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IDAPA 16.03.10.307 - Personal Care Services: Provider Reimbursement (incl. supervisory RN/QIDP visits and EVV compliance)
IdahoregulationIdaho Department of Health and Welfare· effective 2022-03-17
What this rule requires your agency to do
- 1Provider claims for PCS require EVV compliance as described in Section 041 of these rules in order to be eligible for payment (307.09).(IDAPA 16.03.10.307 - Personal Care Services: Provider Reimbursement (incl. supervisory RN/QIDP visits and EVV compliance))
- 2The number of supervisory visits by the RN or QIDP to be conducted per calendar quarter is approved as part of the PCS care plan by the Department or its contractor (307.07.a).(IDAPA 16.03.10.307 - Personal Care Services: Provider Reimbursement (incl. supervisory RN/QIDP visits and EVV compliance))
- 3Provider claims for payment must be submitted on claim forms provided or approved by the Department, following Department billing instructions (307.01).(IDAPA 16.03.10.307 - Personal Care Services: Provider Reimbursement (incl. supervisory RN/QIDP visits and EVV compliance))
- 4A provider that refuses or fails to respond to the periodic state cost surveys may be disenrolled as a Medicaid provider; the Department surveys 100% of PCS providers (307.04.c).(IDAPA 16.03.10.307 - Personal Care Services: Provider Reimbursement (incl. supervisory RN/QIDP visits and EVV compliance))
Applies to: personal care
Sets the PCS reimbursement methodology and rate levels and imposes cost-survey participation, supervisory RN/QIDP visit, and EVV-compliance requirements on PCS providers.
Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.