Idaho Admin. Code r. 16.03.09.623

Current through September 2, 2024
Section 16.03.09.623 - PREVENTIVE HEALTH ASSISTANCE (PHA): PROCEDURAL REQUIREMENTS
01.Behavioral PHA.
a. A PHA benefit will be established for each participant who meets the eligibility criteria for Behavioral PHA. A participant must complete a PHA Benefit Agreement Form prior to earning any points.
b. Each participant who chooses to enroll in weight management must participate in a physician approved or monitored weight management program.
c. An initial one hundred (100) points are earned when the agreement form is received by the Department and the benefit is established.
d. An additional one hundred (100) points can be earned by a participant who completes their program or reaches a chosen, defined goal. The vendor monitoring the participant's progress must verify that the program was completed or the goal was reached.
02.Wellness PHA.
a. A PHA benefit will be established for each participant who meets the eligibility criteria for Wellness PHA. Each participant must demonstrate that they have received recommended wellness visits and immunizations for their age prior to earning any points.
b. Ten (10) points can be earned each month by a participant who receives all recommended wellness visits and immunizations for their age during the benefit year.

Idaho Admin. Code r. 16.03.09.623

Effective March 17, 2022