Idaho Administrative Code
Title IDAPA 16 - Health and Welfare, Department of
Rule 16.03.18 - MEDICAID COST-SHARING
Section 16.03.18.050 - GENERAL COST-SHARING

Universal Citation: ID Admin Code 16.03.18.050

Current through September 2, 2024

01. Proof of Cost-Sharing Payment. If a participant believes their cost-sharing exceeded five percent (5%) of gross monthly household income, they must provide proof to the Department for an assessment of suspension or reimbursement.

02. Excess Cost-Sharing. A household that establishes proof of payment for cost-sharing that exceeds five percent (5%) of gross monthly household income will be reimbursed by the Department for the amount paid that exceeds the five percent (5%), except as provided in this rule.

03. Cost-Sharing Suspended. A household that exceeds the five percent (5%) maximum amount for cost-sharing for the calendar month is not required to pay cost-sharing for any household member for the remainder of the calendar month.

Effective July 1, 2024

Disclaimer: These regulations may not be the most recent version. Idaho may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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