Idaho State Statutes - Idaho Attorney Directory

The administrator shall,
under such limitations and restrictions as are prescribed by law:
(1) Pay for necessary medical services for a resident medically indigent
person where the reimbursement rate for the claim exceeds in aggregate the sum
of ten thousand dollars ($10,000) during a twelve (12) month period;
(2) From July 1, 1997, through June 30, 1998, pay for emergency services
of a nonresident to the point of stabilization as set forth in section
31-3507, Idaho Code, and, when necessary, for costs of transfer to the
nonresident's place of residence, where the reimbursement rate for the claim
exceeds in the aggregate during a twelve (12) month period, the sum of five
thousand dollars ($5,000), unless such nonresident is from a state which has a
reciprocal agreement pursuant to section 31-3503B, Idaho Code, and qualifies
for necessary medical services under that agreement;
(3) Require, as the administrator deems necessary, annual reports from
each county and each hospital and provider including, but not limited to, the
following:
(a) From each county and for each applicant:
(i) case number and the date services began;
(ii) age;
(iii) residence;
(iv) sex;
(v) diagnosis;
(vi) income;
(vii) family size;
(viii) amount of costs incurred including provider, legal and
administrative charges;
(ix) approval or denial; and
(x) reasons for denial.
(b) From each hospital:
(i) 990 tax forms or comparable information;
(ii) cost of charges where charitable care was provided; and
(iii) administrative and legal costs incurred in processing claims
under this chapter.

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