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 it were authorized by the third party themselves.

Additionally, the bill makes technical corrections and removes certain language regarding the medical assistance account, specifically deleting references to the "cooperative welfare account" fund. The bill emphasizes the department's rights to reimbursement from third parties for medical assistance benefits paid on behalf of recipients and clarifies the process for notifying the department of claims against third parties. An emergency clause is included, making the act effective on July 1, 2025.

Statutes affected:
Bill Text: 56-209