13561 | 43 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | BCFS HHS Emergency Mgmt Division | To support and increase Idaho's abilities in operationalizing medical shelters for persons who require medical oversight but do not meet hospital admission requirements.� This agreement provides a mechanism to obtain sheltering assistance provided by BCFS Health and Human Services. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13562 | 44 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Bear Lake County | Outline procedures to assist counties, hospitals & the state catastrophic health care cost program with a method of determining Medicaid eligibility through the development of a single combined application. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13563 | 45 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Bear Lake County Memorial Hospital | The purpose of this MOA is to provide a means for the provider to enter and file via a computer all birth certificate information for deliveries at or en route to their facility. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13564 | 46 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Bear Lake County Memorial Hospital | Clarify roles and responsibilities between hospitals, counties & DHW for individuals potentially eligible for County Financial Assistance. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13565 | 47 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Bear Lake Family Care/Bear Lake Co Memorial Hospital | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13566 | 48 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Benewah Community Hospital | To clarify the roles and responsibilities of the parties in processing Applications for Assistance in an expedited manner. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13567 | 49 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Benewah Community Hospital | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13568 | 50 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Benewah Community Hospital | The purpose of this MOA is to provide a means for the provider to enter and file via a computer all birth certificate information for deliveries at or en route to their facility. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13569 | 51 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Benewah County | Outline procedures to assist counties, hospitals & the state catastrophic health care cost program with a method of determining Medicaid eligibility through the development of a single combined application. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13570 | 52 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Benewah Medical & Wellness Center | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13571 | 53 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Benewah Medical Center | Provision of locating CAPS and Fax machine at BMC�aka CDA Tribe-Plummer, Idaho
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13572 | 54 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Benewah Medical Center | To clarify the roles and responsibilities of the parties in processing Applications for Assistance in an expedited manner. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13573 | 55 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Benewah Medical Center | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13574 | 56 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Bill Brown Rentals | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13575 | 57 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Bingham County | Outline procedures to assist counties, hospitals & the state catastrophic health care cost program with a method of determining Medicaid eligibility through the development of a single combined application. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13576 | 58 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Bingham County Sheriff's' Office and Bingham County Jail | In the event of a catastrophic emergency within the jail facility. In the event of a catastrophic emergency within the Bingham County Jail the Bingham County Sheriff's Office will transport the capacity allowance of Bingham County inmates to the Utility Building gym located on the property of the State Hospital South in Blackfoot, Idaho. | | MOU | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13577 | 59 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Bingham Memorial Hospital | Information sharing and data use agreement for BioSense program - local hospitals - Version 3/7/2014. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13578 | 60 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Bingham Memorial Hospital | The purpose of this MOA is to provide a means for the provider to enter and file via a computer all birth certificate information for deliveries at or en route to their facility. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13579 | 61 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Bingham Memorial Hospital | Clarify roles and responsibilities between hospitals, counties & DHW for individuals potentially eligible for County Financial Assistance. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13580 | 62 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Bingham Memorial Hospital | Agreement�outlines responsibilities of each hospital to cooperate and assist each other in the transfer of patients/residents should either institution sustain a disaster.�This agreement replaces all previous agreements. | | Affiliation Agreement | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13581 | 63 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Blackfoot Medical Center | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13582 | 64 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Blackfoot Medical Center | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13583 | 65 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Blackfoot Medical Center | Medicaid will provide equipment to�Blackfoot Medical Center�for Blood Lead Level Testing.� ESA Lead Care Machine Serial # WLC11799. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13584 | 66 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Blaine County | Outline procedures to assist counties, hospitals & the state catastrophic health care cost program with a method of determining Medicaid eligibility through the development of a single combined application. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13585 | 67 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | BMC | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13586 | 68 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | BMH, Inc. | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13587 | 69 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | BMH, Inc. | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13588 | 70 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Boise City/Ada County Housing Authority | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13589 | 71 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Boise County | Outline procedures to assist counties, hospitals & the state catastrophic health care cost program with a method of determining Medicaid eligibility through the development of a single combined application. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13590 | 72 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Boise Independent School District/Central District Health Dept | Operate a pilot program to offer child protective services to children and their families at 7 elementary school sites in the city of Boise.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13591 | 73 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Boise Pathology Group | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13592 | 74 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Boise Radiology Group | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13593 | 75 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Boise State | Formalizes collaborative relationship between the Division of Public Health and the Boise State University School of Public and Population Health to employ shared activities establishing an Academic Health Department. | | MOA | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13594 | 76 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Boise State University | The College and Department have the following common objectives: to provide clinical experiences essential to the education of students in the College, to enhance agreements between academic faculty and clinical personnel, to establish and operate a Clinical Education program of the highest quality
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13595 | 77 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Boise State University | Partnership for the purpose of improving child welfare practice in Idaho through specialized pre-service education, in-service training, innovative program development, research and service evaluation, and collaboration. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13596 | 78 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Boise State University | This MOA serves an agreement that the Department will reimburse Boise State University of the purchase of COVID19 lab testing equipment and supplies. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13597 | 79 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Boise State University, College of Health Sciences | The AGENCY, subject to the terms and conditions herof, agrees to accept STUDENTS selected by the PROGRAM for a period of clinical/educational experience. | | Affiliation Agreement | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13598 | 80 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Boise State University/College of Health Sciences | The AGENCY, subject to the terms and conditions hereof, agrees to accept STUDENTS selected by the PROGRAM for a period of clinical/educational experience. | | Affiliation Agreement | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13599 | 81 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Bonner County | Outline procedures to assist counties, hospitals & the state catastrophic health care cost program with a method of determining Medicaid eligibility through the development of a single combined application. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13600 | 82 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Bonner General Hospital, Inc. | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13601 | 83 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Bonner General Hospital, Inc. | The purpose of this MOA is to provide a means for the provider to enter and file via a computer all birth certificate information for deliveries at or en route to their facility. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13602 | 84 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Bonner General Hospital, Inc. | Clarify roles and responsibilities between hospitals, counties & DHW for individuals potentially eligible for County Financial Assistance.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13603 | 85 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Bonners Ferry Apartments | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13604 | 86 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Bonners Ferry Family Medicine | To receive vaccine from the Idaho Immunization Program and the Vaccines for Children Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13605 | 87 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Bonners Ferry Family Medicine | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13606 | 88 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Bonners Ferry Family Medicine | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13607 | 89 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Bonneville County | Outline procedures to assist counties, hospitals & the state catastrophic health care cost program with a method of determining Medicaid eligibility through the development of a single combined application. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13608 | 90 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Boundary Community Hospital | To clarify the roles and responsibilities of the parties in processing Applications for Assistance in an expedited manner.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13609 | 91 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Boundary Community Hospital | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13610 | 92 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Boundary Community Hospital | Clarify roles and responsibilities between hospitals, counties & DHW for individuals potentially eligible for County Financial Assistance. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13611 | 93 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Boundary County | Outline procedures to assist counties, hospitals & the state catastrophic health care cost program with a method of determining Medicaid eligibility through the development of a single combined application. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13612 | 94 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Brad Smith MD | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13613 | 95 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Brentwood Apartments | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13614 | 96 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Brian Christensen MD | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13615 | 97 | | 11/3/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Bryan J Anderson, MD | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13616 | 98 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | Nate Elkins | nate.elkins@dhw.idaho.gov | Bureau of Laboratories and Bureau of Facility Standards | Lab for Mammography Screening (CLIA) conducts surveys for mammography screening. | MOU between Bureau of Labs and the Bureau of Facility standards for allocation of oversight work | MOU | Public Health and Safety | 270 | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13617 | 99 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Butte County | Outline procedures to assist counties, hospitals & the state catastrophic health care cost program with a method of determining Medicaid eligibility through the development of a single combined application. