There is a newer version of the Idaho Code and Statutes
2016 Idaho Statutes
Title 56 - PUBLIC ASSISTANCE AND WELFARE
Chapter 2 - PUBLIC ASSISTANCE LAW
Section 56-265 - PROVIDER PAYMENT.
ID Code § 56-265 (2016) What's This?
56-265. provider payment. (1) Where there is an equivalent, the payment to medicaid providers:
(a) May be up to but shall not exceed one hundred percent (100%) of the current medicare rate for primary care procedure codes as defined by the centers for medicare and medicaid services; and
(b) Shall be ninety percent (90%) of the current medicare rate for all other procedure codes.
(2) Where there is no medicare equivalent, the payment rate to medicaid providers shall be prescribed by rule.
(3) Notwithstanding any other provision of this chapter, if the services are provided to an adolescent by a private, freestanding mental health facility that is an institution for mental disease, the department shall reimburse for those services at ninety-one percent (91%) of the current medicare rate.
(4) The department shall, through the annual budget process, include a line item request for adjustments to provider rates. All changes to provider payment rates shall be subject to approval of the legislature by appropriation.
History:
[56-265, added 2011, ch. 164, sec. 16, p. 475; am. 2015, ch. 301, sec. 1, p. 1182; am. 2016, ch. 173, sec. 1, p. 476.]
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