Current through September 2, 2024
Section 16.03.13.313 - TERMINATION OF FISCAL EMPLOYER AGENT PROVIDER AGREEMENTS01.Termination of the Provider Agreement. The following must occur in the event of termination of the provider agreement:a. The provider must ensure continuation of services to participants for the period in which a Per Member per Month (PMPM) payment has been made, and submit the information, reports and records, including the Medicaid Billing Report (reconciliation) as specified in Section 310 of these rules.b. The provider must provide to the Department a written notice ninety (90) days in advance and the change notification must occur at the end of the next calendar quarter.02.Termination of Service to Participant. In the event of termination of the provider agreement, the provider must provide to the participant a written notice ninety (90) days in advance. The change notification must occur at the end of the next calendar quarter.Idaho Admin. Code r. 16.03.13.313