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13618 | 100 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | BYU Idaho | Students from BYU Idaho have an opportunity to receive clinical/education experience in the regional office as part of their education requirements. | | Affiliation Agreement | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13619 | 101 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | BYU-Idaho | Affiliation agreement between SHS and BYU-Idaho for students of the BYU-I program to receive clinical/educational experienace at State Hospital South. | | Affiliation Agreement | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13620 | 102 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Caldwell Housing Authority | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13621 | 103 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Camas County | Outline procedures to assist counties, hospitals & the state catastrophic health care cost program with a method of determining Medicaid eligibility through the development of a single combined application. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13622 | 104 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Cambridge Real Estate Services | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13623 | 105 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Cancer Care Northwest | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13624 | 106 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Canyon County | Outline procedures to assist counties, hospitals & the state catastrophic health care cost program with a method of determining Medicaid eligibility through the development of a single combined application. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13625 | 107 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Canyonside Apartments | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13626 | 108 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Care Women's Health | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13627 | 109 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Care, LLC | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13628 | 110 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Carey Ambulance | Data Usage agreement for EMS Prehospital Electronic Record Collection System (PERCS). | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13629 | 111 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Caribou County | Outline procedures to assist counties, hospitals & the state catastrophic health care cost program with a method of determining Medicaid eligibility through the development of a single combined application. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13630 | 112 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Caribou Memorial Hospital | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13631 | 113 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Caribou Memorial Hospital | The purpose of this MOA is to provide a means for the provider to enter and file via a computer all birth certificate information for deliveries at or en route to their facility. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13632 | 114 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Caribou Memorial Hospital | Clarify roles and responsibilities between hospitals, counties & DHW for individuals potentially eligible for County Financial Assistance. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13633 | 115 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Caribou Memorial Hospital | Medicaid will provide equipment to Caribou Memorial Hospital for Blood Lead Level Testing.� ESA Lead Care Machine Serial # WLC11790 | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13634 | 116 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Cascade Medical Center | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13635 | 117 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Cascade Medical Center | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13636 | 118 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Cascade Rural Fire Protection District | Data Usage agreement for EMS Prehospital Electronic Record Collection System (PERCS). | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13637 | 119 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Casey Family Programs, Boise State School of Social Work, Eastern Washington School of Social Work | The Idaho Child Welfare Partnership's mission is to promote the safety, permanency and well-being of the children and youth in Idaho's child welfare system of care.� The Partnership Mission is supported and sanctioned through shared values, commitment and a governance structure that promotes the sharing, leveraging and effective coordination of funding resources, workforces, research and data, and public policy efforts. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13638 | 120 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Casey Family Services | The Parties will undertake the Strategies in the 2015 Strategy Plan.� The Initiative Leads will document the Work Efforts and Initiative Strategies in the Work Plan.� Quarterly the Parties will evaluate and document the progress and impact. - Fifth Amendment | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13639 | 121 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Cassia County | Outline procedures to assist counties, hospitals & the state catastrophic health care cost program with a method of determining Medicaid eligibility through the development of a single combined application. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13640 | 122 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Cassia Regional Hospital | The purpose of this MOA is to provide a means for the provider to enter and file via a computer all birth certificate information for deliveries at or en route to their facility. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13641 | 123 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Cassia Regional Medical Center | Clarify roles and responsibilities between hospitals, counties & DHW for individuals potentially eligible for County Financial Assistance. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13642 | 124 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Catalyst Medical Group | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13643 | 125 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | CDC | Allows for the transfer of medical material from the SNS for use in responding to a public health emergency | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13644 | 126 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | CDC | Establishes basic terms and conditions concerning the access, sharing, protection and use of the data received by the National Syndromic Surveillance Program's Biosense platform that are submitted by Data Providers in Idaho. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13645 | 127 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | CDC's Maternal Mortality Review | Allows the DPH to utilize the CDC's MMRIA data system for the purpose of Idaho's MMRC activities. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13646 | 128 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Center for Disease Detection | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13647 | 129 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Center for Disease Detection | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13648 | 130 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Centers for Disease Control & Prevention (CDC) & National Healthcare Safety Network (NHSN) | Established a formal data access and data use relationship between CDC/NHSN and the Department. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13649 | 131 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Centers for Disease Control and Prevention | Agreement for IBL's participation in the Pulsenet USA program, a national network dedicated to the laboratory surveillance of enteric pathogens. | | MOU | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13650 | 132 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Challis Area Health Center, Inc. | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13651 | 133 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Chelsea Court Apartments | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13652 | 134 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Cherry Lane Family Clinic | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13653 | 135 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Child Welfare Program | To be consistent with legislative and program reporting requirements, the MIECHV program and the Child Welfare Program will enter into an agreement to assess incidence and prevalence of reported, suspected, and substantiated maltreatment of MIECHV program participants. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13654 | 136 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | CimCorp, Inc. | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13655 | 137 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Cimmaron Station Apartments | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13656 | 138 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Civic Plaza | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13657 | 139 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Claremont Apartments | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13658 | 140 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Clark County | Outline procedures to assist counties, hospitals & the state catastrophic health care cost program with a method of determining Medicaid eligibility through the development of a single combined application. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13659 | 141 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Clay I Campbell MD Family Practice | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13660 | 142 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Clearwater County | Outline procedures to assist counties, hospitals & the state catastrophic health care cost program with a method of determining Medicaid eligibility through the development of a single combined application. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13661 | 143 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Clearwater Valley Hospital | The purpose of this MOA is to provide a means for the provider to enter and file via a computer all birth certificate information for deliveries at or en route to their facility. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13662 | 144 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Clearwater Valley Hospital | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13663 | 145 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Clearwater Valley Hospital | Clarify roles and responsibilities between hospitals, counties & DHW for individuals potentially eligible for County Financial Assistance. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13664 | 146 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Clearwater Valley Hospital and St Mary's Hospital | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13665 | 147 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Clover Creek and Hagerman Country Homes | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13666 | 148 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Coeur d'Alene Pediatrics | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13667 | 149 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Coeur d'Alene Pediatrics | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13668 | 150 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Coeur d'Alene Tribal Housing Authority | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13669 | 151 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Coeur d'Alene Tribe | Allows for direct funding of Indian Tribes within a state and calculation of Tribal LIHEAP allocations based on STATE-TRIBE agreement.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13670 | 152 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Coeur d'Alene Tribe | Authorizes CDA Tribe to provide Tribal TANF to eligible CDA Tribe members in Kootenai and Benewah counties.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13671 | 153 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Coeur d'Alene Tribe | The Tribe will assist the Bureau of Labs in the quality assurance audits of air quality monitoring equipment. | | MOA | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13672 | 154 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Colonia Cesar Chavez | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13673 | 155 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Colonia De Dolores | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13674 | 156 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Columbia Garden Apartments | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13675 | 157 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Columbia Medical Associates | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13676 | 158 | | 11/1/1992 | 8/31/2026 | 270-Department of Health and Welfare | | | Comfort Keepers | To clarify the roles and responsibilities of the parties in processing Applications for Assistance in an expedited manner.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13677 | 159 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | Nate Elkins | nate.elkins@dhw.idaho.goc | Commission on Aging and DHW | Commission on Aging and DHW to share resources and information related to facility standards. ICOA for with with Ombudsmen and APS. | Agreement to share information between the Idaho Commission on Aging and DHW | MOU | Public Health and Safety | 270 | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13678 | 160 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Community Cancer Services | To clarify the roles and responsibilities of the parties in processing Applications for Assistance in an expedited manner. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13679 | 161 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Community Family Clinic | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13680 | 162 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Community Family Clinic | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13681 | 163 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Community Health Association of Spokane | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13682 | 164 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Community Tissue Services | procurement of deceased donor tissues by Community Tissue Services from State Hospital West | | Affiliation Agreement | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13683 | 165 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Complex Care Hospital | Clarify roles and responsibilities between hospitals, counties & DHW for individuals potentially eligible for County Financial Assistance. