Assistance with Medical Bills
If you need help paying your medical bills, prescriptions or COBRA insurance premiums, please fill out our medical assistance application. To ensure we can read your application, please type your answers directly into the form. It is important to note, once you start your application you cannot leave the page or you will lose any information you’ve entered.
Once you’ve completed your application, review it, print it and bring it to our office, 252 E. Front St., Suite 199, in downtown Boise. The application needs to be signed and notarized; our office has notaries available to assist you. Once your application is submitted and received, Ada County Indigent Services will schedule an interview with you. ?Interviews may be available the day you submit your application. Same day interviews require approximately an hour and a half in our office. Otherwise, you will receive a subpoena in the mail with an interview time and a list of information you will need to bring with you at the time of your interview.
Interviews may be available the day you turn in your application. If you want to try to get an interview on the same day, please plan to spend approximately an hour and a half in our office. Otherwise, you will receive a subpoena in the mail with an interview time and a list of information you will need to bring with you.
Additional Provider Forms
If you are a medical provider, please use the forms below to provide the necessary information to Ada County Indigent Services. Providers are required to fill out the necessary forms before the county makes any payments.
- Additional Provider Request
- Physicians Medical Statement
- Cancer Treatment Plan
- Treatment Plan
- W-9 Request for Taxpayer Identification
- Work Verification
- Rent Verification
You can submit your patient’s claim and medical records by emailing?[email protected]. ?It’s beneficial if you attach a copy of the status update or approved provider page with these records.? Please include in the subject line the patients first and last name as well as the county application number.