ID S1312

Medicaid payments for primary care procedures capped at 100% of Medicare rates; all other procedure codes paid at 90% of Medicare rates

Home and community-based services without Medicare equivalents must be cost-surveyed annually with at least 15% of responses audited, and providers must spend allocated amounts on direct care worker wages and employee-related expenses

Federally qualified health centers exempted from financial risk in value-based payment agreements starting with the 2024 performance period

Administrative rules in IDAPA 16.03.26 (Sections 051 and 052) relating to Medicaid Plan Benefits declared null and void effective July 1, 2026

Declared an emergency, taking effect immediately upon passage and approval