Payment Levels

TITLE 39 HEALTH AND SAFETY CHAPTER 33 IDAHO RESIDENTIAL CARE OR ASSISTED LIVING ACT 39-3303. Payment levels. (1)(a)  Clients of the department who are receiving financial aid as set out in sections 56-207 and 56-208 , 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. (b)  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 is authorized to promulgate rules, subject to legislative approval, outlining the payment policy and calculations for clients of the department through negotiated rulemaking. (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. When a resident’s level of care changes, a facility is entitled to charge the increased rate no sooner than the date that notice is provided. 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.