DESIGNATE YOUR AGENT WITH DHW
If you have been referred to Medicaid, you can appoint your Your Health Idaho-certified agent or broker as an authorized representative with the Idaho Department of Welfare (DHW) to assist you with their programs.
To designate your agent as an authorized representative with DHW, you must follow these steps:
Complete Form
Fill out and complete DHW's Authorized Representative form.
Please Note: The form must include unique signatures from you and your agent. Agents should not sign on behalf of the customer.
Email Completed Form
Once the form is completed, email it to YHIAuthorizedRep@dhw.idaho.gov. Include in your email that this is a designation for an application from Your Health Idaho.
To remove an agent or broker as an authorized DHW representative, you must contact DHW directly.