Idaho § 56-257 COPAYMENTS

Idaho Statutes

§ 56-257 — COPAYMENTS

Idaho·Title 56 PUBLIC ASSISTANCE AND WELFARE·Ch. 2 PUBLIC ASSISTANCE LAW

(1)Within the limits of federal medicaid law and regulations, the department of health and welfare shall establish enforceable cost sharing in order to increase the awareness and responsibility of medicaid participants for the cost of their health care and to encourage use of cost-effective care in the most appropriate setting. Copayments established by department rule may include, but not be limited to, the following:

(a)Medicaid services including, but not limited to, chiropractic visits, podiatrist visits, optometrist visits, physical therapy visits, occupational therapy visits, speech therapy visits, outpatient hospital visits and physician office visits;

(b)Inappropriate use of emergency medicaid reimbursed services, including hospital emergency room and emergency transportation; a

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(1) Within the limits of federal medicaid law and regulations, the department of health and welfare shall establish enforceable cost sharing in order to increase the awareness and responsibility of medicaid participants for the cost of their health care and to encourage use of cost-effective care in the most appropriate setting. Copayments established by department rule may include, but not be limited to, the following:
(a) Medicaid services including, but not limited to, chiropractic visits, podiatrist visits, optometrist visits, physical therapy visits, occupational therapy visits, speech therapy visits, outpatient hospital visits and physician office visits;
(b) Inappropriate use of emergency medicaid reimbursed services, including hospital emergency room and emergency transportation; and
(c)
Missed appointments with health care providers when it is the practice of the health care provider to charge such copayments to all of their patients regardless of payer.
(2) The director may exempt, subject to federal approval, any group of medicaid participants from the cost-sharing provisions in this section.

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