Idaho Admin. Code r. 16.03.09.845 - INDIAN HEALTH SERVICE (IHS) CLINIC SERVICES: PROVIDER REIMBURSEMENT
01.
Payment Procedure. Payment for services other than prescribed drugs will be made on a per visit basis at a rate not exceeding the outpatient visit rate established by the Federal Office of Management and Budget as published annually in the Federal Register.
02.
Payment for Prescribed Drugs. Payment for prescribed drugs will be available as described in Subsection 662.01 of these rules.
03.
Dispensing Fee for Prescriptions. The allowed dispensing fee used to compute maximum payment for each prescription will be the midpoint dispensing fee of the range of fees in effect at the date of service unless a higher fee is justified by a pharmacy cost of operations report on file with the Department.
04.
Third Party Liability Not Applicable. The provisions of Section 215 of these rules are not applicable to Indian health service clinics.
Notes
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