Idaho Admin. Code r. 16.03.09.916

Current through September 2, 2024
Section 16.03.09.916 - PENALTIES FOR LOCK-IN NONCOMPLIANCE

If a participant fails to respond to the notification of medical restriction(s), fails to sign the lock-in agreement, or fails to select a primary physician within the specified time period, the Medicaid benefits will be restricted to documented emergencies only. If a participant continues to abuse or over-utilize items or services after being identified for lock-in, the Department may terminate medical assistance benefits for a specified period of time as determined by the Department.

Idaho Admin. Code r. 16.03.09.916

Effective March 17, 2022