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State Statutes - Idaho - Title 31 - Chapter 35 - 31-3519
Idaho Statutes
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31-3519 - PAYMENT FOR SERVICES
Each board of county commissioners shall
make payments to providers for covered services provided to the medically
indigent as follows:
(1) Upon receipt of a final determination approving an application for
necessary medical services, an applicant, a provider, or the third party on
behalf of the applicant, shall, within sixty (60) days, submit a county claim
in accordance with the procedures provided in chapter 15, title 31, Idaho
Code. The clerk shall calculate, or cause to be calculated, the medical
provider reimbursement rate.
(2) Payment shall be made to providers on behalf of an applicant and
shall be made on the next payment cycle after all necessary forms are
presented by the claimant to the county and the clerk has determined the
medical provider reimbursement rate. In no event shall payment be delayed
longer than sixty (60) days from receipt of the county claim or provider bill.
(3) Payment to a provider pursuant to this chapter shall be payment of
the debt in full and the provider shall not seek additional funds from the
applicant.
(4) In no event shall a county be obligated to pay, pursuant to this
chapter, an amount which exceeds the reimbursement rate for the entire medical
bill as calculated above.
(5) The clerk shall forward appropriate claims to the catastrophic health
care costs program within fourteen (14) days after determining an applicant's
eligibility for that program and shall include a statement of which costs the
clerk has or intends to pay.
(6) The catastrophic health care cost program shall, within forty-five
(45) days after approval by the administrator, submit the claim to the state
controller for payment.
 
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