The bill amends Section 56-209b of the Idaho Code to enhance the provisions regarding the acceptance of prior authorizations for recipients of medical assistance. It establishes that if a responsible third party requires prior authorization for an item or service provided to a recipient, 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 it were authorized by the third party. This change aims to streamline the process for recipients seeking medical assistance and ensure that they receive the necessary services without unnecessary delays.

Additionally, the bill makes technical corrections and clarifies the department's rights regarding reimbursement from third parties for medical assistance benefits paid on behalf of recipients. It emphasizes the department's priority in recovering funds from third parties that compensate recipients for occurrences leading to medical assistance needs. The bill declares an emergency, making it effective on July 1, 2025, to ensure timely implementation of these provisions.

Statutes affected:
Bill Text: 56-209