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13684 | 166 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Comprehensive Breast Surgery | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13685 | 167 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Compton Transfer and Storage Company | The purpose�of this MOA is to develop a joint partnership agreement to transport medical material from IDHW's Strategic National Stockpile Receiving, Storage, and Staging Warehouse to various distribution points across the state of Idaho in response to a terrorist attack, natural disaster, technological accident, or infectious disease outbreak.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13686 | 168 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Cooperative of State Labs | Describes the levels and sharing of laboratory services, procedures, responsibilities, and reimbursement for laboratory testing, training and identification of infectious diseases and/or suspected bio-terrorism select agents. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13687 | 169 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Creekside Properties | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13688 | 170 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Crosspointe Family Services | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13689 | 171 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Crosspointe Family Services | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13690 | 172 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Custer County | Outline procedures to assist counties, hospitals & the state catastrophic health care cost program with a method of determining Medicaid eligibility through the development of a single combined application. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13691 | 173 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Darin L Weynrich, MD | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13692 | 174 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | David B Beckstead, MD | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13693 | 175 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | David Chamberlain, MD | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13694 | 176 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Dawn Enterprises Inc | Emergency housing and feeding of consumers should Dawn Enterprises/Cedar Living Center sustain a disaster which would render the its facility inadequate for overnight lodging. | | MOU | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13695 | 177 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Day Meadows | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13696 | 178 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | DecisionWise | Access to online reporting of 2018 survey data, all historical survey benchmark data, and all records and documents relevant to contract AC065900. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13697 | 179 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Department of Environmental Quality DEQ | Defines DEQ and BCEH activities and responsibilities related to human health risks from environmental contaminants. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13698 | 180 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | DEQ, IDWR, ISDA, Soil and Water Conservation Commission, Idaho PHDs | Interagency agreement to facilitate cooperative groundwater quality protection programs within the Idaho Department of Environmental Quality (DEQ), Idaho Department of Water Resources (IDWR), Idaho State Department of Agriculture (ISDA), Soil and Water Conservation Commission, Idaho Public Health Districts, and DHW. | | MOU | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13699 | 181 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Desert Sage Health Center | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13700 | 182 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | DHHS/CDC | Pre-position sustainable repositories of nerve agent antidotes in locations in the state of Idaho | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13701 | 183 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | DHHS/CDC | To effectively respond to public health emergencies, the Center for Disease Control and Prevention agrees to pre-position CHEMPACK Assets in Idaho. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13702 | 184 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | DHW Fraud Investigation Unit | The purpose of sharing participant information is to reduce fraud within the WIC program.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13703 | 185 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Diagnostic Imaging Service of Idaho | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13704 | 186 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Diagnostic Imaging Service of Idaho | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13705 | 187 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Diagnostic Pathology Services, Inc. | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13706 | 188 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Director's Office | Signed Agreement with Tribal Council and Director of Agency. | | Other | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13707 | 189 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Director's Office | Signed Formal Consultation Agreement between the Tribe and the Agency. | | Other | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13708 | 190 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Dirne Community Health Center | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13709 | 191 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Dirne Health Centers, Inc. dba Heritage Health | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13710 | 192 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | District 1 Juvenile Detention Center | To clarify the roles and responsibilities of the parties in processing Applications for Assistance in an expedited manner. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13711 | 193 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Division of Behavioral Health | Ensure that effective practices are developed and employed to obtain payment for substance abuse treatment services covered by Medicaid for eligible individuals. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13712 | 194 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Division of Behavioral Health | Outlines mutual obligations and responsibilities related to PASRR. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13713 | 195 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Division of FACS | BOCAPS provides $10,000 annually to the Infant Toddler Program to provide data collection, hospital support, and technical assistance and training. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13714 | 196 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Division of FACS | The purpose of the agreement of understanding is to delineate the roles and responsibilities for each division involved in administering children's developmental disabilities services in Idaho, in order to ensure effective communication between the two divisions and to comply with federal requirements.� CMS requires states to enter into an agreement with the operating agency when the waiver program is not operated by the Medicaid agency | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13715 | 197 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Division of FACS | The purpose of the agreement of understanding is to delineate the roles and responsibilities for each division involved in administering children's developmental disabilities services in Idaho, in order to ensure effective communication between the two divisions and to comply with federal requirements.� CMS requires states to enter into an agreement with the operating agency when the waiver program is not operated by the Medicaid agency. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13716 | 198 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Division of FACS | The purpose of the agreement of understanding is to delineate the roles and responsibilities for each division involved in administering children's developmental disabilities services in Idaho, in order to ensure effective communication between the two divisions and to comply with federal requirements.� CMS requires states to enter into an agreement with the operating agency when the waiver program is not operated by the Medicaid agency. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13717 | 199 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Division of FACS | Clarify each Division's roles and responsibilities to access and use the Benefit Program eVerif-I system for Medicaid eligibility. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13718 | 200 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Division of Family and Community Services re: Children & Youth in Children's Mental Health and DD | The MOU with FACS; DD; DBH; and CMH specifically addresses those children who may be eligible for both CMH services and DD services, and for whom there is a question by one or both of these programs about whether the child is eligible. | | MOU | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13719 | 201 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Division of Health | Set forth the parties' respective responsibilities with regard to identification of Medicaid participants with elevated blood lead levels. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13720 | 202 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Division of Medicaid | Outlines the roles and responsibilities of Medicaid & FACS staff supporting the survey and certification for DDAs operating in the state of Idaho. The goals of this MOA are:To assure survey and certification activities comply with applicable statute and IDAPA rules;To assure effective and efficient use of DHW staff;To provide consistent processes and guidance across the state; andTo ensure participants receive quality services to help them develop to their full potential. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13721 | 203 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Division of Medicaid | This agreement refers to relationships of the two divisions concerning the Title XIX (Medical Assistance) Program, Title V (MCH), Title X (Family Planning) and the Special Supplemental Food Program for WIC. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13722 | 204 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Divisions of Medicaid and Welfare | To meet federal and state requirements for the WIC, SNAP, Medicaid and TAFI programs to determine eligibility, make referrals and program coordination. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13723 | 205 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Divison of Welfare | Clarify each Division's roles and responsibilities. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13724 | 206 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | DJ Marc Cardinal MD | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13725 | 207 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Doctors Clinic of Elmore County | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13726 | 208 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Don Schmitt MD | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13727 | 209 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Donald J Greggain Family Practice | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13728 | 210 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Donald Paul Workman MD | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13729 | 211 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Donor Connect | Organ and Tissue Donation Partnership Agreement between Donor Connect and State Hospital South. | | Other | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13730 | 212 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Dr. Dusky | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13731 | 213 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Eastern Idaho Regional Medical Center | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13732 | 214 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Eastern Idaho Regional Medical Center | The purpose of this MOA is to provide a means for the provider to enter and file via a computer all birth certificate information for deliveries at or en route to their facility. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13733 | 215 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Eastern Idaho Regional Medical Center | Clarify roles and responsibilities between hospitals, counties & DHW for individuals potentially eligible for County Financial Assistance. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13734 | 216 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Eastern Idaho Regional Medical Center | To effectively respond to acts of chemical terrorism and other public health emergencies, DHW has entered into an MOA with CDC to pre-position sustainable repositories of nerve agent antidotes in locations in the state. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13735 | 217 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Eastern Washington University School of Social Work | This partnership is for the purpose of improving outcomes for children through improved child welfare practice.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13736 | 218 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | EICAP Head Start | Head Start will provide requested training to DHW staff about the Head Start Program; provide current information of Head Start opportunities; provide updated application materials when needed; provide assistance in completing Head Start application; and work with foster family to provide a stable learning environment for foster child. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13737 | 219 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | EICAP-Eastern Idaho Community Action Partnerships | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13738 | 220 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | El Milagro Housing | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13739 | 221 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Elder Advocates Inc | To clarify the roles and responsibilities of the parties in processing Applications for Assistance in an expedited manner | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13740 | 222 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Elmore County | Data Usage agreement for EMS Prehospital Electronic Record Collection System (PERCS). | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13741 | 223 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Elmore County | Outline procedures to assist counties, hospitals & the state catastrophic health care cost program with a method of determining Medicaid eligibility through the development of a single combined application. