Idaho Medicaid Provider Handbook, Home Health and Hospice Services § 4.4.5

An authorization from Medicaid’s Long-Term Care Unit is required for room and board in a

skilled nursing facility or intermediate care facilities for individuals with intellectual disabilities

(ICF/IID). Room and board payment includes assistance with activities of daily living (ADL),

socializing activities, medication administration, maintaining cleanliness of resident rooms,

and supervising and assisting use of durable medical equipment and prescribed therapies.

The Room and Board section of the Hospice Notification Form must be completed, noting the

name of the facility and the date that hospice room and board payment responsibility begins.

An eight month period is usually approved. It is very important to notify Medicaid if the hospice

participant has been discharged from hospice, or revoked hospice care so the authorization

end date can be modified.

(a)

References: Skilled Nursing Facility Room and

Board

(i) State Regulations

“Additional Amount for NF Residents.” IDAPA 16.03.26, “Medicaid Plan Benefits,” Sec.

659.07. Department of Administration, State of Idaho,

https://adminrules.idaho.gov/rules/current/16/160326.pdf.

Medical Assistance Program – Services to be Provided, Idaho Code 56-255(3)(d)(i) (2018).

Idaho State Legislature,

https://legislature.idaho.gov/statutesrules/idstat/Title56/T56CH2/SECT56-255.

“Medical Necessity (Medically Necessary).” IDAPA 16.03.26, “Medicaid Plan Benefits,” Sec.

006.15. Department of Administration, State of Idaho,

https://adminrules.idaho.gov/rules/current/16/160326.pdf.