Idaho State Statutes - Idaho Attorney Directory

(1) An applicant
requesting assistance under this chapter shall complete a written application
on a uniform form agreed to by the Idaho association of counties and the Idaho
hospital association. The truth of the matters contained in the application
shall be sworn to by the applicant. The application shall be signed by the
applicant or on the applicant's behalf and filed in the clerk's office.
(2) If a third party application is filed, the application shall be as
complete as practical and presented in the same form and manner as set forth
above.
(3) Follow-up necessary medical services based on a treatment plan, for
the same condition, preapproved by the board, may be provided for a maximum of
six (6) months from the date of the original application without requiring an
additional application; however, a request for additional treatment not
specified in the approved treatment plan shall be filed with the clerk ten
(10) days prior to receiving services. Beyond the six (6) months, requests for
additional treatment related to an original diagnosis in accordance with a
preapproved treatment plan shall be filed ten (10) days prior to receiving
services and an updated application may be requested by the board.
(4) Upon application for financial assistance pursuant to this chapter an
automatic lien shall attach to all real and personal property of the applicant
and on insurance benefits to which the applicant may become entitled. The lien
shall also attach to any additional resources to which it may legally attach
not covered above. The lien created by this section may be, in the discretion
of the board, perfected as to real property and fixtures by recording, in any
county recorder's office in this state in which the applicant and obligated
party own property a notice of application for medical indigency benefits on a
uniform form agreed to by the Idaho association of counties and the Idaho
hospital association, which form shall be recorded as provided herein within
thirty (30) days from receipt of an application, and such lien, if so
recorded, shall have a priority date as of the date the necessary medical
services were provided. The lien created by this section may also be, in the
discretion of the board, perfected as to personal property by filing with the
secretary of state within thirty (30) days of receipt of an application, a
notice of application in substantially the same manner as a filing under
chapter 9, title 28, Idaho Code, except that such notice need not be signed
and no fee shall be required, and, if so filed, such lien shall have the
priority date as of the date the necessary medical services were provided. An
application for assistance pursuant to this chapter shall waive any
confidentiality granted by state law to the extent necessary to carry out the
intent of this section.

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