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13742 | 224 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Elmore Medical Center | The purpose of this MOA is to provide a means for the provider to enter and file via a computer all birth certificate information for deliveries at or en route to their facility. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13743 | 225 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Elmore Medical Center | Clarify roles and responsibilities between hospitals, counties & DHW for individuals potentially eligible for County Financial Assistance. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13744 | 226 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Emmett Medical Center | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13745 | 227 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Eric Baird MD | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13746 | 228 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | FACS and Medicaid | Collaboration on program development and implementation for YES program. | | MOU | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13747 | 229 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Falls Creek Apartments | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13748 | 230 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Family and Acolescent Care of Twin Falls | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13749 | 231 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Family and Community services | Coordinate services with the Infant Toddler Program. | | MOU | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13750 | 232 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Family and Community Services /CMH/DD | The purpose of the staffing will be to have the DD and CMH staff discuss suspected dual diagnosis cases to determine whether a child may be eligible for the services from either program. | | MOU | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13751 | 233 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Family First Health Center of Rexburg | To receive vaccine from the Idaho Immunization Program and the Vaccines for Children Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13752 | 234 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Family First Health Centers South | To receive vaccine from the Idaho Immunization Program and the Vaccines for Children Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13753 | 235 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Family First Medical Center | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13754 | 236 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Family Health Care | To receive vaccine from the Idaho Immunization Program and the Vaccines for Children Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13755 | 237 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Family Health Center | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13756 | 238 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Family Health Center | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13757 | 239 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Family Health Center | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13758 | 240 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Family Health Center | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13759 | 241 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Family Health Services Corporation | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13760 | 242 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Family Health Services-Fairfield | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13761 | 243 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Family Health Services-Jerome | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13762 | 244 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Family Health Services-Mobile Medical Unit | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13763 | 245 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Family Health Services-Rupert | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13764 | 246 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Family Medicine Health Center-Boise | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13765 | 247 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Family Medicine Health Center-Kuna | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13766 | 248 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Family Medicine Health Center-School Based Clinic | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13767 | 249 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Family Medicine Residency of Idaho | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13768 | 250 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Food Services of America | To work cooperatively in the transportation of vital medical supplies in the event of a major public health emergency in the state of Idaho | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13769 | 251 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Food Stamp Program | To promote cooperation and reduce vendor/retailer fraud and abuse in the FSP
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13770 | 252 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Franklin County | Outline procedures to assist counties, hospitals & the state catastrophic health care cost program with a method of determining Medicaid eligibility through the development of a single combined application. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13771 | 253 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Franklin County Medical Center | The purpose of this MOA is to provide a means for the provider to enter and file via a computer all birth certificate information for deliveries at or en route to their facility. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13772 | 254 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Franklin County Medical Center | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13773 | 255 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Franklin County Medical Center | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13774 | 256 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Franklin County Medical Center/Willow Valley Family Medicine | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13775 | 257 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Franlin County Ambulance Association | Data Usage agreement for EMS Prehospital Electronic Record Collection System (PERCS). | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13776 | 258 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Fremont County | Outline procedures to assist counties, hospitals & the state catastrophic health care cost program with a method of determining Medicaid eligibility through the development of a single combined application. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13777 | 259 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Fremont Family Medicine | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13778 | 260 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Fremont Medical Services/St Anthony Medical Center | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13779 | 261 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Frontier Nursing University, Inc. | Accept Students selected by the Program for a period of clinical/educational experience. | | MOA | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13780 | 262 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Garden Valley Family Medicine | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13781 | 263 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Gem County | Outline procedures to assist counties, hospitals & the state catastrophic health care cost program with a method of determining Medicaid eligibility through the development of a single combined application. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13782 | 264 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Gem State Radiology | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13783 | 265 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Glenns Ferry Health Center, Inc. | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13784 | 266 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Glenns Ferry Health Center, Inc. | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13785 | 267 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Glenns Ferry Health Center, Inc. | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13786 | 268 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Glenns Landing Apartments | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13787 | 269 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Good Samaritan Society-Silver Wood Village | To clarify requirements for Vendors to allow Business Office staff access to the Idaho Benefit Eligibility System, as it functions today, as provided by the Division of Welfare. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13788 | 270 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Gooding County | Outline procedures to assist counties, hospitals & the state catastrophic health care cost program with a method of determining Medicaid eligibility through the development of a single combined application. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13789 | 271 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Gooding County Memorial Hospital | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13790 | 272 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Gooding Management Corporation | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13791 | 273 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Graceland University | Affiliation agreements provides opportunity for students to receive clinical/educational experience at the Agency. | | Affiliation Agreement | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13792 | 274 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Grand Peaks Medical Center | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13793 | 275 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Greenfield Family Medicine | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13794 | 276 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Greenfield Family Medicine | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13795 | 277 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Greenfield Family Medicine | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13796 | 278 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Gritman Medical Center | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13797 | 279 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Gritman Medical Center | The purpose of this MOA is to provide a means for the provider to enter and file via a computer all birth certificate information for deliveries at or en route to their facility. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13798 | 280 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Gritman Medical Center | Clarify roles and responsibilities between hospitals, counties & DHW for individuals potentially eligible for County Financial Assistance. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13799 | 281 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Hailey Medical Center | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13800 | 282 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Hamilton Court | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13801 | 283 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Harms Memorial Hospital District | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13802 | 284 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Hawaii Department of Health | Newborn Screening Financial, Ethical, Legal, and Social Issues Project Pre-Award Project Partners Agreement
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13803 | 285 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Hawaii Pacific University | selected STUDENTS of the Hawaii Pacific University Physician Assistant program to receive clinical/educational experience at the SHS. | | Affiliation Agreement | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13804 | 286 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Hawthorne Village Apartments | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13805 | 287 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Hayden County Ridge Apartments | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13806 | 288 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Hayden County Ridge Apartments | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13807 | 289 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Head Start, Health & Human Services | To improve collaboration and referrals between the Offices of Head Start and Child Care Administration, HHS, and the Supplemental Nutrition and Safety and Child Nutrition Programs, Food and Nutrition Service, USDA. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13808 | 290 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Health Care for Women | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13809 | 291 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Health West | Medicaid will provide equipment to Health West for Blood Lead Level Testing.� ESA Lead Care Machine Serial # WLC11724 | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13810 | 292 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Health West | Medicaid will provide equipment to Health West for Blood Lead Level Testing.