56-209d. MEDICAL ASSISTANCE PROGRAM — SERVICES TO BE PROVIDED — EXPERIMENTAL SERVICES OR PROCEDURES EXCLUDED. Notwithstanding any other provision of this chapter, medical assistance shall increase:
(1) Payment as determined under rules established by the director from forty (40) days per fiscal year to unlimited days of inpatient hospital care per state fiscal year.
(2) Payment as determined under rules established by the director from thirty dollars ($30.00) per month to an unlimited amount of prescribed drugs for each recipient.
(3) Provision of eligibility for medical assistance for residents of skilled and intermediate care facilities who meet the medical criteria for medical assistance, from those with countable income of two hundred one and two-tenths percent (201.2%) to those with countable income of three hundred percent (300%) of the SSI standard.
(4) Payment, as authorized by title XIX of the social security act, as amended, and as determined under rules established by the director for:
(a) Durable medical equipment.
(b) Soft organ transplants.
(c) Adult dental services.
(d) Adult vision services.
(e) Adult hearing services.
(f) Prosthetics.
(g) Assistive and augmentative communication devices.
(5) Payment for breast and cervical cancer-related treatment services for persons who are eligible for screening for these cancers under the federal centers for disease control and prevention’s national breast and cervical cancer early detection program, and are eligible for medical assistance pursuant to the provisions of the federal "Breast and Cervical Cancer Prevention and Treatment Act of 2000" (Pub. L. 106-354).
(6) The cost of physician, hospital or other services deemed experimental are excluded from coverage. The director may allow coverage of procedures or services deemed investigational if the procedures or services are as cost effective as traditional, standard treatments.
History:
[56-209d, added 1987, ch. 170, sec. 2, p. 336; am. 1991, ch. 233, sec. 15, p. 561, sec. 18, p. 563; am. 1995, ch. 41, sec. 1, p. 62; am. 1999, ch. 132, sec. 1, p. 378; am. 2001, ch. 205, sec. 1, p. 698; am. 2005, ch. 294, sec. 1, p. 933.]
Structure Idaho Code
Title 56 - PUBLIC ASSISTANCE AND WELFARE
Chapter 2 - PUBLIC ASSISTANCE LAW
Section 56-202 - DUTIES OF DIRECTOR OF STATE DEPARTMENT OF HEALTH AND WELFARE.
Section 56-203 - POWERS OF STATE DEPARTMENT.
Section 56-203A - AUTHORITY OF DEPARTMENT TO ENFORCE CHILD SUPPORT — SUPPORT ENFORCEMENT SERVICES.
Section 56-203C - POWERS OF DEPARTMENT.
Section 56-203D - SET-OFF PROCEDURE FOR CHILD SUPPORT DEBT.
Section 56-203E - LOTTERY PRIZE SET-OFF PROCEDURE FOR SUPPORT DEBT.
Section 56-203F - REGISTRATION OF FOREIGN SUPPORT ORDERS.
Section 56-204A - SERVICES FOR CHILDREN.
Section 56-204B - TEMPORARY SHELTER CARE.
Section 56-205 - ISSUANCE OF SNAP BENEFITS.
Section 56-206 - GENERAL ASSISTANCE.
Section 56-207 - OLD-AGE ASSISTANCE.
Section 56-208 - AID TO THE BLIND.
Section 56-209 - ASSISTANCE TO FAMILIES WITH CHILDREN.
Section 56-209a - AID TO THE DISABLED.
Section 56-209b - MEDICAL ASSISTANCE — MEDICAL ASSISTANCE ACCOUNT.
Section 56-209c - DENIAL OF PAYMENT FOR ABORTIONS UNDER CERTAIN CONDITIONS.
Section 56-209e - ELIGIBILITY OF MARRIED COUPLES FOR MEDICAL ASSISTANCE UNDER THE MEDICAID PROGRAM.
Section 56-209f - STATE FINANCIAL ASSISTANCE PROGRAM FOR MEDICALLY INDIGENT RESIDENTS.
Section 56-209g - PHARMACY REIMBURSEMENT.
Section 56-209h - ADMINISTRATIVE REMEDIES.
Section 56-209i - LEGISLATIVE FINDINGS.
Section 56-209j - SUBSTANCE ABUSE SCREENING AND TESTING PROGRAMS.
Section 56-209l - TREATMENT PROVISIONS.
Section 56-209n - MEDICAID FOR WORKERS WITH DISABILITIES.
