If you have questions about your eligibility for benefit programs or completing your re-evaluation, or if you are experiencing technical problems with the website, please contact us at 1-877-456-1233 between the hours of 8 a.m. and 6 p.m. Mountain Time, Monday thru Friday, except holidays, or click here.
If you are experiencing technical problems with the website or unable to log in, please contact us at 1-877-456-1233 between the hours of 8 a.m. and 6 p.m., Monday thru Friday, except holidays or complete the feedback form below and submit.
Please provide the customer's name and email address.
You can view the notices we sent you in the last three months for any active program by clicking on the hyperlinks below. To access notifications sent for active programs more than three months ago, change the Search Date criteria above and click Search.
| Notice | Date | |
|---|---|---|
| {{ notice.name }} | {{notice.createDate | date:'MM/dd/yyyy'}} | View Notice |
| No notices found for user between {{ noticeStartDateDisplay }} and {{ noticeEndDateDisplay }}. | ||
The Health Coverage Assistance Program provides health coverage assistance according to individuals needs. Eligible families may qualify for Medicaid or Advance Payment of Premium Tax Credits to help pay health coverage premiums or affordable private health insurance plans.
To apply for Health Coverage for yourself or a member of your family, click here.
The Report a Change/Add a Person form should be used to report a change to existing benefits or to add a person to an existing program.
To Report a Change, click here.
Your Agent Authorized Representative is able to receive information related to your family's situation and view notices from DHW related to the Health Coverage Assistance program.
To designate an agent authorized representative to act on your behalf in matters concerning health coverage, click here.
The Provide Documents form allows you to submit documents necessary to make determinations about your benefits.
To provide documents, click here.
Listed below are the actions that you can perform in order to provide information to us. If you do not see any actions, it is because there may be a Health Coverage application in a pending status.
| Date | Description | |
|---|---|---|
| {{t.date|date:'MMM dd, yyyy'}} {{t.date|date:'h:mm a'}} | {{t.description}} | Download |
Activity that you have performed on idalink such as submitting a Health Coverage Application, reporting a change or providing documentation will display under Account Activity. If you have not performed any activities on idalink, no records will display in this section.
Listed below is the Agent Authorized Representative that we have on file for you. Using idalink, your agent is able to access your idalink account in order to complete activities related to your Health Coverage Assistance on your behalf. This includes being able to view notices and report changes relating to your Health Coverage Assistance. If you wish to designate a new agent as your Agent Authorized Representative or remove the one below, please use the Designate or Remove an Authorized Representative option.
We currently do not have an Agent Authorized Representative on file for you. Using idalink, your Agent Authorized Representative is able to access your idalink account in order to complete activities related to your Health Coverage Assistance on your behalf. This includes being able to view notices and report changes relating to your Health Coverage Assistance. If you wish to designate an Agent Authorized Representative, please use the Designate an Agent Authorized Representative link.
| Name | |
|---|---|
| * {{getAssignedAgent().firstName}} {{getAssignedAgent().middleName}} {{getAssignedAgent().lastName}} | {{getAssignedAgent().emailAddress}} |
* Agents who are no longer active, or who have been de-activated then re-activated, display in italics. Use the Designate or Remove an Authorized Representative option above to designate a new agent.
Below is a list of the most commonly used forms. You may download and print any form from this page by clicking on the link.
If you need assistance completing any of these forms, please contact us at 1-877-456-1233, between the hours of 8:00 AM and 6:00 PM (Mountain Standard Time), Monday through Friday.
| form name | description |
|---|---|
| Additional Correspondence Recipient (ACR) Request Form | Use this form to request that copies of notices from your benefits program(s) are mailed to a person who is not part of your household. |
| Contribution Statement (HW0517) | Use this form to verify money you receive as a contribution or gift from someone outside your household. |
| Employment Health Coverage Assistance (HW2017) | Use this form to request a determination of affordable health coverage if someone in your household has access to or is currently covered by health coverage from a job -AND- the insurance premium is unaffordable for your household. |
| Child Care Provider Form | Use this form to verify the monthly amount you pay for child care. |
| Rent Verification (HW0410) | Use this form to verify your rent and utility costs. |
| Verification of Termination of Employment (HW0516) | Use this form to verify that your employment has ended. |
| Work Verification (HW0411) | Use this form to verify your new or current employment. |
You now have the ability to apply for Health Coverage Assistance and see the results of your application submission online. You may also complete a re-eval for Food Stamps and view other benefits your family is currently receiving.
The Health Coverage Assistance Program provides health coverage assistance according to individuals needs. Eligible families may qualify for Medicaid or Advance Payment of Premium Tax Credits to help pay health coverage premiums or affordable private health insurance plans.
The Idaho Food Stamp Program is a supplemental nutrition assistance program that helps families buy food for good health. Eligible families get a debit like card to buy food items.
Login or Register to view your benefits or complete your Food Stamps re-evaluation online.
This program provides cash assistance for: emergency situations, families with children, and the elderly, blind or disabled. Eligible families receive a one time or on-going payment, depending on the needs of the household.
This program helps parents and caretakers pay for a part of their child care costs while working, going to school, or participating in approved training activities.
