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Idaho Admin. Code r. 16.03.09.505, Physician Services: Provider Reimbursement

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Imposes a Medicaid reimbursement penalty on physicians that do not obtain a timely Quality Improvement Organization (QIO) review for services that the Department has identified as requiring such review. Identifies the penalty amounts (e.g., $50 penalty for a readmission QIO review that is one day late).


Current as of March 2020