Section 16.03.01.546 - QUALIFIED HOSPITAL PRESUMPTIVE ELIGIBILITY PROCESSESA qualified hospital must have a Memorandum of Understanding (MOU) with the Department and follow all standards and processes agreed to in the MOU.
01.Acceptance of Application. The qualified hospital accepts the request for services in the same manner as all applications for assistance are accepted.02.Standards and Processes. The presumptive eligibility determination must be based on standards and processes provided by the Department.03.Assistance to Applicant. The qualified hospital must assist the applicant in completing the Department's application process.04.Qualified Hospital Staff. Only qualified hospital staff who are trained in presumptive eligibility standards can make a presumptive eligibility determination.05.Notice to Applicant. The qualified hospital or the Department will provide notice to the applicant within two (2) business days on the presumptive eligibility determination.06.Notice and Hearing Rights. Presumptive eligibility decisions are not appealable and do not have hearing rights under the Title XIX Medicaid program.07.Number of Presumptive Eligibility Periods Allowed. Only one (1) presumptive eligibility period is allowed per applicant in any twelve (12) month period.Idaho Admin. Code r. 16.03.01.546