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Idaho Medicaid MNT coverage: codes and limits

The short answerIdaho's October to December 2026 Medicaid fee schedule does not list 97802 or 97803. It lists G0270 at $26.14 and S9470 (nutritional counseling, dietitian visit) at $25.58, neither with prior authorization always required. A listed code means covered when all requirements are met, so S9470 appears to be the dietitian visit code to check with Idaho Medicaid.

1 row: Medicaid (by state) · Idaho. Public policy, not the member's benefits.

Idaho Medicaid

Medicaid (Numerical Fee Schedule, Oct. to Dec. 2026) · Idaho

97802Not listed (not on the numerical fee schedule, which lists G0270 and S9470.) [1]
97803Not listed (not on the numerical fee schedule, which lists G0270 and S9470.) [1]
G0270Listed ($26.14, price effective 7/1/2026, site of service reduction Yes, PA always required: No.) [1]
G0271Not published
Where it appliesNumerical Fee Schedule for October to December 2026, version 1.1. The schedule says inclusion of a code means the service is covered by Idaho Medicaid when all requirements are met. [1]
DiagnosesNot published: call the payer.
Other codesS9470 is the dietitian visit code on the schedule. 97802, 97803, 97804 and G0271 do not appear. [1]
Telehealth POSNot published: call the payer.
Telehealth modifierNot published: call the payer.
Visit limitsPA Always Required is No for G0270 and S9470. The MUE column shows 8 units for G0270 and 1 for S9470; the schedule says these MUEs are CMS national limits, not a separate Idaho limit. [1]
Referral and prior authNot published: call the payer.
PaymentG0270 $26.14 (price effective 7/1/2026). S9470 nutritional counseling, dietitian visit, $25.58 (price effective 9/1/2025). [1]
  1. Idaho Department of Health and Welfare: Medicaid Numerical Fee Schedule, October to December 2026 (v1.1, Excel), checked October 30, 2026

Check a Medicaid claim against the row

Before an Idaho Medicaid claim goes out, compare it with the row above: the code is one the policy lists, the place of service and modifier match for a video visit, and the units fit the limit. Change the filters to compare Medicaid with another payer, then download the PDF of what you see.

Sources

  1. Idaho Department of Health and Welfare: Medicaid Numerical Fee Schedule, October to December 2026 (v1.1, Excel)

Sources checked . Payer rules change; verify the member's benefits.

Frequently asked questions

Does Idaho Medicaid cover 97802 and 97803 for a dietitian?

Not for most dietitians. 97802 and 97803 are not listed (not on the numerical fee schedule, which lists G0270 and S9470.). G0270 is listed. G0271 is not published. The member's plan still decides coverage, visits and cost sharing, so verify benefits before the first visit.

Does Idaho Medicaid limit MNT visits?

PA Always Required is No for G0270 and S9470. The MUE column shows 8 units for G0270 and 1 for S9470; the schedule says these MUEs are CMS national limits, not a separate Idaho limit.

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