Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.10 - MEDICAID ENHANCED PLAN BENEFITS › SUB-PART: CHILDREN'S DEVELOPMENTAL DISABILITIES (DD) HOME AND COMMUNITY-BASED SERVICES (HCBS) STATE PLAN OPTION › Section 16.03.10.590 - ICF/IID: ALLOWABLE COSTS

Current through August 31, 2023
The following definitions and explanations apply to allowable
				  costs: (3-17-22)
01.
Accounts
				Collection
. The costs related to the collection of past due program
				related accounts, such as legal and bill collection fees, are allowable.
				(3-17-22)
02.
Auto and Travel
				Expense
. Maintenance and operating costs of a vehicle used for patient
				care purposes and travel expense related to patient care are reimbursable. The
				allowance for mileage reimbursement cannot exceed the amount determined
				reasonable by the Internal Revenue Service for the period being reported. Meal
				reimbursement is limited to the amount that would be allowed by the state for a
				state employee. (3-17-22)
03.
Bad Debts
. Payments for efforts to collect past due Title XIX and
				Title XXI accounts are reimbursable. This may include the fees for lawyers and
				collection agencies. Other allowances for bad debt and bad debt write-off are
				not allowable. However, Title XIX and Title XXI coinsurance amounts are one
				hundred percent (100%) reimbursable as provided in PRM, Section
				300. (3-17-22)
04.
Bank and Finance Charges
.
				Charges for routine maintenance of accounts are allowable. Penalties for late
				payments, overdrafts, etc., are not allowable. (3-17-22)
05.
Compensation of Owners
. An
				owner may receive reasonable compensation for services subject to the
				limitations in this chapter, to the extent the services are actually performed,
				documented, reasonable, ordinary, necessary, and related to patient care.
				Allowable compensation cannot exceed the amount necessary to attract assistance
				from parties not related to the owner to perform the same services. The nature
				and extent of services must be supported by adequate documentation including
				hours performing the services. Where an average industry wide rate for a
				particular function can be determined, reported allowable owner compensation
				cannot exceed the average rate. Compensation to owners, or persons related to
				owners, providing administrative services is further limited by provisions in
				Section 597 of these
				rules. In determining the reasonableness of compensation for services paid to
				an owner or a person related to an owner, compensation is the total of all
				benefits or remuneration paid to or primarily for the benefit of the owner
				regardless of form or characterization. It includes, but is not limited to, the
				following: (3-17-22)
a. Salaries wages,
				bonuses and benefits that are paid or are accrued and paid for the reporting
				period within one (1) month of the close of the reporting period.
				(3-17-22)
b. Supplies and services
				provided for the owner's personal use. (3-17-22)
c. Compensation paid by the facility to
				employees for the sole benefit of the owner. (3-17-22)
d. Fees for consultants, directors, or any
				other fees paid regardless of the label. (3-17-22)
e. Keyman life insurance. (3-17-22)
f. Living expenses, including those paid for
				related persons. (3-17-22)