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IDAPA 16.03.10 "Medicaid Enhanced Plan Benefits" — Section 040, Provider's Responsibility to Maintain Records
IdahoregulationIdaho Department of Health and Welfare· effective 2022-03-17
What this rule requires your agency to do
- 1Documentation to support the basis for cost allocation (such as depreciation, amortization, and indirect expenses) must be available for verification.(IDAPA 16.03.10 "Medicaid Enhanced Plan Benefits" — Section 040, Provider's Responsibility to Maintain Records)
- 2The provider must maintain financial and other records in sufficient detail to allow the Department to audit them as described in Subsection 001.03 of these rules.(IDAPA 16.03.10 "Medicaid Enhanced Plan Benefits" — Section 040, Provider's Responsibility to Maintain Records)
- 3Documentation of expenditures must include the amount, date, purpose, payee, and the invoice or other verifiable evidence supporting the expenditure.(IDAPA 16.03.10 "Medicaid Enhanced Plan Benefits" — Section 040, Provider's Responsibility to Maintain Records)
- 4Records required in Subsections 040.01 through 040.03 must be retained by the provider for five (5) years from the date of final payment under the provider agreement; failure to retain records for the required period can void the Department's obligation to make payment.(IDAPA 16.03.10 "Medicaid Enhanced Plan Benefits" — Section 040, Provider's Responsibility to Maintain Records)
- 5Records must be available for and subject to audit by the auditor, with or without prior notice, during any working day between 8:00 a.m. and 5:00 p.m. at the provider's principal place of business in Idaho.(IDAPA 16.03.10 "Medicaid Enhanced Plan Benefits" — Section 040, Provider's Responsibility to Maintain Records)
- 6Documentation of revenues must include the amount, date, purpose, and source of the revenue.(IDAPA 16.03.10 "Medicaid Enhanced Plan Benefits" — Section 040, Provider's Responsibility to Maintain Records)
Applies to: personal care
Requires Medicaid Enhanced Plan providers (including personal care and waiver providers) to maintain detailed financial and other records, make them available for Department audit, and retain them for five years after final payment.
Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.