Section 56-209o - FAILURE TO RETAIN RECORDS.
Section 56-209p - PAYMENT FOR MIDWIFE SERVICES.
Section 56-210 - AMOUNT OF ASSISTANCE.
Section 56-211 - APPLICATION FOR PUBLIC ASSISTANCE — VERIFICATION FOR FEDERAL FOOD STAMP PROGRAM.
Section 56-212 - INVESTIGATION OF APPLICATION.
Section 56-213 - EXAMINATION TO DETERMINE BLINDNESS.
Section 56-214 - AWARD OF PUBLIC ASSISTANCE — INELIGIBILITY UPON TRANSFER OF PROPERTY.
Section 56-214A - AWARD OF PUBLIC ASSISTANCE — RECIPIENT’S RIGHT OF FREE CHOICE.
Section 56-215 - REDETERMINATION OF AWARDS.
Section 56-216 - APPEAL AND FAIR HEARING.
Section 56-217 - COOPERATIVE AGREEMENTS.
Section 56-218 - RECOVERY OF CERTAIN MEDICAL ASSISTANCE.
Section 56-218A - MEDICAL ASSISTANCE LIENS DURING LIFE OF RECIPIENT.
Section 56-219 - PAYMENT FOR INCOMPETENT RECIPIENT — APPOINTMENT OF GUARDIAN FOR PUBLIC ASSISTANCE.
Section 56-220 - PAYMENT ON DEATH OF RECIPIENT — APPOINTMENT OF ADMINISTRATOR OF PUBLIC ASSISTANCE.
Section 56-221 - CONFIDENTIAL CHARACTER OF PUBLIC ASSISTANCE RECORDS.
Section 56-222 - MISUSE OF PUBLIC ASSISTANCE LISTS AND RECORDS.
Section 56-223 - PUBLIC ASSISTANCE NOT ASSIGNABLE.
Section 56-225 - REQUEST FOR NOTICE OF TRANSFER OR ENCUMBRANCE OF REAL PROPERTY — RULEMAKING.
Section 56-226 - MEDICAID FRAUD CONTROL UNIT.
Section 56-227 - FRAUDULENT ACTS — PENALTY.
Section 56-227A - PROVIDER FRAUD — CRIMINAL PENALTY.
Section 56-227B - PROVIDER FRAUD — DAMAGES.
Section 56-227C - SUBPOENA POWER.
Section 56-227E - OBSTRUCTION OF INVESTIGATION.
Section 56-227F - PUBLIC ASSISTANCE BENEFIT CARDS — PROHIBITED USES.
Section 56-228 - LIMITATIONS OF ACT.
Section 56-229 - SEPARABILITY.
Section 56-233 - PROCEDURE FOR DISBURSEMENT OF FUNDS TO RECIPIENTS.
Section 56-234 - LEGISLATIVE INTENT.
Section 56-234A - DEFINITIONS.
Section 56-235 - SOUTHWEST IDAHO TREATMENT CENTER.
Section 56-235A - PROHIBITIONS, RESTRICTIONS AND LIMITATIONS ON ADMISSION.
Section 56-235B - DISCHARGE PLANNING — AUTHORIZATION TO DISCHARGE.
Section 56-235C - NOTICE OF DISCHARGE — REQUEST FOR HEARING.
Section 56-235E - RULEMAKING AUTHORITY.
Section 56-251 - LEGISLATIVE INTENT.
Section 56-253 - POWERS AND DUTIES OF THE DIRECTOR.
Section 56-254 - ELIGIBILITY FOR MEDICAL ASSISTANCE.
Section 56-255 - MEDICAL ASSISTANCE PROGRAM — SERVICES TO BE PROVIDED.
Section 56-256 - PREVENTIVE HEALTH ASSISTANCE.
Section 56-261 - LEGISLATIVE FINDINGS AND INTENT.
Section 56-263 - MEDICAID MANAGED CARE PLAN.
Section 56-264 - RULEMAKING AUTHORITY.
Section 56-265 - PROVIDER PAYMENT.
Section 56-266 - AUTHORIZATION TO OBTAIN FEDERAL APPROVAL.
Section 56-267 - MEDICAID ELIGIBILITY EXPANSION.
Section 56-268 - SUPPLEMENTAL MEDICAID REIMBURSEMENT FOR GROUND EMERGENCY MEDICAL TRANSPORTATION.