Who is affected by this change?

This affects Blue Cross of Idaho Geriatrics, Family Medicine providers in ID on Medicaid plans.

Which billing codes are affected?

The following codes are affected: S5100.

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MedicaidAdministrativeLow impact

HCBSPAP236 - Adult Day Health - Updated wording to match IDAPA 16.03.10

Blue Cross of Idaho·ID · Geriatrics, Family Medicine·Medical Policy

Effective date

Not stated

We identified it

Jun 19, 2026

Days to comply

—

Summary

Blue Cross of Idaho updated their Adult Day Health policy (HCBSPAP236) to align wording with current Idaho state regulations (IDAPA 16.03.10). This is a clarification update that maintains existing coverage and billing procedures for adult day health services.

Action Required

Action needed

No immediate action required. This is a wording clarification that aligns with existing state regulations. Billing procedures for HCPCS S5100 (Adult day care services, per 15 minutes) remain unchanged.

Affected Billing Codes

S5100

Related policy hubs

Blue Cross of Idaho policies ID policy changes Geriatrics Family Medicine Code S5100