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Victims Program Crime Sexual Assault Examinations If you are a victim of sexual assault and you need as- sistance, contact the crisis center in your region. Region 1 Coeur d’Alene Women’s Center, Coeur d’Alene 208-664-9303 Boundary County Youth Crisis & Domestic Violence Hotline, Bonners Ferry 208-267-5211 Shoshone Womens’ Cenetr, Wallace 208-556-0500 CRIME Region 2 YWCA Lewsiton/Clarkston, Lewiston 208-743-1535 Alternatives to Violence of the Palouse, Moscow 208-883-4357 Region 3 Financial Assistance for Valley Crisis Center, Nampa 208-465-5011 Family Justice Center, Nampa 208-475-5700 Innocent Victims of Crime Hope’s Door, Caldwell 208-459-4779 Project Dove, Ontario, OR 800-889-2000 Region 4 Women’s & Children’s Alliance, Boise 208-343-7025 VICTIMS FACES, Boise 208-577-4400 Region 5 Crisis Center of Magic Valley, Twin Falls 208-733-0100 Advocates for Survivors of Domestic Violence & Sexual Assault, Hailey 208-788-6070 Region 6 Bannock Youth Foundation, Pocatello 208-234-1122 Family Services Alliance, Pocatello 208-251-4357 Oneida Crisis Center, Malad 208-766-3119 COMPENSATION Region 7 Domestic Violence and Sexual Assault Center, Idaho Falls 208-529-4352 Family Safety Network, Driggs 208-354-7233 Family Crisis Center, Rexburg 800-962-5601 Costs associated with this publication are available from the Idaho Industrial Commission in accordance with Idaho Code § 60-202. AA/EEO Employer 04-12/CVSAE/5,000 PROGRAM ASSISTANCE ADDITIONAL BENEFITS AVAILABLE Victims of sexual assault may be eligible for additional benefits through the Crime Victims Compensation Program for treatment costs for injuries resulting from the crime. To access these benefits, the victim must complete an Application About the Program for Benefits and submit it to the program for an eligibility review. If the victim has not received an Idaho law requires the Crime Victims Compensa- application, one can be mailed to them. tion Program provide payment for sexual assault examinations for crimes committed in Idaho. Benefits available under the Sexual Assault Reim- Victims of sexual assault should not be charged bursement Program are limited to the cost of the for the cost of the sexual assault examination. sexual assault examination. The victim is respon- sible for the cost of any treatment received unless The Program is funded through fines and penalties they are eligible for general compensation benefits. assessed against offenders. No tax dollars are used to fund the program. Eligible payments are based on rates established in the Workers’ Compensation Medical Fee Sched- ELIGIBILITY REQUIREMENTS ule. Providers are prohibited from collecting any unpaid portion of a bill from the victim or claim- The crime must be committed in Idaho. ant, unless the program is unable to make the full Exam must be performed by trained personnel allowable payment based on applicable laws and (Physician or Sexual Assault Nurse Examiner). rules. Completed Sexual Assault Reimbursement Form, signed by patient or legal guardian (if To request an application for compensation patient is a minor). benefits, or if you have any questions about sexual assault examination reimbursement, please contact REIMBURSEMENT REQUIREMENTS the program at: Third party payment sources must pay first (e.g. private insurance, government benefits, Indian Idaho Industrial Commission Health Services). Crime Victims Compensation Program P.O. Box 83720 Billing packet must include: Boise, Idaho 83720-0041 Itemized bill (HCFA or UB92) 208-334-6080 Insurance Explanation of Benefits 800-950-2110 Examination report FAX 1-208-332-7559 COMPASSIONwww.crimevictimcomp.idaho.gov.
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