The shocking announcement that ICD-10 implementation has been delayed again received a variety of responses, ranging from elation to “I told you so” to complete frustration. Although we don’t know if and when another implementation date will be confirmed, we do know that many providers have made major progress toward readiness. The great unknown to date is this: will testing be representative of live claim adjudication? Will claim disruptions be minimal or catastrophic? Will the payor triage system for testing partners be too limited, only involving the largest partners? Based on historical experience, many have reason to be very concerned about the capabilities and readiness of the Medicaid plans. But Idaho Medicaid recently hit an out-of-the-park home run demonstrating just how well claims adjudication can work at the physician level. And if they can do it, so can everyone else.