Section 16.03.09.622 - PREVENTIVE HEALTH ASSISTANCE (PHA): COVERAGE AND LIMITATIONS01.Point System. The PHA benefit uses a point system to track points earned and used by a participant. Each point equals one (1) dollar.a. Maximum Benefit Points.i. The maximum number of points that can be earned for a Behavioral PHA is two hundred (200) points each benefit year.ii. The maximum number of points that can be earned for a Wellness PHA benefit is one hundred twenty (120) points each benefit year.b. Points expire and are removed from a participant's PHA benefit at the end of the participant's benefit year.c. Points earned for a specific participant's PHA benefit cannot be transferred to or combined with points in another participant's PHA benefit.02.Weight Management Program. Each program must provide weight management services and must include a curriculum that includes at least one (1) of the three (3) following areas: c. Personal health education.03.Participant Request for Coverage. A participant can request that a previously unidentified service be covered. The Department will approve a request if the product or service meets the requirements described in this rule and the vendor meets the requirements in Section 624 of these rules.04.Premiums. a. Wellness PHA benefit points must be used to offset a participant's premiums.b. Only premiums that must be paid to maintain eligibility under IDAPA 16.03.01, "Eligibility for Health Assistance for Families and Children" can be offset by PHA benefit points.05.Hearing Rights. A participant does not have hearing rights for issues arising between the participant and a chosen vendor.Idaho Admin. Code r. 16.03.09.622