Outpatient Hospital Services: Procedural Requirements

01. Review Prior to Delivery. Failure to obtain a timely review from the Department prior to delivery of listed procedure and diagnosis codes in the QIO Idaho Medicaid Providers Manual and the Hospital Provider Handbook, as amended, will result in a retrospective review. (7-1-26) 02. Follow-Up for Emergency Room Patients. Hospitals must coordinate care of patients who have a PCP. (7-1-26) 084. (RESERVED)