This document is an explanation of the firm billing policies to be sent to the firm's clients. It states the hourly rates for senior attorneys, associates and paralegals. It also explains the services for which the client will be charged, the costs of hiring outside contractors (court reporters, process servers, etc.), payment of the firm invoices, and al other matters related to billing.
Idaho Firm Billing Policies
Category:
State:
Multi-State
Control #:
US-L03045C
Format:
Word;
PDF;
Rich Text
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FAQ
Out-patient healthcare services. Out-of-network providers can't balance bill you and may not ask you to give up your protections not to be balance billed unless you give written consent and give up your protections.
After submission, application processing may take up to 45 days. We will let you know if additional documentation is needed. Other Medicaid programs (EPSDT, Katie Beckett, YES, and Children's Developmental Disabilities) require additional forms to be completed.
For questions about Food stamps, Medicaid, TAFI, or ICCP, contact the benefits customer service at MyBenefits@dhw.idaho.gov or call 877-456-1233.
All claims must be submitted to Idaho Medicaid within twelve months (365 days) from the date of service.
Who is eligible for Idaho Medicaid? Household Size*Maximum Income Level (Per Year)1$19,3922$26,2283$33,0644$39,9004 more rows
Doctors will submit charges within 45 days of seeing a patient. Patients will receive a single list of everyone that's going to bill them. Appropriate grace periods allow time to correct errors.
For most services, Idaho Medicaid reimburses providers the lesser of the billed amount or the maximum allowable fee established by the Idaho Department of Health and Welfare, Division of Medicaid. Any code listed may have a service limitation associated with it or need prior authorization from Medicaid or its designee.
Claims for services delivered via virtual care will be reimbursed at the same rate as face-to-face services. Idaho Medicaid uses places of service 02 (Telehealth provided other than in patient's home) and 10 (Telehealth provided in patient's home).