Idaho Administrative Code
Title IDAPA 16 - Health and Welfare, Department of
Rule 16.03.18 - MEDICAID COST-SHARING
Section 16.03.18.330 - COLLECTION OF COPAYMENTS
Current through August 31, 2023
01. Responsibility for Collection. The provider of services is responsible for collection of the copayment from the participant. (3-15-22)
02. Denial of Services. The provider may require payment of an applicable copay prior to rendering services. (3-15-22)
03. Waiver of Copayment. The provider may choose to waive payment of any copay. The provider must have a written policy describing the criteria for enforcing collection of copayments and when the copay may be waived. (3-15-22)
04. Reduction in Reimbursement.When a copay is applicable, the provider's reimbursement will be reduced by the amount of the copay regardless of whether or not a copay was charged or collected by the provider. (3-15-22)
