ID H0621

Revises terminology throughout Idaho Code Chapter 31-35 to clarify the roles of county commissioners and the catastrophic health care cost program board in administering medically indigent assistance programs.

Establishes a $11,000 per claim threshold for county responsibility in consecutive 12-month periods, with costs exceeding that amount paid by the state catastrophic health care cost program.

Requires hospitals and providers to participate in utilization management programs and third party recovery systems, with payments limited to amounts recommended by utilization management reviews and current Medicaid rates.

Implements a uniform application form for both initial Medicaid eligibility review and county medically indigent program applications, streamlining the application process for applicants and reducing duplication.

Clarifies procedures for deemed consent allowing providers, hospitals, departments, counties and the board to exchange health and financial information for determining Medicaid eligibility and medical indigency.