This bill amends Section 56-209b of the Idaho Code to enhance the provisions regarding the acceptance of prior authorizations for recipients of medical assistance. A significant insertion in the bill establishes that if a responsible third party requires prior authorization for an item or service provided to a recipient of medical assistance, they must accept an authorization from the department indicating that the item or service is covered under the state plan or applicable waiver, treating it as if the authorization was made by the third party themselves.

Additionally, the bill makes technical corrections and clarifies the department's rights regarding reimbursement from third parties for medical assistance benefits paid. It removes the term "account" from the cooperative welfare fund and replaces it with "that" in several instances to improve clarity. The bill also declares an emergency, making it effective on July 1, 2025.

Statutes affected:
Bill Text: 56-209