MEDICAID – Amends existing law to revise provisions regarding provider payment.

This bill updates Idaho Medicaid rules to increase transparency and oversight of payments to healthcare providers, particularly those serving people with disabilities. It establishes specific payment rates based on Medicare equivalents for most services, requires annual cost surveys with audits for residential habilitation providers, and mandates that providers spend allocated funds on direct care worker wages or face potential penalties. The legislation also introduces value-based payment options for certain providers, sets reimbursement percentages for different hospital types, and requires the state to reduce general fund spending on hospital payments by specified amounts. Additionally, it declares certain existing administrative rules null and void as of July 1, 2026, and requires all future provider rate changes to receive legislative approval through the budget process.