Bill > H0076

This bill amends Idaho Code Section 56-265 to specify that value-based payment agreements between the Medicaid department and healthcare providers will have a standard one-year duration aligned with the state fiscal year (July 1 through June 30). The bill clarifies that existing agreements made before July 1, 2025, can continue under their original terms until they expire or are renewed, at which point they must comply with the new provisions. The amendment is part of a broader effort to modernize Medicaid reimbursement methods, allowing the department to create payment agreements that focus on healthcare quality and positive health outcomes, with the requirement that these agreements be cost-neutral or cost-saving. The bill also maintains the department's authorization to pursue federal waivers to support these value-based payment arrangements, which can range from specific quality-based contracts to fully capitated provider-managed care models. The bill will take effect on July 1, 2025, and is designed to provide more standardized and flexible payment methods for Medicaid providers.

Health and Social Services

Health and Welfare Committee (H)

https://legislature.idaho.gov/sessioninfo/2025/legislation/H0076/