Idaho Admin. Code r. 16.03.09.525

Current through September 2, 2024
Section 16.03.09.525 - NON-PHYSICIAN PRACTITIONER SERVICES: PROVIDER REIMBURSEMENT
01.Billing of Services. Billing for the services must be as provided by the NPP and not represented as a physician service.
02.Payments Made Directly to CRNA. Payments under the fee schedule must be made directly to the CRNA under the individual provider number assigned to the CRNA. Rural hospitals that qualify for a Medicare exception and employ or contract CRNAs may be reimbursed on a reasonable cost basis.
03.Reimbursement Limits. The Department will reimburse for each service to be delivered by the NP, NM, CNS, PA, or RPh as either the billed charge or reimbursement limit established by the Department, whichever is less.

Idaho Admin. Code r. 16.03.09.525

Effective March 17, 2022