The Industrial Commission is the state agency responsible for:
- Regulating workers' compensation activities in Idaho, including companies licensed to issue workers' compensation policies.
- Ensuring that employers have workers' compensation coverage as required by law.
- Settling disputes between injured workers, employers, and insurers.
- Deciding appeals for unemployment decisions from the Idaho Department of Labor.
- Providing compensation to innocent victims of crime through the Crime Victims Compensation Program.
DISCLAIMER NOTICE 10/31/16:
The technical tables are complete. However, they are subject to change.
Please review these tables regularly for any changes which may impact your business processes. See the document Change Log, EDI Claims Release 3.0 for specific changes affecting the tables.
- Please click here for the EDI Claims Release 3.0: Implementation Guide, Tables and Supporting documents.
The next meeting of the Commission's Advisory Committee is scheduled to be held February 8, 2017 beginning at 9:00 AM in the Industrial Commission's first floor conference room, 700 Clearwater Lane, Boise, Idaho.
Scheduled Advisory Committee Meetings:
The Idaho Industrial Commission and Idaho Department of Labor are partnering with other state agencies and Nortwest Areas IRS Stakeholder liasons to offer a series of free webinars covering how employers can hire workers in Idaho and learn their business owner responsibilites.
To register before December 7th please visit the webinar link.
The Industrial Commission's Annual Worker's Compensation Seminar is being held on Thursday, October 27th at the Boise Centre. Registration is now closed.
Employers, attorneys, insurance professionals, rehabilitation counselors, medical providers and anyone interested in the Idaho workers’ compensation system will find valuable information at the Annual Idaho Industrial Commission Seminar on Worker's Compensation. The conference features workers’ compensation experts from across the industry discussing a variety of timely topics of interest to anyone working in Idaho’s workers’ compensation system.
Eligible Securities Allowed for Statutory Deposits (Insurers)
In the 2016 session of the Idaho Legislature, House Bill 501 amended Idaho Code §72-301 to include Idaho municipal bonds as an acceptable form of security deposit for insurance carriers. This law is currently in effect. For more information on security for compensation, click here.
Eligible Securities Allowed for Statutory Deposits (Self-Insured Employers)
The Idaho Industrial Commission has issued a memorandum on the eligible securities allowed for statutory deposit by self-insured employers. The memorandum clarifies the differences in what is authorized for insurers and self-insured employers. For more information, click here.
Effective Sept. 1, 2015:
- Service providers are no longer required to bill Idaho Medicaid for the costs of child sexual abuse forensic interviews prior to submitting a claim for reimbursement from the Crime Victims Compensation Program. Idaho Medicaid issued a policy change stating that forensic interviews for suspected child sexual abuse crimes are no longer covered by Medicaid benefits. Click here to view the Medicaid policy change.
- Based on this policy change, the Crime Victims Compensation Program changed their policy requiring that Medicaid be billed prior to billing the Program for the cost of the forensic interview. Click here to view the CVCP forensic interview provider letter.
For more information, click here to visit the CVCP website.
2016 Legislative Session: Proposed Rules
(Please check back for up-to-date information)
- The Industrial Commission adopted a Temporary Rule that became effective July 1, 2015, affecting payment for hospital outpatient and ambulatory surgery center (ASC) services.
- The Temporary Rule delays implementation of the new Comprehensive Ambulatory Payment Classification (C-APC) codes finalized by Centers for Medicare & Medicaid Services (CMS) on October 31, 2014. The Commission will extend the use of the 2014 OPPS Relative Weights until further notice.
17-0206-1501 Employers' Reports
17-0207-1501 Procedures to Obtain Compensation
17-0208-1501 Miscellaneous Provisions
17-0210-1501 Administrative Rules of the Industrial Commission Under the Workers' Compensation Law -- Security for Compensation -- Insurance Carriers
17-0211-1501 Administrative Rules of the Industrial Commission Under the Workers' Compensation Law -- Security for Compensation -- Self-Insured Employers
17-0209-1502 Medical Fees (2016)
Temporary Rule 17-0209-1503 7/1/15
17.05.07.011.15 is effective as of July 1, 2015
Effective July 1, 2015, under the Idaho Administrative Procedures Act (IDAPA) Rule 17.05.01.011.15, relating to the administration of the Crime Victims Compensation Program, all bills for treatment and sexual assault forensic examinations must be submitted for payment consideration within two (2) years from the date of treatment or the date of Program eligibility, whichever is later. Bills submitted outside of these time frames will be denied.
For more information, click here to visit the CVCP website.
The FY16 Strategic Plan has been posted.
If you have any questions, please contact Nick Stout.
Amendments to Idaho Appellate Rule 11 and Adoption of New Idaho Appellate Rule 12.4:
Effective July 1, 2015:
Please visit this link to review the full order, released by the Idaho Supreme Court April 23, 2015
Effective August 1, 2013, the Idaho Industrial Commission will begin receiving Idaho workers’ compensation insurance policy data from the National Council on Compensation Insurance (NCCI) in the IAIABC EDI POC Release 3.0 format. This change will affect what insurance carriers are required to report to NCCI.
Some of the key changes coming in Release 3.0 are the addition of data elements to identify deductible policies, professional employer organization (PEO) and client company relationships, state premium, as well as the addition of several new cancellation reasons including “failure to submit payroll information”. A copy of the data element requirements, event tables and edit matrix are available on the Commission’s website. Also, please refer to NCCI’s Proof of Coverage Circular, POC-ID-2013-0, which is available on NCCI’s website at www.ncci.com for additional instructions on the requirements for Proof of Coverage Release 3.0.
The administrative rules of the Industrial Commission require that new policies, renewal policies, reinstatements and endorsement information must be reported to NCCI within 30 days of the effective date. Cancellations and non-renewals must be reported to NCCI within the time frames required by Idaho Code §72-311.
If you have any questions regarding the new reporting requirements, please contact Evan Sailor, Employer Compliance Manager, Idaho Industrial Commission, at (208) 334-6099 or by email at Evan.Sailor@iic.idaho.gov.