DAR File No. 31506

Health, Health Care Financing, Coverage and Reimbursement Policy

R414-1-5

State Plan

NOTICE OF PROPOSED RULE

DAR File No.: 31506
Filed: 05/30/2008, 03:02
Received by: NL

RULE ANALYSIS

Purpose of the rule or reason for the change:

In accordance with Section 26-18-3, this change implements by rule ongoing Medicaid policy for services described in the Utah Medicaid Provider Manual, Medical Supplies Manual and List.

Summary of the rule or change:

Subsection R414-1-5(2) incorporates by reference the Medical Supplies Manual and List, effective 07/01/2008.

State statutory or constitutional authorization for this rule:

Sections 26-1-5 and 26-18-3

This rule or change incorporates by reference the following material:

Utah Medicaid Provider Manual, Medical Supplies Manual and List, 07/01/2008

Anticipated cost or savings to:

the state budget:

There is no impact to the state budget because this change only incorporates by reference ongoing Medicaid policy described in the Medical Supplies Manual and List.

local governments:

There is no budget impact because local governments do not fund or provide the services described in the Medical Supplies Manual and List.

small businesses and persons other than businesses:

There is no impact to the other persons and small businesses because this change only incorporates by reference ongoing Medicaid policy described in the Medical Supplies Manual and List.

Compliance costs for affected persons:

There are no compliance costs because this change only incorporates by reference ongoing Medicaid policy described in the Medical Supplies Manual and List.

Comments by the department head on the fiscal impact the rule may have on businesses:

Medicaid manages the provision of medical supplies, durable medical equipment and prosthetics with the manual and list incorporated by reference by this rule. Medicaid providers and recipients should find it easier to understand benefits and the scope of service. No fiscal impact is expected. A. Richard Melton, Acting Executive Director

The full text of this rule may be inspected, during regular business hours, at the Division of Administrative Rules, or at:

Health
Health Care Financing, Coverage and Reimbursement Policy
CANNON HEALTH BLDG
288 N 1460 W
SALT LAKE CITY UT 84116-3231

Direct questions regarding this rule to:

Craig Devashrayee at the above address, by phone at 801-538-6641, by FAX at 801-538-6099, or by Internet E-mail at cdevashrayee@utah.gov

Interested persons may present their views on this rule by submitting written comments to the address above no later than 5:00 p.m. on:

07/15/2008

This rule may become effective on:

07/22/2008

Authorized by:

Richard Melton, Deputy Director

R414. Health, Health Care Financing, Coverage and Reimbursement Policy.

R414-1. Utah Medicaid Program.

R414-1-5. [State Plan]Incorporations by Reference.

[(1) As a condition for receipt of federal funds under title XIX of the Act, the Utah Department of Health must submit a State Plan contract to the federal government for the medical assistance program, and agree to administer the program in accordance with the provisions of the State Plan, the requirements of Titles XI and XIX of the Act, and all applicable federal regulations and other official issuances of the United States Department of Health and Human Services. A copy of the State Plan is available for public inspection at the Division's offices during regular business hours.

]([2]1) The Department adopts the Utah State Plan Under Title XIX of the Social Security Act Medical Assistance Program effective July 1, 2008. It also incorporates by reference State Plan Amendments that become effective no later than July 1, 2008.

(2) The Department adopts the Medical Supplies Manual and List described in the Utah Medicaid Provider Manual, Section 2, Medical Supplies, with its referenced attachment, Medical Supplies List, July 1, 2008, as applied in Rule R414-70.

 

KEY: Medicaid

Date of Enactment or Last Substantive Amendment: 2008

Notice of Continuation: April 16, 2007

Authorizing, and Implemented or Interpreted Law: 26-1-5; 26-18-1