� ESA Lead Care Machine Serial # WLC11711 | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13811 | 293 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Health West, Inc. | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13812 | 294 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Henneberg & Kim | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13813 | 295 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Heritage Health/Mountain Health Services | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13814 | 296 | | 3/1/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Herzing University, LTD | Students of Herzing University will receive clinical/educational experience at State Hospital South | | Affiliation Agreement | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13815 | 297 | | 9/14/2004 | 8/31/2026 | 270-Department of Health and Welfare | Nate Elkins | nate.elkins@dhw.idaho.gov | HHA/Hospice Nevada | Reciprocal survey of Hospice and Home Health Agencies who have facilities in both Nevada and Idaho. | Survey reciprocity for home health agencies in Idaho and Nevada | MOU | Public Health and Safety | N/A | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13816 | 298 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | Nate Elkins | nate.elkins@dhw.idaho.gov | HHA/Hospice Oregon | Reciprocal survey of Hospice and Home Health Agencies who have facilities in both Oregon and Idaho | Reciprocity for state survey agencies for Home Health Agencies | MOU | Public Health and Safety | 270 | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13817 | 299 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Home Helpers | To clarify the roles and responsibilities of the parties in processing Applications for Assistance in an expedited manner. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13818 | 300 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Homeland Security, PacifiCorp, Franklin County and EMS | To provide emergency notifications to residents downstream of Oneida Dam in the event of imminent or actual dam failure. This is a collaborative effort to utilize existing systems and resources to address a critical emergency preparedness need for Franklin County associated with Oneida Dam. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13819 | 301 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Homeland Security, PacifiCorp, Franklin County and EMS | MOU nullification | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13820 | 302 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | I-Care Medical Clinic | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13821 | 303 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho AEYC (Idaho Association for the Education of Young Children) | To address coordination of information services delivery between ID AEYC, and 2-1-1 Idaho CareLine, a program of the Idaho Department of Health and Welfare.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13822 | 304 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Association of Counties | Outline procedures to assist counties, hospitals & the state catastrophic health care cost program with a method of determining Medicaid eligibility through the development of a single combined application. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13823 | 305 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Association of Counties on behalf of Idaho State Association of County Coroners | To implement the amendments contained in the 2010 Idaho Sessions Laws Chapter 355, page 932 (House Bill 492) that provides for a $1.00 increase in the cost for a death certificate for the purpose of training county coroners. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13824 | 306 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Attorney General's Office | Sets forth the respective responsibilities with regard to the operation of the Medicaid Fraud Control Unit | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13825 | 307 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Attorney General's Office | Sets forth the parties' respective responsibilities with regard to the operation of the Medicaid Fraud Control Unit, to identify areas in which the department will assist each other, to ensure maximum efficiency and benefit to the State, and to minimize any duplication of effort.� (replaces 5-24-07 agreement) | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13826 | 308 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Board of Dentistry | IBOD agrees to provide licensure data for Dentists to the IDHW for inclusion into the Volunteer Idaho system. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13827 | 309 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Board of Dentistry | Integrate Health Professional Shortage Area (HPSA) survey into the board's online license renewal | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13828 | 310 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Board of Nursing | To provide licensure status of persons licensed by the IBN to emergency system for advanced registration of volunteer health professionals (Volunteer Idaho) | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13829 | 311 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho College of Osteopathic Medicine ICOM | The AGENCY, subject to the terms and conditions hereof, agrees to accept STUDENTS selected by the PROGRAM for a period of clinical/educational experience. | | Affiliation Agreement | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13830 | 312 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Commission on Aging | Adult protection services for vulnerable adults including on-site investigation of all reports of alleged abuse, neglect, self-neglect, or exploitation; determination of immediate risk to the vulnerable adult and provision or arrangement for facilitating of necessary emergency services; evaluation of the need for remedial protection services; and provision of remedial protection services. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13831 | 313 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Commission on Aging | Service Level Agreement (SLA) to identify the scope of implementation for the Commission on Aging website and to define the responsibilities under which the Commission and DHW ITSD will implement the website of and for the Commission. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13832 | 314 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Council on Developmental Disabilities | The Department will provide support services; fiscal responsibility; maintain records; and provide IT system support for the Council. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13833 | 315 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho County | Outline procedures to assist counties, hospitals & the state catastrophic health care cost program with a method of determining Medicaid eligibility through the development of a single combined application.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13834 | 316 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Department of Administration | Specifies office space, tenant responsibilities, and charge for square footage.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13835 | 317 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Department of Agriculture | To outline the disposition of expenses incurred in the operation and maintenance of the various buildings and grounds shared by the two departments. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13836 | 318 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Department of Children | The purpose of this agreement is to describe the roles and responsibilities of the Idaho Office for Children and IDHW with regard to the establishment of a single administrative agency for Idaho Child Care Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13837 | 319 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Department of Corrections | The purpose of this Memorandum of Agreement is to outline the process by which the parties will work together to effectively administer the funding and manage Idaho WITS projects that will improve the likelihood of successfully attaining project outcomes. | | MOA | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13838 | 320 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Department of Education | The Idaho Immunization Program (IIP) and the State Department of Education (SDE) work cooperatively in public schools to educate school personnel about Idaho's school immunization policies, vaccine scheduling, and school immunization resources. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13839 | 321 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Department of Education | Interagency agreement related to Early Childhood Special Education Services and Early Intervention Services for Children Ages Two through Five between Idaho Department of Education and DHW. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13840 | 322 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Department of Education | Interagency agreement related to Early Childhood Special Education Services and Early Intervention Services for Children Ages Two through Five between Idaho Department of Education and DHW. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13841 | 323 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Department of Education | Coordinated comprehensive service delivery system for IDEA and Medicaid School-Based services. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13842 | 324 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Department of Education | Interagency agreement related to Early Childhood Special Education Services and Early Intervention Services for Children Ages two through five between Idaho Department of Education and DHW. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13843 | 325 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Department of Environmental Quality | IDEQ agrees to provide technical review and contract management services to the Department for the Human Health Risk Assessment. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13844 | 326 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Department of Environmental Quality | Establishes policies, procedures, and the responsibilities for the Bureau of Labs to perform quality control audits, calibration device certification, analysis of air samples, and reporting of analytical results to DEQ. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13845 | 327 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Department of Environmental Quality (DEQ) | IBL will act as Principal State Laboratory for DEQ and maintain a program for the certification of drinking water laboratories, per the Safe Drinking Water Act (SDWA). IBL will also provide drinking water analysis for DEQ. | | MOU | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13846 | 328 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Department of Homeland Security (BHS) | EMS will provide 24/7, 365 days a year answering point services for receiving and disseminating BHS emergency notification via radio and telephone. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13847 | 329 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Department of Juvenile Corrections | Outlines conditions for transfer of Title XX Social Services Block Grant
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13848 | 330 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Department of Juvenile Corrections | Outlines conditions for transfer of Title XX Social Services Block Grant
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13849 | 331 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Department of Juvenile Corrections | Outlines conditions for transfer of Title XX Social Services Block Grant
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13850 | 332 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Department of Juvenile Corrections | Transfer of 13.9% of the Social Services Block Grant to DJC. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13851 | 333 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Department of Juvenile Corrections | This addendum reflects that in state fiscal year 2023 IDHW will retain $1M of IDJC's allot SSBG funding. | | MOU | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13852 | 334 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Department of Juvenile Corrections | Intending to be legally bound effective July 1, 2023 | | MOU | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13853 | 335 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Department of Juvenile Corrections | The Memorandum of Agreement is to outline the process by which the parties will work together to effectively administer the funding and manage Idaho WITS projects that will improve the likelihood of successfully attaining project outcomes. The parties pledge their budgets, funding requirements, the array of resources of the other parties, and the availability of Idaho WITS to SUD Providers. | | MOA | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13854 | 336 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Department of Labor | To clarify unemployment insurance tax reporting and payment requirements for Personal Care Service Providers who receive payments for services through DHW for providing services to qualifying Medicaid recipients/patients/beneficiaries. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13855 | 337 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Department of Labor | This agreement stipulates the conditions upon which IDOL will provide IDHW with confidential security and new hire information.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13856 | 338 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Department of Labor | This agreement stipulates the conditions upon which IDOL will provide IDHW with confidential security and new hire information.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13857 | 339 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Department of Labor | The purpose of this agreement is to implement the automated state directory of new hires/
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13858 | 340 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Department of Labor | The purpose of this agreement is to facilitate the exchange of information for IDOL's administration of Work Opportunity Tax Credit
