Forms
Signed applications can be submitted via mail, fax (208) 332-7559) or email to cvcp.admin@iic.idaho.gov.
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Provider Forms
| Title | Summary | Categories | Link |
|---|---|---|---|
| 17.10.01, Administrative Rules Under the Crime Victims Compensation Act | This rule applies to the following stakeholders: • Victims of Crime; • Medical Providers; and • Alleged Offenders | ||
| Chiropractic, Massage, Physical Therapy | … | ||
| Crime Victims Compensation Program General | If charges are filed, contact the prosecuting attorney’s office about ordering restitution as soon as possible. Their office will assist you in preparing a restitution statement to inform the judge of your reimbursable expenses and enable the judge to order the appropriate restitution. | ||
| Crime Victims Compensation Program Guidelines | The purpose of this manual is to provide guidance for Crime Victims Compensation Program (Program) staff in administering and managing claims for crime victims compensation and as a training resource for program staff. | ||
| Crime Victims Compensation Program Sexual Assault Examinations | If you are a victim of sexual assault and you need assistance, contact the crisis center in your region. | ||
| Crime Victims’ Compensation Fee Schedule | Adoption of Standard. The Commission hereby adopts the Resource-Based Relative Value Scale (RBRVS), published by the Centers for Medicare and Medicaid Services of the U.S. Department of Health and Human Services, as amended, as the standard to be used for determining the allowable payment under the Crime Victims Compensation Act for medical services provided by providers other than hospitals and ASCs. | ||
| Eligibility Requirements for CVCP | … | ||
| Family Assistance Treatment Plan | … | ||
| Financial Recovery Information | The Idaho Crime Victims Compensation Program (CVCP) provides assistance to victims for financial losses associated with a crime when other resources are not available to cover those expenses. | ||
| Idaho Administrative Bulletin – Vol. 23-5 | The Idaho Administrative Bulletin is an electronic-only, online monthly publication of the Office of the Administrative Rules Coordinator, Division of Financial Management, that is published pursuant to Section 67-5203, Idaho Code. | ||
| Idaho Administrative Bulletin – Vol. 23-6 | In accordance with Executive Order 2020-01: Zero-Based Regulation, the Industrial Commission is striving to prevent the accumulation of costly, ineffective, and outdated regulations and reduce regulatory burden to achieve a more efficient operation of government | ||
| Idaho Administrative Bulletin – Vol. 23-9 | In accordance with Executive Order 2020-01: Zero-Based Regulation, the Industrial Commission is striving to prevent the accumulation of costly, ineffective, outdated regulations, and reduce regulatory burden to achieve a more efficient operation of government. | ||
| Idaho Code 19-5303 | Cost of medical exams to be paid by law enforcement agency. When the victim of any crime is directed or authorized by a law enforcement agency to obtain a medical examination for the purpose of procuring evidence for use by a law enforcement agency in the investigation or prosecution of the crime, the expense incurred shall be paid by the law enforcement agency. | ||
| Idaho Code 72-1019(2) | A claimant is entitled to weekly compensation benefits when the claimant has a total actual loss of wages due to injury as a result of criminally injurious conduct. During the time the claimant seeks such weekly benefits, the claimant, as a result of such injury, must have no reasonable prospect of being regularly employed in the normal labor market. | ||
| Idaho Code Section 72-1007 | Public inspection and disclosure of commission’s records. The information and records the commission maintains in its possession in the administration of this chapter shall be kept confidential and are exempt from public disclosure under chapter 1, title 74, Idaho Code, provided however: | ||
| Idaho Codes §72-1026 | Payments to medical providers. (1) The commission may adopt a fee schedule to determine the allowable payments to be made to medical providers under this chapter, including but not limited to, the fee schedule the commission has adopted to determine the allowable payments to be made to medical providers under the Idaho worker’s compensation law. | ||
| Idaho Council on Domestic Violence | … | ||
| IDAPA 17.10.01 – Administrative Rules Under the Crime Victims Compensation Act | Who does this rule apply to? This rule applies to the following stakeholders: • Victims of Crime; • Medical Providers; and • Alleged Offenders | ||
| Información de recuperación financiera | El Programa de Compensación para Víctimas de Crimen de Idaho proporciona asistencia a las víctimas por pérdidas financieras asociadas con un delito cuando otros recursos no están disponibles para cubrir esos gastos. | ||
| Medication Management | … | ||
| Megan’s Law | … | ||
| Mental Health Progress Report | … | ||
| Mental Health Treatment Plan | … | ||
| Office for Victims of Crime – Resources for International Victims | … | ||
| Programa de Compensación para Víctimas del Crimen Exámenes de Agresión Sexual | Si eres víctima de un asalto sexual y necesitas asistencia, por favor de ponerse en contacto con el Centro de Crisis en su región. | ||
| Programa General de Compensación para Víctimas del Delito | Si cargos sean presentado, Ud. debe de comunicarse con la oficina del acusador del condado para ordenar restitución lo más pronto posible. | ||
| Title 72 Worker’s Compensation and Related Laws – Chapter 10 Crime Victims Compensation | … | ||
| U.S. Department of Justice | … |
