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Idaho Admin. Code r., Outpatient Hospital Services: Procedural Requirements

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Requires Medicaid providers to obtain a review from a quality improvement organization (QIO) before to providing outpatient hospital services to Medicaid participants. Requires the Department of Health and Welfare to reduce the payment of providers that do not obtain a timely review. Requires hospitals to have a process for referring patients to Healthy Connections Providers.

Current as of March 2020