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13859 | 341 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Department of Labor | Outlining payment of Workforce Development Council expenses | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13860 | 342 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Department of Labor | To clarify the roles and responsibilities of the parties in processing Applications for Assistance in an expedited manner. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13861 | 343 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Department of Labor | To allow the Office of Rural Health and Primary Care (within Division of Health) to share data with IDOL to enable IDOL to complete ongoing studies requested by the Idaho Health Care Workforce Planning Partnership | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13862 | 344 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Department of Labor | Agreement to development costs for the start-up program. DHW agrees to reimburse IDOL for all direct costs incurred for the development, operation, and maintenance of DHW's web service program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13863 | 345 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Department of Labor | To develop, operate and maintain a web service program that will provide IDHW authorized representatives access to confidential unemployment insurance information. (includes update clarification on fraud role - June 2013) | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13864 | 346 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Department of Labor | Agreement for disclosure of confidential information related to the web service development. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13865 | 347 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Department of Labor | The purpose of this Agreement is to provide for the disclosure of death certificates on persons who have suffered a work-related death.� IDOL is responsible for collecting Census of Occupational Fatality and Injury data. The information will be used to assist the IDOL in determining statistics on work-related deaths in the State of Idaho. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13866 | 348 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Department of Labor | To allow IDOL access to IBES as necessary to verify that a client is food stamp or TAFI eligible so the IDOL employees can enroll them in additional services under the Workforce Investment Act programs and qualify them for the Workforce Opportunity Tax Credit. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13867 | 349 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Department of Labor | The purpose of this Memorandum of Understanding is to document the binding roles, responsibilities, and other terms of agreement for all parties included in the agreement, as listed below. This document outlines the scope of agreement between parties for providing limited client eligibility information from the Department of Health and Welfare�s Idaho Benefit Eligibility System (IBES) for the purpose of Idaho Department of Labor to provide additional services under the Workforce Investment Act (WIA) programs and qualify individuals for the Workforce Opportunity Tax Credit (WOTC). | | MOU | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13868 | 350 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Department of Labor | IDOL distributes grant funds transferred to IDOL in accordance with SB 1203, the ARPA Community Program grant, and applicable state and federal statutes, regulations, & guidance. | | MOA | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13869 | 351 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Department of Lands | To make the facility and participating staff of the Fire Cache in Coeur d'Alene Idaho available to DHW for Strategic National Stockpile (SNS) materiel and/or Managed Inventory during a state or national public health emergency. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13870 | 352 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Department of Transportation | The purpose of this agreement is to allow EMS to further the goals of highway safety and emergency response, provide medical services for motor vehicle accidents, and outline responsibilities for statewide dispatching services.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13871 | 353 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Department of Transportation | The purpose of this agreement is to allow EMS to further the goals of highway safety and emergency response, provide medical services for motor vehicle accidents, and outline responsibilities for statewide dispatching services.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13872 | 354 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Department of Water Resources | Well Water Monitoring of levels and quality on the SWITC site well. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13873 | 355 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Department of Water Resources (IDWR) | Agreement between IBL and IDWR to collect water samples and perform laboratory analysis to monitor groundwater quality across the state. | | Affiliation Agreement | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13874 | 356 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Development and Housing Org, Inc. | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13875 | 357 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Division of Human Resources | Agreement delegating human resources authority & responsibilities of DHW HR
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13876 | 358 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Division of Human Resources | During the 2023 legislative session, House Bill 251 was passed by the legislature which included the transfer of executive agency human resources staff to the Idaho Division of Human Resources (OHR). | | Other | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13877 | 359 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Division of Purchasing | A request to extend the Enhanced Work Services contracts beyond the original 4 year contract period.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13878 | 360 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Educational Services for the Deaf and Blind | Interagency agreement between DHW-ITP and the Idaho Educational Services for the Deaf and the Blind - describes roles and responsibilities of each agency including financial obligations to serve and support birth to 3 yr old children with hearing loss and or vision loss and their families. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13879 | 361 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Educational Services for the Deaf and Blind | Interagency agreement between DHW-ITP and the Idaho Educational Services for the Deaf and the Blind - describes roles and responsibilities of each agency including financial obligations to serve and support birth to 3 yr old children with hearing loss and or vision loss and their families. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13880 | 362 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Educational Services for the Deaf and Blind | Interagency agreement between DHW-ITP and the Idaho Educational Services for the Deaf and the Blind - describes roles and responsibilities of each agency including financial obligations to serve and support birth to 3 yr old children with hearing loss and or vision loss and their families. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13881 | 363 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Educational Services for the Deaf and Blind | Interagency agreement between DHW-ITP and the Idaho Educational Services for the Deaf and the Blind - describes roles and responsibilities of each agency including financial obligations to serve and support birth to 3 yr old children with hearing loss and or vision loss and their families. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13882 | 364 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Educational Services for the Deaf and Blind | Interagency agreement between DHW-ITP and the Idaho Educational Services for the Deaf and the Blind - describes roles and responsibilities of each agency including financial obligations to serve and support birth to 3 yr old children with hearing loss and or vision loss and their families. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13883 | 365 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Elks Rehabilitation Hospital | Clarify roles and responsibilities between hospitals, counties & DHW for individuals potentially eligible for County Financial Assistance. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13884 | 366 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Falls Pediatrics | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13885 | 367 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Falls Surgical Specialists | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13886 | 368 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Funeral Association/Various Funeral Homes | Authorization to provide to Idaho Funeral Service Association our facility's specific disposition information pertaining to death certificates and other vital statistics records filed by our firm with your office. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13887 | 369 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Housing and Finance Association | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13888 | 370 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Immunizations Program | To provide collaboration and referral between the Immunizations and the Women, Infants and Children (WIC) programs to comply with federal and state regulations regarding immunizations screenings and accessibility. | | MOU | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13889 | 371 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Industrial Commission | Idaho Industrial Commission has agreed to exchange its workers compensation files with our third party liability unit so we can detect potential sources of Medicaid reimbursement.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13890 | 372 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho IRS (Internal Revenue Service) | To address coordination of information services delivery between ID IRS, and 2-1-1 Idaho CareLine, a program of the Idaho Department of Health and Welfare.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13891 | 373 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Pathology Laboratory Physicians | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13892 | 374 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Pathology Laboratory Physicians | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13893 | 375 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Psychology Internship Consortium (ID-PIC) Consortial Agreement | WHERAS, ID-PIC is a consortium comprised of voluntary Member Agencies organized for the purpose of providing a broad and culturally-relevant training program to support the training, education, and retention of doctoral-level psychologists in Idaho. | | Other | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13894 | 376 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Public Health Districts | Mutual aid agreement for use of facilities, services, equipment, staff, and supplies in the event of a public health emergency
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13895 | 377 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Public Health Districts | Updated mutual aid agreement for use of facilities, services, equipment, staff, and supplies in the event of a public health emergency
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13896 | 378 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Public Health Districts | Improving communication, defining roles & authority and promoting effective policy development and collaboration of effective service delivery
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13897 | 379 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho School for the Deaf and Blind | Work together to serve and support birth to three-year-old children with hearing loss and/or vision loss and their families; understand each agency's roles and responsibilities, including financial obligations.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13898 | 380 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Secretary of State | This MOU sets forth the understanding of the parties related to the dispensation of Idaho Health Care Directives, and shall expire six (6) months following the Effective date, unless it is extended by written modification, or a written successor agreement pertaining to the subject matter of this MOU. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13899 | 381 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho State Controller's Office (SCO) | MOU Between Idaho State Agencies for the Sharing of Data and Information for the Integrated Data System | | MOU | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13900 | 382 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho State Department of Agriculture (ISDA) | MOU between IDHW and ISDA regarding the Old Penitentiary Road Building Campus and Grounds Maintenance. | | MOU | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13901 | 383 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho State Department of Agriculture (ISDA) | Transfer of lands of the laboratory building site at the Old Penitentiary Road campus (2220, 2224, and 2230 Old Penitentiary Road). ISDA has relinquished its interest to the lab building. ISDA is still responsible for their shared portion of the Building Plant and the utilities that go through there; the Building Plant supports several buildings on the Old Penitentiary Campus that include IDHW and ISDA buildings. | | Other | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13902 | 384 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho State Historical Society (ISHS) | Shared expenses for security services used by ISHS and IBL on Old Penitentiary Road campus in Boise | | MOU | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13903 | 385 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho State Liquor Dispensary | The purpose of this MOA is to develop a joint partnership agreement to conduct warehousing and distribution operations for SNS.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13904 | 386 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho State Liquor Dispensary | Addendum to original. The purpose of this MOA is to develop a joint partnership agreement to conduct warehousing and distribution operations for SNS.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13905 | 387 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho State Lottery Commission | To identify lottery recipients | | MOU | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13906 | 388 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho State Police | Outlines responsibilities of each agency relating to the colocation of our communications centers at the ISP complex in Meridian
