Medicaid Encounter Rate State Plan Amendment Authorization

Idaho Legislative Events

Published April 1st, 2026

Detected April 3rd, 2026

Summary

Idaho Senate Bill S1410 was enacted on April 1, 2026, granting legislative approval for the Idaho Department of Health and Welfare to submit a state plan amendment modifying Medicaid encounter rates due to changes in scope of services. The bill passed the Senate 33-0-2 and the House 67-0 before being signed into law.

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What changed

The Idaho Legislature enacted S1410, which adds to existing law to authorize the Department of Health and Welfare to submit a state plan amendment to modify Medicaid encounter rates in response to changes in scope of services. This is administrative legislation that enables the state to adjust provider reimbursement rates through the federal Medicaid state plan process.

Healthcare providers participating in Idaho Medicaid should monitor for updated encounter rates once the state plan amendment is submitted to and approved by the Centers for Medicare and Medicaid Services (CMS). No immediate action is required by providers; the primary implementation responsibility rests with the Department of Health and Welfare.

What to do next

Monitor Idaho Department of Health and Welfare announcements for updated Medicaid encounter rates following state plan amendment submission
Review Medicaid provider agreements when new rates are published to assess impact on reimbursement

Source document (simplified)

ChangeBridge / Idaho / S1410 Enacted S1410 S Enacted 2026-04-01

Adds to existing law to provide legislative approval for the Department of Health and Welfare to submit a state plan amendment regarding change in encounter rate due to change in scope of services.

MEDICAID -- Adds to existing law to provide legislative approval for the Department of Health and Welfare to submit a state plan amendment regarding change in encounter rate due to change in scope of services.

Bill Details

State Idaho

Session 2026 Regular Session

Chamber Senate

Official Source legislature.idaho.gov/sessioninfo/2026/leg...

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Action History

2026-04-01 S Reported signed by the Speaker & ordered delivered to Governor 2026-04-01 H Received from Senate; Signed by Speaker; Returned to Senate 2026-04-01 S Reported enrolled; signed by President; to House for signature of Speaker 2026-04-01 S Returned From House Passed; referred to enrolling 2026-04-01 H to Senate 2026-04-01 H Title apvd 2026-04-01 H Rules Suspended: 2026-04-01 H Reported out of Committee with Do Pass Recommendation, Filed for Second Reading 2026-03-26 H Read First Time, Referred to Health & Welfare 2026-03-26 H Received from the Senate, Filed for First Reading 2026-03-26 S to House 2026-03-26 S Title apvd 2026-03-26 S Read third time in full -- PASSED 33-0-2 2026-03-25 S Read second time; filed for Third Reading 2026-03-24 S Reported out of Committee with Do Pass Recommendation; Filed for second reading 2026-03-19 S Reported Printed; referred to Health & Welfare 2026-03-18 S Introduced; read first time; referred to JR for Printing