Welcome to the Optum Network!

Optum Network Manual

• Network Manual

Clinical Criteria

• Standard Clinical Criteria

Best Practice Guidelines

• BP Guidelines

Coordination of Care (COC)

• COC Flyer
• COC Checklist

Idaho Medicaid Plus (IMPlus)

UnitedHealthcare Community Plan of Idaho and Optum Behavioral Health began administering benefits for the Idaho Medicaid Plus Program (referred to as IMPlus) on June 1, 2025.

Authorization Information

• Idaho IMPlus Prior Auth Code List – June 2025
• Idaho Authorization Form

Provider Resources

• Idaho IMPlus & MMCP Medicaid Rate & Services Changes QRG

Idaho MMCP Plan

Idaho’s Medicare Medicaid Coordinated Plan (MMCP) is a voluntary dual special needs plan (D-SNP) for elderly and disabled adults who are enrolled in both Medicaid and Medicare.

• Idaho Medicaid Prior Authorization Code List
• Medicare Prior Authorization Code List
• DSNP Training for MMCP providers