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13907 | 389 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho State Police | Idaho State Police will provide a telephone system to Comm Center in Meridian.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13908 | 390 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho State Police | Co-location at ISP Meridian Complex requires coordination and cooperation between the agencies in the operation, facility usage and upkeep. To define each agency's responsibilities as they pertain to employee background checks and shared communications equipment. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13909 | 391 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho State Police | Co-location at ISP Meridian Complex requires coordination and cooperation between the agencies in the operation, facility usage and upkeep. To define each agency's responsibilities as they pertain to employee background checks and shared communications equipment. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13910 | 392 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho State Police | Co-location at ISP Meridian Complex requires coordination and cooperation between the agencies in the operation, facility usage and upkeep. To define each agency's responsibilities as they pertain to employee background checks and shared communications equipment. Added DHW responsibility for share of utility costs of space. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13911 | 393 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho State Police | An agreement between DHW and ISP with respect to the allocation of the costs for Henneman's employment benefits.� DHW will bill ISP quarterly. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13912 | 394 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho State Police | Co-location at ISP Meridian Complex requires coordination and cooperation between the agencies in the operation, facility usage and upkeep. To define each agency's responsibilities as they pertain to employee background checks and shared communications equipment. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13913 | 395 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho State Police | Describes each agency's roles and responsibilities relevant to employee background checks and provision and maintenance of shared communications center equipment. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13914 | 396 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho State Police | To improve cooperative efforts between ISP and IDHW (DBH) in regard to the enforcing prevention of tobacco products and electronic smoking device sales to minors. | | Affiliation Agreement | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13915 | 397 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho State Police/DEQ/Division of Military/PHDs | This interagency memorandum of agreement formalizes the roles and responsibilities of the signatory agencies.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13916 | 398 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho State Treasurer | Interagency agreement for Banking Services for STO to maintain an account for direct deposit for child support and benefits for DHW clients.� STO will bill DHW for account fees charged to them by Wells Fargo - account holder. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13917 | 399 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho State Treasurer | The Treasurer will open a subaccount under the Master Agreement for deposits by Molina (the H&W Desktop Deposit Account).� Molina may access the H&W Desktop Deposit Account, subject to the terms and conditions of the Master Agreement and other terms imposed by Wells Fargo, including the terms for image file deposits. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13918 | 400 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho State University | To enlist ISU School of Pharmacy students and the ISU Meridian Health Sciences Center in an emergency for the repackaging of bulk supplies of pharmaceuticals. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13919 | 401 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho State University | To establish a trust fund for Idaho that would benefit civilian and military personnel with TBI and their families, Solidify the statewide TBI advisory council, Support families of returning service members with TBI and Monitor Idaho's TBI Medicaid waiver and trauma registry. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13920 | 402 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho State University | The Coronavirus Finance Advisory Committee allocated $3 M dollars to the Division of Public Health to support high through put lab testing. The division's commitment is to reimburse the universtiy for the testing equipment. This MOA outlines the terms of the management of said equipment. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13921 | 403 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho State University | This MOU was drafted by ISU for the purpose of coordinating an intership with the Alzheimer's Disease and Related Dementias (ADRD) Program within Public Health. | | MOU | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13922 | 404 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho State University | Idaho State University hereby acknowledge that it is of mutual interest and advantage to them for selected Idaho State University Students of the program to receive clinical/educational experience at the agency. | | Affiliation Agreement | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13923 | 405 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Supreme Court | The purpose of this Memorandum of Agreement is to outline the process by which the parties will work together to effectively administer the funding and manage Idaho WITS projects that
will improve the likelihood of successfully attaining project outcomes. The parties pledge their mutual cooperation in implementing the provisions of this Memorandum of Agreement for the continued development of Idaho WITS for the SUD system. | | MOU | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13924 | 406 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Idaho Transportation Department | This memorandum allows EMS to further the goals of highway safety and emergency response, to provide medical services at motor vehicle accidents, and describes each agency's responsibilities related to EMS providing statewide dispatching services and highway event management to ITD. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13925 | 407 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | IDHW - FACS and Welfare | MOU fulfills a grant requirement, which requires cross-programmatic coordination as related to evidence-based home visiting services. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13926 | 408 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | IHC Health Services, Inc. dba Cassia Regional Hospital | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13927 | 409 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Imaging Center of Idaho | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13928 | 410 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Incyte Pathology | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13929 | 411 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Indiana Manor Apartments | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13930 | 412 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Informatix / Spokane Teachers Credit Union | lnformatix Alliance will create a data match system | | MOU | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13931 | 413 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Informatix / Spokane Teachers CU | FIDM Data match services | | MOU | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13932 | 414 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Initial Point Family Medicine | To receive vaccine from the Idaho Immunization Program and the Vaccines for Children Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13933 | 415 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Inland 465 Limited Partnership | Inland 465 shares the mission to preserve and protect the publics' health and agrees to make the facility and participating staff of INLAND 465 in Lewiston, Idaho available to DHW during a state of national public health emergency | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13934 | 416 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Inland Imaging LLC | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13935 | 417 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Inspire Idaho Inc | Inspire is a faith based organization that will offer Independent Living workshops and individualized mentoring to current older foster youth and young adults that recently aged out of the system. Referrals are made by DHW case managers. | | MOU | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13936 | 418 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Integra Imaging | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13937 | 419 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Intermountain Health Services | Information sharing and data use agreement for BioSense program - local hospitals - Version 9/1/2016. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13938 | 420 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Intermountain Hospital | Clarify roles and responsibilities between hospitals, counties & DHW for individuals potentially eligible for County Financial Assistance. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13939 | 421 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Intermountain Medical Clinic | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13940 | 422 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Internal | Through this agreement, the Bureau of Clinical and Preventative Services provides $10,000 annually to the Infant Toddler Program to provide data collection, hospital support, and technical assistance and training. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13941 | 423 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Internal | Outlines the procedures for the provision of mental health services to children birth to three years old whose parents or others are concerned about their child's behavioral or social-emotional development.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13942 | 424 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Internal Revenue Service | The parties agree that for federal tax purposes, Personal Care Providers are common-law employees of the recipient/patient/beneficiary. Effective after July 1, 1994. | | Other | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13943 | 425 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Interpath Laboratory | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13944 | 426 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | Interpath Laboratory | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13945 | 427 | | 6/1/2004 | 8/31/2026 | 270-Department of Health and Welfare | | | IOEM | Establishes the process for paying the invoices for wharehousing of PPE using FEMA funds | | MOU | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13946 | 428 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | Michele Carreras | michele.carreras@dhw.idaho.gov | IOEM | The purpose of the MOU is to describe each agencies responsibilities related to EMS/State COMM providing statewide dispatching and notification services to IOEM. | This MOU builds upon the previous collaboration between the two organizations. | MOU | Public Health and Safety | State | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13947 | 429 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Ironwood Family Practice | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13948 | 430 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Island Park Medical Clinic | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13949 | 431 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | ISU | Agreement provides for clinical/educational experience for students as part of their education requirements. | | Affiliation Agreement | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13950 | 432 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Ivy Court | To clarify requirements for Vendors to allow Business Office staff access to the Idaho Benefit Eligibility System, as it functions today, as provided by the Division of Welfare. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13951 | 433 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Jacob Curtis, MD | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13952 | 434 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Jacob Curtis, MD | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13953 | 435 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | James A Wolf, MD | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13954 | 436 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | James Court | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13955 | 437 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Jefferson County | Outline procedures to assist counties, hospitals & the state catastrophic health care cost program with a method of determining Medicaid eligibility through the development of a single combined application. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13956 | 438 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Jerome County | Outline procedures to assist counties, hospitals & the state catastrophic health care cost program with a method of determining Medicaid eligibility through the development of a single combined application. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13957 | 439 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Jerome Housing Authority | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13958 | 440 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | J-K Ambulance | Data Usage agreement for EMS Prehospital Electronic Record Collection System (PERCS). | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13959 | 441 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | John E Gordon MD | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13960 | 442 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | John L Torquato MD Family Practice | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13961 | 443 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | JR Simplot Company | To work cooperatively in the transportation of vital medical supplies in the event of a major public health emergency in the state of Idaho | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13962 | 444 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Juniper Springs Internal Medicine | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program.
| | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13963 | 445 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Kacy Meadows Apartments | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13964 | 446 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Kaniksu Health Services | To clarify the roles and responsibilities of the parties in processing Applications for Assistance in an expedited manner. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13965 | 447 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Kaniksu Health Services | To receive vaccine from the Idaho Immunization Program and the Vaccines for Children Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13966 | 448 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Kaniksu Health Services | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13967 | 449 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Kaniksu Health Services | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13968 | 450 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Karcher Estates | To clarify requirements for Vendors to allow Business Office staff access to the Idaho Benefit Eligibility System, as it functions today, as provided by the Division of Welfare. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13969 | 451 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Kathleen Corners Apartments | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13970 | 452 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Kiemle and Hagood Company | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13971 | 453 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Kindred Healthcare | To clarify requirements for Vendors to allow Business Office staff access to the Idaho Benefit Eligibility System, as it functions today, as provided by the Division of Welfare. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13972 | 454 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Kindred Healthcare - Boise | To clarify requirements for Vendors to allow Business Office staff access to the Idaho Benefit Eligibility System, as it functions today, as provided by the Division of Welfare. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13973 | 455 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Kindred Nursing and Rehabilitation Caldwell | To clarify requirements for Vendors to allow Business Office staff access to the Idaho Benefit Eligibility System, as it functions today, as provided by the Division of Welfare. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13974 | 456 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Kindred Nursing and Rehabilitation Weiser | To clarify requirements for Vendors to allow Business Office staff access to the Idaho Benefit Eligibility System, as it functions today, as provided by the Division of Welfare. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13975 | 457 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Kindred Transitional Care and Rehabilitation - Lewiston | To clarify requirements for Vendors to allow Business Office staff access to the Idaho Benefit Eligibility System, as it functions today, as provided by the Division of Welfare. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13976 | 458 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Kootenai County | Outline procedures to assist counties, hospitals & the state catastrophic health care cost program with a method of determining Medicaid eligibility through the development of a single combined application. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13977 | 459 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Kootenai Health | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13978 | 460 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Kootenai Imaging | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13979 | 461 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Kootenai Medical Center | To clarify the roles and responsibilities of the parties in processing Applications for Assistance in an expedited manner. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13980 | 462 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Kootenai Medical Center | The purpose of this MOA is to provide a means for the provider to enter and file via a computer all birth certificate information for deliveries at or en route to their facility. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13981 | 463 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Kootenai Medical Center | Clarify roles and responsibilities between hospitals, counties & DHW for individuals potentially eligible for County Financial Assistance. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13982 | 464 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Kootenai Outpatient Surgery | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13983 | 465 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Kootenai Regional Medical Center | To effectively respond to acts of chemical terrorism and other public health emergencies, DHW has entered into an MOA with CDC to pre-position sustainable repositories of nerve agent antidotes in locations in the state.� | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13984 | 466 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Kootenai Tribe | The Tribe will assist the Bureau of Labs in the quality assurance audits of air quality monitoring equipment. | | MOU | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13985 | 467 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Kuna Valley Run Apartments | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13986 | 468 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Lakeland Family Medicine | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13987 | 469 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Lakeside Pediatrics | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13988 | 470 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Lapwai Health Center | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13989 | 471 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Latah County | Outline procedures to assist counties, hospitals & the state catastrophic health care cost program with a method of determining Medicaid eligibility through the development of a single combined application. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13990 | 472 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Legacy House | To clarify the roles and responsibilities of the parties in processing Applications for Assistance in an expedited manner. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13991 | 473 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Lemhi County | Outline procedures to assist counties, hospitals & the state catastrophic health care cost program with a method of determining Medicaid eligibility through the development of a single combined application. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13992 | 474 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Lemhi County Social Services | Outline procedures to assist counties, hospitals & the state catastrophic health care cost program with a method of determining Medicaid eligibility through the development of a single combined application. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13993 | 475 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Lewis Clark State College | To receive vaccine from the Idaho Immunization Program and the Vaccines for Children Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13994 | 476 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Lewis County | Outline procedures to assist counties, hospitals & the state catastrophic health care cost program with a method of determining Medicaid eligibility through the development of a single combined application. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13995 | 477 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Lewis-Clark State College | AA between SHW and Lewis-Clark State College for students to receive clinical/educational experience | | Affiliation Agreement | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13996 | 478 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Life Care Center of Valley View | To clarify requirements for Vendors to allow Business Office staff access to the Idaho Benefit Eligibility System, as it functions today, as provided by the Division of Welfare. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13997 | 479 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Lincoln County | Outline procedures to assist counties, hospitals & the state catastrophic health care cost program with a method of determining Medicaid eligibility through the development of a single combined application. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13998 | 480 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Livanta | Livanta is the Beneficiary and Family Centered Care Quality Improvement Organization�review healthcare services furnished to Medicare beneficiaries. | | MOA | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 13999 | 481 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Lost Rivers Rural Health Clinic | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 14000 | 482 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Loving Care & More | To clarify the roles and responsibilities of the parties in processing Applications for Assistance in an expedited manner. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 14001 | 483 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Madison Anesthesia Services | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 14002 | 484 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Madison County | Outline procedures to assist counties, hospitals & the state catastrophic health care cost program with a method of determining Medicaid eligibility through the development of a single combined application. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 14003 | 485 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Madison Memorial Hospital | The purpose of this MOA is to provide a means for the provider to enter and file via a computer all birth certificate information for deliveries at or en route to their facility. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 14004 | 486 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Madison Memorial Rexburg Medical Clinic | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 14005 | 487 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Madison Women's Clinic | To receive vaccine from the Idaho Immunization Program and the Vaccines for Children Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 14006 | 488 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Madison Women's Clinic | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 14007 | 489 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Magic Valley Family Practice | To receive vaccine from the Idaho Immunization Program and the Vaccines for Children Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 14008 | 490 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Magic Valley Family Practice | Providers will provide blood lead level testing to Idaho Medicaid Clients as part of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Providers are given blood lead level analyzer equipment by DHW for use in this program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 14009 | 491 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Magic Valley Surgery Clinic | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 14010 | 492 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Marble Front Apartments | Document the process the Housing Authority will follow when requesting & receiving income verification info for a client's Child Support history. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 14011 | 493 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Margaret Huggins, MD | The Provider will provide listed screening and diagnostic tests to women enrolled in the WHC Program. | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 14012 | 494 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Marsing Ambulance Service, Inc. | Data Usage agreement for EMS Prehospital Electronic Record Collection System (PERCS). | | | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |
| 14013 | 495 | | 12/23/2022 | 8/31/2026 | 270-Department of Health and Welfare | | | Maryville University | The AGENCY and the PROGRAM hereby acknowledge that it is of mutual interest and advantage to them for selected STUDENTS of the PROGRAM to receive clinical/educational experience at the AGENCY. | | Affiliation Agreement | | | | 12/29/2023 11:46 AM | 12/29/2023 11:46 AM | | | | | | | | | | | | |