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State Statutes
- Idaho
- Title 31
- Chapter 35
- 31-3519
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| 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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