Idaho Administrative Code
Title IDAPA 16 - Health and Welfare, Department of
Rule 16.03.18 - MEDICAID COST-SHARING
Section 16.03.18.250 - DELINQUENT PREMIUM PAYMENTS
Current through September 2, 2024
If the participant is sixty (60) days or more past due on premium payments, the participant is contacted to determine the reason for the delinquency. If the participant's income is less than the amount used for the most recent eligibility determination, the participant is offered a new eligibility determination. The change is effective the month after the participant becomes eligible for such benefits.
01. Delinquent Payments. A participant is not approved for or renewed for coverage that requires premium payments, if their premium payments are sixty (60) days or more delinquent.
02. Reestablishing Eligibility. A participant can reestablish eligibility by paying the premium debt in full, unless forgiven in this rule.
03. Premium Debt. Any premium debt assessed, but not paid, will be forgiven if one (1) of the following applies:
Effective July 1, 2024