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Effective 7/01/01, Idaho Code § 19-5303 and Idaho Code § 72-1019(2)
mandate that the cost of sexual assault examinations for the purpose of
gathering evidence for the prosecution of the offender shall be paid by the
Idaho Crime Victims Compensation Program. Victims of the sexual assault
shall not be charged for the cost of the sexual assault examination. The
reimbursement form is
available on this web site.
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Reimbursement Requirements |
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Reimbursement will be made ONLY when the following conditions are met:
- The sexual assault examination was authorized by a law enforcement
official.
- The sexual assault examination was performed at a licensed medical
facility and by a practitioner who has been trained to gather the forensic
evidence.
- Third-party payment sources must pay prior to the program. Examples of
these sources include: private health insurance, Medicaid, Indian Health
Services, TriCare, and any other source that provides payment for medical
services.
- The billing and the reimbursement form for the sexual assault
examination is submitted to the program within one (1) year of the date of
service.
- The reimbursement form includes the relevant law enforcement
information and
has been signed by a law enforcement officer. If the law enforcement officer
was unavailable for signature, non-commissioned law enforcement personnel or
the treating physician may certify that the examination was authorized by
law enforcement. (If the law enforcement officer does not sign the
reimbursement form, the program will contact the law enforcement agency for
final verification.)
- The billing for the sexual assault examination must include the
following documentation: completed itemized billing (HCFA or UB92 form);
completed Sexual Assault Examination Reimbursement Form; insurance
explanation of benefits (EOB); and medical records.
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Additional Benefits |
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Additional benefits available to pay for treatment costs.
Victims of sexual assault may be eligible to receive additional benefits
through the Crime Victims Compensation Program to cover treatment costs for
injuries sustained as a result of the crime. To access these benefits, the
victim must complete an application for benefits and submit it to the
program for an eligibility review. If the victim has not been provided with
an "Application for Compensation," one can be mailed to them.
The Sexual Assault Examination Reimbursement Form will only initiate
reimbursement for the forensic examination. Completion of the sexual assault
reimbursement form is not an application for compensation benefits. If the
victim has not been awarded compensation benefits through the program, the
victim remains responsible for the cost of any treatment received.
Please contact the program at (208) 334-6080 or (800) 950-2110 to request
an application for compensation benefits, or with any questions you may have
about sexual assault examination reimbursement.
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Brochures are available on this and other benefits from the Crime
Victims Compensation Program. Spanish versions are available.
Click here to send a request.
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We have compiled statistics on the
use of this program since it was started in July 2001.
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