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
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