Idaho Code 39-3303 – Payment Levels
Current as of: 2023 | Check for updates
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(1) Clients of the department who are receiving financial aid as set out in sections 56-207, 56-208 and 56-209a, Idaho Code, seeking placement in a residential care or assisted living facility will be assessed by the department regarding their need for specific types of services and supports. This assessment will determine the reimbursement rate to the service provider.
Eligible participants must be allowed to choose the facility or services that are appropriate to meet their medical needs and financial ability to pay. The department shall promulgate rules outlining the payment policy and calculations for clients of the department through negotiated rulemaking.
Terms Used In Idaho Code 39-3303
- Assessment: means the conclusion reached using uniform criteria, which identifies resident strengths, weaknesses, risks and needs, to include functional, medical and behavioral needs. See Idaho Code 39-3302
- Department: means the Idaho department of health and welfare. See Idaho Code 39-3302
- Facility: means a residential care or assisted living facility. See Idaho Code 39-3302
- Negotiated service agreement: means the agreement reached by the resident and/or the resident’s representative and the facility, based on the assessment, physician’s orders, admission records, and desires of the resident, and which outlines services to be provided and the obligations of the facility and the resident. See Idaho Code 39-3302
- Resident: means an adult who lives in a residential care or assisted living facility. See Idaho Code 39-3302
(2) Residents who are not clients of the department shall:
(a) Be assessed by the facility regarding their need for specific types of services and supports. This assessment, and the individual negotiated service agreement, shall determine the rate charged to the resident.
(b) Receive a full description of services provided by the facility and associated costs upon admission, according to facility policies and procedures. A thirty (30) day notice must be provided prior to a change in facility billing practices or policies. Billing practices shall be transparent and understandable.
(c) Be charged for the use of furnishings, equipment, supplies and basic services as agreed upon in the negotiated service agreement or as identified in the admission agreement.