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Provider group warns that operational rules moved to handbook can create unintended consequences
Summary
The Idaho Healthcare Association told the committee that shifting operational details into provider handbooks — rather than rules — can lead to an unwieldy handbook and unintended operational consequences because the handbook is not reviewed annually by the legislature.
Robert Vandamurwee, executive director of the Idaho Healthcare Association, testified that while his organization supports moving some rules into statute, operational details that end up in the Medicaid handbook can create unintended consequences over time.
Vandamurwee said the handbook tends to grow and the legislature does not review handbook content each year, which can make it harder for providers and stakeholders to find and track policy. He said the association raised concerns late in negotiated rulemaking and does not want to wait multiple years to address issues; he urged ongoing collaboration so problems can be fixed sooner than the next scheduled review cycle.
