Idaho Medicaid Provider Handbook, Home Health and Hospice Services § 5

All providers are required to generate records at the time the service is delivered and to

maintain documentation that supports reimbursement for services. Individual services may

have additional documentation requirements. General requirements for documentation and

signatures can be found in General Information and Requirements for Providers, Idaho

Medicaid Provider Handbook, including standard retention requirements. Records limited to

checklists with attendance/appointments, procedure codes, and units of time are insufficient

to meet this requirement. Documentation must be signed and dated by the person delivering

the service with their name clearly printed.

Documentation must be made available immediately upon request by department personnel

acting in their official capacity. Services delivered without adequate documentation are not

eligible for reimbursement. Providers must only submit records for utilization management

when requested by the department. Documentation sent unsolicited, or not for a service

requiring prior authorization, will not be reviewed by the department. Unreviewed

documentation does not constitute approval or authorization of a service.