Section 16.02.26.149 - PROGRAM ELIGIBILITYEligibility for participation in CSHP is based on the following: (3-15-22)
01. Insurance Status. Any person with creditable medical insurance as determined by the Department is not eligible for this program, except for CF and PKU participants. Creditable insurance is determined by using IDAPA 16.03.01, "Eligibility For Health Care Assistance For Families and Children." (3-15-22)02.Age. Applications may be accepted on persons up to age eighteen (18). CSHP will pay for no services after the patient's 18th birthday unless the person is receiving active inpatient treatment at the time of the birthday. In that case CSHP will pay for services until discharge if they fall within the guidelines described in Section 054 of these rules. (3-15-22)03.Diagnosis. Eligible persons are those born with or who acquire physical disabilities or special health care needs as defined under Sections 101 through 108 of these rules and who require long-term multi-disciplinary care to improve their ability to function. (3-15-22)04. Residence. Applicants must be legal residents of the state of Idaho to receive services from CSHP. Legal residents of neighboring states are not eligible for services. Non-citizens who are legal residents of Idaho are eligible to receive services, but undocumented aliens are not. (3-15-22)05.Income. Income for a family is defined as "adjusted taxable income" from the family's most recent tax return. Financial eligibility is redetermined annually and may be redetermined more often if family circumstances change during the year. (3-15-22)06.Family Size. Family is defined as a "group of related or non-related individuals who are not residents of an institution, but who are living together as one (1) economic unit." Family size is the number of individuals included in that unit. (3-15-22)Idaho Admin. Code r. 16.02.26.149