Idaho Admin. Code r. 16.02.26.108

Current through August 31, 2023
Section 16.02.26.108 - PLASTIC/BURN
01.Eligible Conditions. Eligible conditions include hemangioma and lymphangioma depending on severity, location, and effect on function; cystic hygroma; and hemifacial microsomia, including associated microtia. (3-15-22)
02.Excluded Conditions. The following conditions are excluded from care under the Idaho CSHP Plastic/Burn program: acute burn care, cosmetic surgery, and hemangioma, including port wine stain, not affecting physical function. (3-15-22)
03.Spending Limit. Services provided to eligible patients under the CSHP Plastic/Burn Program are subject to a per patient, annual spending limit of fifteen thousand dollars ($15,000) for each state fiscal year. (3-15-22)

Idaho Admin. Code r. 16.02.26.108